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Brief relaxation training is not sufficient to alter tolerance to experimental pain in novices.

PloS one
January 1, 2017
Karen E Smith et al. (2 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers sought to examine how deep breathing and progressive muscle relaxation, as subcomponents of mindfulness training, influence pain experiences and physiological responses in healthy individuals.

Results Summary

The study found no differences in pain tolerance, self-reported pain ratings, or physiological responses between the deep breathing, progressive muscle relaxation, and control conditions. Individual differences in physiological functioning were also unrelated to pain outcomes, suggesting mindfulness's effects on pain involve more complex mechanisms than just physiological changes from breathing or muscle relaxation.

Population

Healthy individuals

Effective Dosage

10-minute intervention

Duration

Single session

Interactions

None mentioned

Extracted Claims (16)
InterventionDirectionEndpointPopulationDosageImpactClaim #
mindfulness training
increase
clinical conditions
-
-
has beneficial effects
#1
mindfulness
increase
experiences of pain
-
-
has beneficial effects
#2
deep breathing
neutral
experiences of pain
healthy individuals
-
influence
#3
progressive muscle relaxation
neutral
experiences of pain
healthy individuals
-
influence
#4
deep breathing
neutral
physiological responses
-
-
alter
#5
progressive muscle relaxation
neutral
physiological responses
-
-
alter
#6
deep breathing
neutral
responses to pain
-
-
moderate
#7
progressive muscle relaxation
neutral
responses to pain
-
-
moderate
#8
deep breathing
no change
pain tolerances
participants
-
no differences
#9
progressive muscle relaxation
no change
pain tolerances
participants
-
no differences
#10
deep breathing
no change
self-reported pain ratings
participants
-
no differences
#11
progressive muscle relaxation
no change
self-reported pain ratings
participants
-
no differences
#12
deep breathing
no change
physiological responses
participants
-
no differences
#13
progressive muscle relaxation
no change
physiological responses
participants
-
no differences
#14
-
no change
pain tolerance
-
-
not related
#15
-
no change
pain ratings
-
-
not related
#16
Abstract

Relaxation techniques, such as deep breathing and muscle relaxation, are aspects common to most forms of mindfulness training. There is now an abundance of research demonstrating that mindfulness training has beneficial effects across a wide range of clinical conditions, making it an important tool for clinical intervention. One area of extensive research is on the beneficial effects of mindfulness on experiences of pain. However, the mechanisms of these effects are still not well understood. One hypothesis is that the relaxation components of mindfulness training, through alterations in breathing and muscle tension, leads to changes in parasympathetic and sympathetic nervous system functioning which influences pain circuits. The current study seeks to examine how two of the relaxation subcomponents of mindfulness training, deep breathing and muscle relaxation, influence experiences of pain in healthy individuals. Participants were randomized to either a 10 minute deep breathing, progressive muscle relaxation, or control condition after which they were exposed to a cold pain task. Throughout the experiment, measures of parasympathetic and sympathetic nervous system activity were collected to assess how deep breathing and progressive muscle relaxation alter physiological responses, and if these changes moderate any effects of these interventions on responses to pain. There were no differences in participants' pain tolerances or self-reported pain ratings during the cold pain task or in participants' physiological responses to the task. Additionally, individual differences in physiological functioning were not related to differences in pain tolerance or pain ratings. Overall this study suggests that the mechanisms through which mindfulness exerts its effects on pain are more complex than merely through physiological changes brought about by altering breathing or muscle tension. This indicates a need for more research examining the specific subcomponents of mindfulness, and how these subcomponents might be acting, to better understand their utility as a clinical treatment.

Medical Subject Headings (MeSH)
AdolescentAdultFemaleHeart RateHumansMalePainPain ManagementPain MeasurementProportional Hazards ModelsRelaxationRelaxation TherapySurveys and QuestionnairesYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy30/10
Quality75/10
Citation Metrics
Total Citations6
Citations/Year0.8
Relative Citation Ratio0.33
NIH Percentile17.4%
Research Impact Scores
APT Score0.50
Weight Score1.75
Normalized Score0.47
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