Volume 7, Issue 1 (2022)
IJMPP 2022, 7(1): 670-678 |
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Najafinejad S. Mindfulness Intervention for Chronic Low Back Pain: A Systematic Review. IJMPP 2022; 7 (1) :670-678
URL: http://ijmpp.modares.ac.ir/article-32-58459-en.html
URL: http://ijmpp.modares.ac.ir/article-32-58459-en.html
School of Medicine, Tehran Univer- sity of Medical Sciences, No: 23, 16th Azar St., Tehran, Iran. , soroushnajafinejad@yahoo.com
Abstract: (1780 Views)
Aims: This systematic review was performed to find the effectiveness of mindfulness interventions for outcomes such as pain, physical function, and cost-effectiveness in Chronic Low Back Pain (CLBP) patients.
Methods: Articles published in peer-reviewed journals till February 2019, were used through searches of three electronic databases (PubMed, EMBASE, and Web of Science). Keywords including mindfulness, mindfulness-based intervention, mindfulness meditation and CLBP were used in search strategy. At last, a total of 8 articles were included in the final analysis.
Findings: All included studied studies were high qualified by which physical function was being measured as their outcome. The Short-Form Health Survey was the most frequently used measure of physical function in the studies. Anxiety and depression were as secondary outcomes in four of eight studies. The Mindfulness Based Stress Reduction (MBSR) method was the main intervention that was used in the studies. Most of the studies utilized at least six sessions and 2 hours (30 minutes for each session) weekly. Sessions were managed by experienced person in MBSR field. Five out of eight studies approved MBSR fop pain improvement compared to usual cares.
Conclusion: This study supported the strategy of applying non-pharmacological therapies for CLBP which are effective in managing pain among adults. However doing more researches to evaluate the persistent long effects of this therapy and its cost-effectiveness in comparison to medications is strongly recommended.
Methods: Articles published in peer-reviewed journals till February 2019, were used through searches of three electronic databases (PubMed, EMBASE, and Web of Science). Keywords including mindfulness, mindfulness-based intervention, mindfulness meditation and CLBP were used in search strategy. At last, a total of 8 articles were included in the final analysis.
Findings: All included studied studies were high qualified by which physical function was being measured as their outcome. The Short-Form Health Survey was the most frequently used measure of physical function in the studies. Anxiety and depression were as secondary outcomes in four of eight studies. The Mindfulness Based Stress Reduction (MBSR) method was the main intervention that was used in the studies. Most of the studies utilized at least six sessions and 2 hours (30 minutes for each session) weekly. Sessions were managed by experienced person in MBSR field. Five out of eight studies approved MBSR fop pain improvement compared to usual cares.
Conclusion: This study supported the strategy of applying non-pharmacological therapies for CLBP which are effective in managing pain among adults. However doing more researches to evaluate the persistent long effects of this therapy and its cost-effectiveness in comparison to medications is strongly recommended.
Article Type: Systematic Review |
Subject:
Musculoskeletal Pain Prevention
Received: 2022/01/6 | Accepted: 2022/01/14 | Published: 2022/01/20
Received: 2022/01/6 | Accepted: 2022/01/14 | Published: 2022/01/20
References
1. Kim LH, Vail D, Azad TD, Bentley JP, Zhang Y, Ho AL, et al. Expenditures and Health Care Utilization Among Adults With Newly Diagnosed Low Back and Lower Extremity Pain. JAMA Network Open. 2019;2(5):e193676-e. doi: 10.1001/jamanetworkopen.2019.3676. [DOI:10.1001/jamanetworkopen.2019.3676]
2. Cusens B, Duggan GB, Thorne K, Burch V. Evaluation of the breathworks mindfulness‐based pain management programme: effects on well‐being and multiple measures of mindfulness. Clinical Psychology & Psychotherapy: An International Journal of Theory & Practice. 2010;17(1):63-78. [DOI:10.1002/cpp.653]
3. Freburger JK, Holmes GM, Agans RP, Jackman AM, Darter JD, Wallace AS, et al. The rising prevalence of chronic low back pain. Archives of internal medicine. 2009;169(3):251-8. [DOI:10.1001/archinternmed.2008.543]
4. Crofford LJ. Adverse effects of chronic opioid therapy for chronic musculoskeletal pain. Nature Reviews Rheumatology. 2010;6(4):191-7. [DOI:10.1038/nrrheum.2010.24]
5. Labianca R, Sarzi-Puttini P, Zuccaro SM, Cherubino P, Vellucci R, Fornasari D. Adverse effects associated with non-opioid and opioid treatment in patients with chronic pain. Clinical drug investigation. 2012;32(1):53-63. [DOI:10.2165/11630080-000000000-00000]
6. Academic Mindfulness Interest Group M, Academic Mindfulness Interest Group M. Mindfulness-based psychotherapies: a review of conceptual foundations, empirical evidence and practical considerations. Australian & New Zealand Journal of Psychiatry. 2006;40(4):285-94. [DOI:10.1080/j.1440-1614.2006.01794.x]
7. Day MA, Jensen MP, Ehde DM, Thorn BE. Toward a theoretical model for mindfulness-based pain management. The Journal of Pain. 2014;15(7):691-703. [DOI:10.1016/j.jpain.2014.03.003]
8. Strauss C, Cavanagh K, Oliver A, Pettman D. Mindfulness-based interventions for people diagnosed with a current episode of an anxiety or depressive disorder: a meta-analysis of randomised controlled trials. PLOS one. 2014;9(4):e96110. [DOI:10.1371/journal.pone.0096110]
9. Kuyken W, Warren FC, Taylor RS, Whalley B, Crane C, Bondolfi G, et al. Efficacy of mindfulness-based cognitive therapy in prevention of depressive relapse: an individual patient data meta-analysis from randomized trials. JAMA psychiatry. 2016;73(6):565-74. [DOI:10.1001/jamapsychiatry.2016.0076]
10. Chen YLE, Francis AJ. Relaxation and imagery for chronic, nonmalignant pain: effects on pain symptoms, quality of life, and mental health. Pain management nursing. 2010;11(3):159-68. [DOI:10.1016/j.pmn.2009.05.005]
11. Gardner-Nix J. Mindfulness-based stress reduction for chronic pain management. Clinical handbook of mindfulness: Springer; 2009. p. 369-81. [DOI:10.1007/978-0-387-09593-6_20]
12. Herman PM, Anderson ML, Sherman KJ, Balderson BH, Turner JA, Cherkin DC. Cost-effectiveness of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care among adults with chronic low-back pain. Spine. 2017;42(20):1511. [DOI:10.1097/BRS.0000000000002344]
13. Jensen MP, Thorn BE, Carmody J, Keefe FJ, Burns JW. The role of cognitive content and cognitive processes in chronic pain: An important distinction? The Clinical journal of pain. 2018;34(5):391. [DOI:10.1097/AJP.0000000000000559]
14. Zgierska AE, Ircink J, Burzinski CA, Mundt MP. Cost of opioid-treated chronic low back pain: Findings from a pilot randomized controlled trial of mindfulness meditation-based intervention. Journal of opioid management. 2017;13(3):169. [DOI:10.5055/jom.2017.0384]
15. Zgierska AE, Burzinski CA, Cox J, Kloke J, Singles J, Mirgain S, et al. Mindfulness meditation-based intervention is feasible, acceptable, and safe for chronic low back pain requiring long-term daily opioid therapy. The Journal of Alternative and Complementary Medicine. 2016;22(8):610-20. [DOI:10.1089/acm.2015.0314]
16. Cherkin DC, Sherman KJ, Balderson BH, Cook AJ, Anderson ML, Hawkes RJ, et al. Effect of mindfulness-based stress reduction vs cognitive behavioral therapy or usual care on back pain and functional limitations in adults with chronic low back pain: a randomized clinical trial. Jama. 2016;315(12):1240-9. [DOI:10.1001/jama.2016.2323]
17. Zgierska AE, Burzinski CA, Cox J, Kloke J, Stegner A, Cook DB, et al. Mindfulness meditation and cognitive behavioral therapy intervention reduces pain severity and sensitivity in opioid-treated chronic low back pain: pilot findings from a randomized controlled trial. Pain Medicine. 2016;17(10):1865-81. [DOI:10.1093/pm/pnw006]
18. Morone NE, Greco CM, Moore CG, Rollman BL, Lane B, Morrow LA, et al. A mind-body program for older adults with chronic low back pain: a randomized clinical trial. JAMA internal medicine. 2016;176(3):329-37. [DOI:10.1001/jamainternmed.2015.8033]
19. Morone NE, Greco CM, Weiner DK. Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study. Pain. 2008;134(3):310-9. [DOI:10.1016/j.pain.2007.04.038]
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