THE CLINICAL USE OF MINDFULNESS MEDITATION FOR THE SELF-REGULATION OF CHRONIC PAIN
THE CLINICAL USE OF MINDFULNESS MEDITATION FOR THE SELF-REGULATION OF CHRONIC PAIN
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DOI：
10.1007/bf00845519
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发表时间：
1985-01-01
影响因子：
3.1
通讯作者：
BURNEY, R
中科院分区：
文献类型：
--
作者：
KABATZINN, J;LIPWORTH, L;BURNEY, R
90名慢性疼痛患者接受了为期10周的压力减轻和放松计划中的正念冥想训练。在目前的疼痛、负面的身体形象、疼痛对活动的抑制、症状、情绪障碍以及包括焦虑和抑郁在内的心理症状方面的测量结果在统计学上显著降低。与疼痛相关的药物使用率下降，活动水平和自尊感增加。改善似乎与性别、转诊来源和疼痛类型无关。一组对照组的疼痛患者在传统治疗方案后这些指标没有明显改善。在随访中，冥想训练中观察到的改善保持到15mo。冥想后训练，所有措施，除了当下的疼痛。大多数受试者报告说，作为他们日常生活的一部分，他们对冥想练习的遵守程度仍然很高。讨论了正念冥想与其他控制慢性疼痛的心理学方法的关系。
Ninety chronic pain patients were trained in mindfulness meditation in a 10-wk stress reduction and relaxation program. Statistically significant reductions were observed in measures of present-moment pain, negative body image, inhibition of activity by pain, symptoms, mood disturbance and psychological symptomatology, including anxiety and depression. Pain-related drug utilization decreased and activity levels and feelings of self-esteem increased. Improvement appeared to be independent of gender, source of referral and type of pain. A comparison group of pain patients did not show significant improvement on these measures after traditional treatment protocols. At follow-up, the improvements observed during the meditation training were maintained up to 15 mo. post-meditation training for all measures except present-moment pain. The majority of subjects reported continued high compliance with the meditation practice as part of their daily lives. The relationship of mindfulness meditation to other psychological methods for chronic pain control is discussed.