Daily Interaction Between Meditation and Endometriosis Pain and the Mindfulness Effect on Pain Interference in Activities Throughout a Brief Mindfulness-Based Intervention
Marcelo de França Moreira, Olga Lucia Gamboa, Marco Aurelio Pinho Oliveira
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引用次数: 0
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.
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
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