PMID- 23942276
OWN - NLM
STAT- MEDLINE
DCOM- 20140310
LR  - 20130823
IS  - 1423-0348 (Electronic)
IS  - 0033-3190 (Linking)
VI  - 82
IP  - 5
DP  - 2013
TI  - Mindfulness-oriented recovery enhancement reduces pain attentional bias in 
      chronic pain patients.
PG  - 311-8
LID - 10.1159/000348868 [doi]
AB  - BACKGROUND: Chronic pain involves hypervigilance for pain-related stimuli. 
      Selective attention to pain-related stimuli, known as pain attentional bias (AB), 
      can exacerbate chronic pain, prolong suffering, and undermine quality of life. 
      The aim of this study was to determine if a multimodal mindfulness-oriented 
      intervention could significantly reduce pain AB among chronic pain patients 
      receiving opioid analgesics. METHODS: A total of 67 chronic pain patients were 
      randomized to an 8-week Mindfulness-Oriented Recovery Enhancement (MORE) 
      intervention or a social support group intervention and began treatment. A dot 
      probe task was used to measure pain AB. Primary outcomes were pain AB scores for 
      cues presented for 2,000 and 200 ms. RESULTS: Prior to intervention, participants 
      exhibited a significant bias towards pain-related cues presented for 2,000 ms, 
      but no bias for cues presented for 200 ms. A statistically significant time x 
      intervention condition interaction was observed for 2,000 ms pain AB, such that 
      participants in MORE evidenced significantly reduced posttreatment pain AB 
      relative to pretreatment levels, whereas no significant pre-post treatment 
      changes in pain AB were observed for support group participants. Decreases in 
      pain AB were associated with increased perceived control over pain and attenuated 
      reactivity to distressing thoughts and emotions. CONCLUSION: Study findings 
      provide the first indication that a mindfulness-oriented intervention may reduce 
      pain AB among adults suffering from chronic pain. Given the magnitude of chronic 
      pain in postindustrial societies, coupled with the dramatic escalation in 
      prescription opioid misuse, future studies should evaluate MORE as a 
      nonpharmacological means of addressing factors linked with chronic pain.
CI  - Copyright (c) 2013 S. Karger AG, Basel.
FAU - Garland, Eric L
AU  - Garland EL
AD  - University of Utah, Salt Lake City, Utah 84112, USA. elgarlan@gmail.com
FAU - Howard, Matthew O
AU  - Howard MO
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20130809
PL  - Switzerland
TA  - Psychother Psychosom
JT  - Psychotherapy and psychosomatics
JID - 0024046
RN  - 0 (Analgesics, Opioid)
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Analgesics, Opioid/therapeutic use
MH  - Anxiety/*prevention & control/psychology
MH  - Attention/*physiology
MH  - Chronic Pain/drug therapy/psychology/*rehabilitation
MH  - Female
MH  - Humans
MH  - Intention to Treat Analysis
MH  - Male
MH  - Middle Aged
MH  - Mindfulness/*methods
MH  - *Models, Statistical
MH  - Neuropsychological Tests
MH  - Pain Perception/physiology
MH  - Quality of Life
MH  - Reaction Time/physiology
EDAT- 2013/08/15 06:00
MHDA- 2014/03/13 06:00
CRDT- 2013/08/15 06:00
PHST- 2012/09/03 00:00 [received]
PHST- 2013/02/10 00:00 [accepted]
PHST- 2013/08/15 06:00 [entrez]
PHST- 2013/08/15 06:00 [pubmed]
PHST- 2014/03/13 06:00 [medline]
AID - 000348868 [pii]
AID - 10.1159/000348868 [doi]
PST - ppublish
SO  - Psychother Psychosom. 2013;82(5):311-8. doi: 10.1159/000348868. Epub 2013 Aug 9.