PMID- 31246748
OWN - NLM
STAT- MEDLINE
DCOM- 20200623
LR  - 20200623
IS  - 1534-7796 (Electronic)
IS  - 0033-3174 (Linking)
VI  - 81
IP  - 7
DP  - 2019 Sep
TI  - Mapping the Affective Dimension of Embodiment With the Sensation Manikin: 
      Validation Among Chronic Pain Patients and Modification by Mindfulness-Oriented 
      Recovery Enhancement.
PG  - 612-621
LID - 10.1097/PSY.0000000000000725 [doi]
AB  - OBJECTIVE: Mindfulness-based interventions target novel pain relief mechanisms 
      not captured by legacy pain scales, including 1) cultivating awareness of 
      pleasant and neutral sensations proximal to unpleasant sensations and 2) 
      interoceptively mapping sensation location and spatial distribution. METHODS: We 
      created a digital sensation manikin (SM) by overlaying a human figure silhouette 
      with a grid of 469 "sensation" pixels. A series of five research questions 
      examined the SM's discriminant validity, construct validity, incremental 
      validity, convergence with an objective measure of pain attentional bias, and 
      sensitivity to a mindfulness-based psychological treatment, Mindfulness-Oriented 
      Recovery Enhancement (MORE). A sample of opioid treated chronic pain patients (n 
      = 108; age, 53.79 (12.94) years; female, 65%) was recruited to answer research 
      questions 1 to 5, and a sample of healthy controls (n = 91; age, 36.47 (13.50) 
      years; female, 55%) was recruited as the comparison group for research question 
      1. RESULTS: Chronic pain patients reported significantly more unpleasant 
      sensations than did healthy controls (p < .001, d = 1.23) and significantly fewer 
      pleasant sensations (p = .001, d = 0.50). The SM also evidenced expected 
      relationships with multiple measures of pain (r = 0.26-0.29) and well-being (r = 
      -0.21 to 0.28), uniquely predicted pain interference (beta = -0.18), and exhibited a 
      significant association with pain attentional bias (r = 0.25). Finally, 
      mindfulness-based intervention via MORE significantly increased the ratio of 
      pleasant to unpleasant sensations reported by chronic pain patients relative to 
      an active control condition (p = .036, d = 0.51). CONCLUSIONS: This study 
      supports the SM's validity and indicates that assessing both pleasant and 
      unpleasant sensations broadens the scope of pain measurement. Although the SM 
      would benefit from further optimization, its continued use is likely to 
      contribute to improved assessment and treatment options for chronic pain 
      patients.
FAU - Hanley, Adam W
AU  - Hanley AW
AD  - From the College of Social Work (Hanley, Garland), University of Utah, Salt Lake 
      City, UT.
FAU - Garland, Eric L
AU  - Garland EL
LA  - eng
GR  - R01 DA042033/DA/NIDA NIH HHS/United States
GR  - R61 AT009296/AT/NCCIH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Validation Study
PL  - United States
TA  - Psychosom Med
JT  - Psychosomatic medicine
JID - 0376505
SB  - IM
MH  - Adult
MH  - Attentional Bias/*physiology
MH  - Chronic Pain/*diagnosis/*physiopathology/*therapy
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Mindfulness
MH  - Pain Measurement/methods/*standards
MH  - Pleasure/physiology
MH  - Reproducibility of Results
MH  - Sensation/*physiology
EDAT- 2019/06/28 06:00
MHDA- 2020/06/24 06:00
CRDT- 2019/06/28 06:00
PHST- 2019/06/28 06:00 [pubmed]
PHST- 2020/06/24 06:00 [medline]
PHST- 2019/06/28 06:00 [entrez]
AID - 10.1097/PSY.0000000000000725 [doi]
PST - ppublish
SO  - Psychosom Med. 2019 Sep;81(7):612-621. doi: 10.1097/PSY.0000000000000725.