Effectiveness of focused meditation for patients with chronic low back pain—A randomized controlled clinical trial |
| |
| Institution: | 1. Institute of Social Medicine, Epidemiology and Health Economics, Charité-University Medical Center, Berlin, Germany;2. Immanuel Hospital Berlin, Department of Internal and Complementary Medicine, Berlin, Germany;3. University Hospital Salzburg, Department for Psychiatry and Psychotherapy, Austria;4. University Witten-Herdecke, Chair of Integrative Medicine, Witten, Germany;5. Karl- and Veronica Carstens Foundation, Essen, Germany;1. Group of Psychological Research in Fibromyalgia and Chronic Pain (AGORA), Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain;2. Teaching, Research & Innovation Unit, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain;3. Primary Care Prevention and Health Promotion Research Network, RedIAPP, Madrid, Spain;4. Faculty of Psychology, Universitat Autònoma de Barcelona, Bellaterra (Cerdanyola del Vallès), Barcelona, Spain;5. Department of Rheumatology, Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain;6. Department of Psychiatry, Chulalongkorn University, Bangkok, Thailand;1. Duke University School of Nursing, Durham, North Carolina;2. BioVirtua, San Francisco, California;3. Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina;1. Department of Family Medicine, Boston Medical Center, Dowling 5 South, 1 Boston Medical Center Place, Boston, MA 02118, USA;2. Boston University School of Medicine, 72 E Concord St, Boston, MA 02118, USA;1. Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand;2. Carolina Asia Center, University of North Carolina at Chapel Hill, USA;1. Department of Neurosurgery, University of California, 200 W. Arbor Drive #8893, USA;2. Department of Neurscience & Experimental Therapeutics, Albany Medical College, Albany, NY, USA;3. Department of Biomedical Research, Florida Atlantic University, Boca Raton, Florida, USA;1. Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA;2. College of Social Work, University of Utah, Salt Lake City, Utah, USA;3. School of Social Work, University of North Carolina, Chapel Hill, North Carolina, USA |
| |
| Abstract: | ObjectivesWe aimed to evaluate the effectiveness of an 8-week meditation program (focused meditation) in patients with chronic low-back pain.DesignA randomized clinical trial was conducted on 68 patients (55 years;75% female) with chronic low-back pain who scored >40 mm on a 100 mm Visual-Analogue-Scale. Subjects were allocated to an 8-week meditation program (focused meditation) with weekly 75 min classes or to a self-care exercise program with a wait-list offer for meditation. Both groups were instructed to practice at home. Outcomes were assessed baseline and after 4 and 8 weeks. The primary outcome measure was the change in mean back pain at rest after 8 weeks. Secondary outcomes included function, pain-related bothersomeness, perceived stress, quality-of-life (QOL), and psychological outcomes.ResultsTwelve (meditation) and 4 (exercise) patients were lost to follow-up. The primary outcome, pain at rest after 8 weeks, was reduced from 59.3 ± 13.9 mm to 40.8 ± 21.8 mm with meditation vs. 52.9 ± 11.8 mm to 37.3 ± 18.2 mm with exercise (adjusted group difference: ?1.4 (95%CI:11.6;8.8;p = n.s.) Perceived stress was significantly more reduced with meditation (p = 0.011). No significant treatment effects were found for other secondary outcomes as pain-related bothersomeness, function, quality-of-life and psychological scores, although the meditation group consistently showed non-significant better improvements compared to the exercise group.ConclusionsFocused meditation and self-care exercise lead to comparable, symptomatic improvements in patients with chronic low back pain. Future studies should include longer-term follow-ups and develop guided meditation programs to support compliance. |
| |
| Keywords: | Exercise Meditation Low back pain Distress Randomized trial |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
