Daily Interaction Between Meditation and Endometriosis Pain and the Mindfulness Effect on Pain Interference in Activities Throughout a Brief Mindfulness-Based Intervention

IF 3.1 2区心理学 Q2 PSYCHIATRY

Mindfulness Pub Date : 2024-05-31 DOI:10.1007/s12671-024-02381-y

Marcelo de França Moreira, Olga Lucia Gamboa, Marco Aurelio Pinho Oliveira

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Abstract

Objectives

Previous studies have examined simplified unidirectional associations between mindfulness, pain, and its functional interference, overlooking individual variations and complex interactions. The present study aimed to address this limitation by investigating the reciprocal lagged effects of mindfulness meditation and endometriosis-related pain while evaluating the impact of a brief mindfulness-based intervention (bMBI) on pain interference with activities (PI).

Method

Exploratory analyses were conducted of a pilot randomized controlled trial (n = 63). A random intercept cross-lagged panel model was used to assess the reciprocal influence between the minutes of meditation and pain intensity. Effects of the bMBI on PI were evaluated using a latent growth curve model. Analyses were performed over the initial, middle, and last 5 days of the bMBI.

Results

Minutes of meditation practice were positively associated with pain intensity during the initial period. Increased meditation practice above the average in the middle intervention days led women to perceive more pain, which produced a reduction in meditation practice. This pattern was reversed in the last intervention period, where the increase in the average meditation practice reduced pain. Also, the increase in pain motivated an increase in meditation in one cross-lag. However, the bMBI was unable to improve PI.

Conclusions

Women suffering from endometriosis-related pain show a bMBI trajectory involving predominant increased pain perception and associated meditation and activities avoidance in the early learning stage. Mindfulness skills became more effective in dealing with endometriosis pain and related meditation avoidance from the fourth week. The absence of improvement in PI indicates the necessity of alternative strategies to achieve this outcome.

Preregistration

Brazilian Registry of Clinical Trials U1111-1233–4802.

Abstract Image

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冥想与子宫内膜异位症疼痛之间的日常互动，以及在短暂的正念干预过程中正念对疼痛干扰活动的影响

目的以往的研究对正念、疼痛及其功能干扰之间的单向关联进行了简化，忽略了个体差异和复杂的相互作用。本研究旨在通过调查正念冥想与子宫内膜异位症相关疼痛之间的相互滞后效应，同时评估基于正念的简短干预（bMBI）对疼痛活动干扰（PI）的影响来解决这一局限性。采用随机截距交叉滞后面板模型评估冥想分钟数与疼痛强度之间的相互影响。使用潜在增长曲线模型评估了 bMBI 对 PI 的影响。结果冥想练习分钟数与初期疼痛强度呈正相关。在干预的中间几天，冥想练习的增加超过了平均值，导致女性感知到更多的疼痛，从而减少了冥想练习。这种模式在最后一个干预期发生了逆转，平均冥想练习时间的增加减轻了疼痛。此外，在一个交叉滞后期，疼痛的增加也促使冥想次数增加。结论患有子宫内膜异位症相关疼痛的妇女在早期学习阶段表现出的 bMBI 轨迹主要涉及疼痛感的增加以及相关的冥想和活动回避。从第四周开始，正念技能在处理子宫内膜异位症疼痛和相关冥想回避方面变得更加有效。PI没有改善表明有必要采用其他策略来实现这一结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mindfulness Multiple-

CiteScore

6.10

自引率

19.40%

发文量

224

期刊介绍： Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression