Mindfulness-Based Stress Reduction Alleviates Stress and Depression in Adults with Chronic Pain: A Randomized Controlled Trial

Simple item page
dc.contributor.advisorWiseheart, Melody S.
dc.creatorPaneduro, Denise
dc.date.accessioned2017-07-27T12:38:44Z
dc.date.available2017-07-27T12:38:44Z
dc.date.copyright2016-09-30
dc.date.issued2017-07-27
dc.date.updated2017-07-27T12:38:44Z
dc.degree.disciplinePsychology (Functional Area: Developmental Science)
dc.degree.levelDoctoral
dc.degree.namePhD - Doctor of Philosophy
dc.description.abstractThe primary aim of this study was to evaluate the effectiveness of Mindfulness-Based Stress Reduction (MBSR) in improving attention and pain-related outcomes, using a randomized controlled trial. Secondary aims included evaluating changes in mindfulness and pain acceptance following MBSR training and their role in improving outcomes, exploring the role of homework adherence in enhanced outcomes, and assessing stability of improvements long-term at 3-months follow up. Forty-nine adults with chronic pain between 18 and 80 years of age were randomized to an 8-week MBSR group or a Waitlist Control (WC) group that was then crossed over into the MBSR treatment. Outcome measures included pain intensity, pain disability, depression, anxiety, stress, mindfulness, pain acceptance, and performance on a change blindness task. Measures were administered prior to treatment, following the wait period for the WC group, following MBSR treatment, and 3-months subsequent to MBSR treatment completion. It was hypothesized that the MBSR group would demonstrate significant improvements in these outcomes, with the exception of pain severity, following treatment relative to the waitlist control group and that these benefits would be maintained at follow up. Linear regression analyses using changes scores of the outcomes revealed significantly greater reductions from pre-to-post treatment in the MBSR group compared to the WC group in depression and stress (ps < .05), and increases in mindfulness (p < .01). Multiple linear regression analyses using the entire sample demonstrated that increases in mindfulness significantly predicted decreases in depression (p < .05) and stress (p < .01) and increases in pain acceptance was significantly predictive of decreases in pain disability (p < .05). Significant correlations were obtained between the number of days engaging in practice and stress, pain acceptance, and attention. Benefits observed at post-treatment were maintained at 3-months follow up. Results suggest that mindfulness-based approaches can be integrated in pain clinics to facilitate patient recovery by reducing emotional distress.
dc.identifier.urihttp://hdl.handle.net/10315/33447
dc.language.isoen
dc.rightsAuthor owns copyright, except where explicitly noted. Please contact the author directly with licensing requests.
dc.subjectCognitive psychology
dc.subject.keywordsChronic pain
dc.subject.keywordsPain
dc.subject.keywordsMindfulness
dc.subject.keywordsMindfulness-based stress reduction
dc.subject.keywordsCognition
dc.subject.keywordsAttention
dc.subject.keywordsRandomized controlled trial
dc.subject.keywordsClinical trial
dc.subject.keywordsStress
dc.subject.keywordsDepression
dc.subject.keywordsAnxiety
dc.titleMindfulness-Based Stress Reduction Alleviates Stress and Depression in Adults with Chronic Pain: A Randomized Controlled Trial
dc.typeElectronic Thesis or Dissertation

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Paneduro_Denise_2016_PhD.pdf
Size:
1.05 MB
Format:
Adobe Portable Document Format
Download
License bundle
Now showing 1 - 2 of 2
No Thumbnail Available
Name:
license.txt
Size:
1.83 KB
Format:
Plain Text
Description:
Download
No Thumbnail Available
Name:
YorkU_ETDlicense.txt
Size:
3.38 KB
Format:
Plain Text
Description:
Download

Collections

Psychology (Functional Area: Developmental Science)

All items in the YorkSpace institutional repository are protected by copyright, with all rights reserved except where explicitly noted.