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Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis.

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
April 1, 2017
Lara Hilton et al. (11 authors)
Journal ArticleMeta-AnalysisReviewSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to synthesize evidence on the efficacy and safety of mindfulness meditation interventions for treating chronic pain in adults.

Results Summary

The study found low-quality evidence that mindfulness meditation is associated with a small decrease in pain, with statistically significant effects for depression symptoms and quality of life. However, additional well-designed RCTs are needed for definitive efficacy estimates.

Population

Adults with chronic pain

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness meditation interventions
decrease
pain
adults with chronic pain
small
is associated with a small decrease
#1
mindfulness meditation
decrease
depression symptoms
adults with chronic pain
-
Statistically significant effects were also found for
#2
mindfulness meditation
increase
quality of life
adults with chronic pain
-
Statistically significant effects were also found for
#3
mindfulness meditation
decrease
pain
adults with chronic pain
-
improves
#4
mindfulness meditation
decrease
depression symptoms
adults with chronic pain
-
improves
#5
mindfulness meditation
increase
quality of life
adults with chronic pain
-
improves
#6
Abstract

BACKGROUND: Chronic pain patients increasingly seek treatment through mindfulness meditation. PURPOSE: This study aims to synthesize evidence on efficacy and safety of mindfulness meditation interventions for the treatment of chronic pain in adults. METHOD: We conducted a systematic review on randomized controlled trials (RCTs) with meta-analyses using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Quality of evidence was assessed using the GRADE approach. Outcomes included pain, depression, quality of life, and analgesic use. RESULTS: Thirty-eight RCTs met inclusion criteria; seven reported on safety. We found low-quality evidence that mindfulness meditation is associated with a small decrease in pain compared with all types of controls in 30 RCTs. Statistically significant effects were also found for depression symptoms and quality of life. CONCLUSIONS: While mindfulness meditation improves pain and depression symptoms and quality of life, additional well-designed, rigorous, and large-scale RCTs are needed to decisively provide estimates of the efficacy of mindfulness meditation for chronic pain.

Medical Subject Headings (MeSH)
Chronic PainHumansMeditationMindfulnessPain ManagementQuality of LifeTreatment Outcome
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations497
Citations/Year62.1
Relative Citation Ratio30.80
NIH Percentile99.8%
Research Impact Scores
APT Score0.95
Weight Score2.38
Normalized Score0.61
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