Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context
Background and Aims: In India, the awareness about the psycho-social dimension of chronic pain is minimal among physicians and patients. The research with community-based group therapies (like mindfulness) to address the psycho-social aspects in chronic pain patients remains limited. The aim of this...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-10-01
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| Series: | Indian Journal of Psychiatry |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_393_23 |
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| author | Anirban Pal Purnava Mukhopadhyay Rajasree Biswas Dipasri Bhattacharya |
| author_facet | Anirban Pal Purnava Mukhopadhyay Rajasree Biswas Dipasri Bhattacharya |
| author_sort | Anirban Pal |
| collection | DOAJ |
| description | Background and Aims:
In India, the awareness about the psycho-social dimension of chronic pain is minimal among physicians and patients. The research with community-based group therapies (like mindfulness) to address the psycho-social aspects in chronic pain patients remains limited. The aim of this randomized controlled trial was to see the effects of mindfulness on pain intensity, pain catastrophizing, chronic pain acceptance, perceived stress, well-being, and mindfulness characteristics.
Materials and Methods:
In this two-site, parallel group, clinical trial, 170 patients attending pain outdoors of two government hospitals in West Bengal, India, were randomized to attend five weekly in-person mindfulness sessions (cases) or usual care sessions (controls) within the hospital premises. Pre-program and post-program data were collected and analyzed using statistical methods like repeated measures analysis of variance.
Results:
In participants of the mindfulness group, significant changes post session were noted in pain intensity [F(1,326) = 15.0122; P = 0.0001291], pain acceptance [F(1,326) = 4.5311; P = 0.03403], and perceived stress score [F(1,326) = 13.2788; P = 0.0003122] compared to pre-session. The changes in pain catastrophizing, World Health Organization well-being and Freiburg mindfulness inventory scores were non-specific.
Conclusion:
Mindfulness had a positive influence on pain intensity, pain acceptance, and perceived stress of Indian chronic pain patients. The effects on pain catastrophizing, mindfulness characteristics, and well-being (non-specific) were also encouraging. Further studies will be required to substantiate these results. |
| format | Article |
| id | doaj-art-18a47816fe2544b69caad495c2aa2be6 |
| institution | Kabale University |
| issn | 0019-5545 1998-3794 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Psychiatry |
| spelling | doaj-art-18a47816fe2544b69caad495c2aa2be62025-01-26T08:54:50ZengWolters Kluwer Medknow PublicationsIndian Journal of Psychiatry0019-55451998-37942023-10-0165101061106810.4103/indianjpsychiatry.indianjpsychiatry_393_23Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian contextAnirban PalPurnava MukhopadhyayRajasree BiswasDipasri BhattacharyaBackground and Aims: In India, the awareness about the psycho-social dimension of chronic pain is minimal among physicians and patients. The research with community-based group therapies (like mindfulness) to address the psycho-social aspects in chronic pain patients remains limited. The aim of this randomized controlled trial was to see the effects of mindfulness on pain intensity, pain catastrophizing, chronic pain acceptance, perceived stress, well-being, and mindfulness characteristics. Materials and Methods: In this two-site, parallel group, clinical trial, 170 patients attending pain outdoors of two government hospitals in West Bengal, India, were randomized to attend five weekly in-person mindfulness sessions (cases) or usual care sessions (controls) within the hospital premises. Pre-program and post-program data were collected and analyzed using statistical methods like repeated measures analysis of variance. Results: In participants of the mindfulness group, significant changes post session were noted in pain intensity [F(1,326) = 15.0122; P = 0.0001291], pain acceptance [F(1,326) = 4.5311; P = 0.03403], and perceived stress score [F(1,326) = 13.2788; P = 0.0003122] compared to pre-session. The changes in pain catastrophizing, World Health Organization well-being and Freiburg mindfulness inventory scores were non-specific. Conclusion: Mindfulness had a positive influence on pain intensity, pain acceptance, and perceived stress of Indian chronic pain patients. The effects on pain catastrophizing, mindfulness characteristics, and well-being (non-specific) were also encouraging. Further studies will be required to substantiate these results.https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_393_23mindfulnesspain acceptancepain catastrophizingpain intensitypsycho-social |
| spellingShingle | Anirban Pal Purnava Mukhopadhyay Rajasree Biswas Dipasri Bhattacharya Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context Indian Journal of Psychiatry mindfulness pain acceptance pain catastrophizing pain intensity psycho-social |
| title | Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context |
| title_full | Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context |
| title_fullStr | Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context |
| title_full_unstemmed | Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context |
| title_short | Mindfulness influences the psycho-social dimension of chronic pain: A randomized controlled clinical trial in Indian context |
| title_sort | mindfulness influences the psycho social dimension of chronic pain a randomized controlled clinical trial in indian context |
| topic | mindfulness pain acceptance pain catastrophizing pain intensity psycho-social |
| url | https://journals.lww.com/10.4103/indianjpsychiatry.indianjpsychiatry_393_23 |
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