Background/Objective: To assess the differential efficacy between mindfulness-based interventions and cognitive-behavioral Therapy (CBT) on chronic pain across medical conditions involving pain. Method: ProQuest, Science Direct, Google Scholar, Pubmed, and Embase databases were searched to identify randomized clinical trials. Measurements of mindfulness, pain, mood, and further miscellaneous measurements were included. Results: 18 studies met the inclusion criteria (fibromyalgia, n = 5; low back pain, n = 5; headache/migraine, n = 4; non-specific chronic pain, n = 4). In fibromyalgia, mindfulness based stress reduction (MBSR) was superior to the usual care and Fibroqol, in impact and symptoms. In low back pain, MBSR was superior to the usual care, but not to CBT, in physical functionality and pain intensity. There were no studies on differential efficacy between mindfulness and CBT for headache and non-specific chronic pain, but Mindfulness interventions were superior to the usual care in these syndromes. Conclusions: Mindfulness interventions are superior to usual cares in all diagnoses, but it is not possible to conclude their superiority over CBT. Comparisons between mindfulness interventions are scarce, with MBSR being the most studied. In central sensitization syndromes, variables associated with pain tend to improve with treatment. More research is needed to differentiate diagnosis and intervention.
La correspondencia relativa a este artículo debe ser dirigida a Germán Pereno, Laboratorio de Psicología Cognitiva, Facultad de Psicología, Universidad Nacional de Córdoba, Enfermera Gordillo esquina Enrique Barros, Ciudad Universitaria, Córdoba, Argentina. E-mail: email@example.com Reconocimiento de Emociones Faciales en AdultosMayores de la Ciudad de Córdoba Facial Emotion Recognition in Older Adults From the City of CórdobaLucas Narambuena, Marcelo Vaiman y Germán Leandro Pereno Universidad Nacional de CórdobaSe evaluó el reconocimiento de emociones faciales en una muestra no probabilística accidental de 116 adultos mayores de 60 años de la ciudad de Córdoba, Argentina. Se indagó la relación de esta capacidad con variables sociodemográficas (edad, sexo, años de escolaridad y actividad laboral), afectivas (depresión y ansiedad) y rendimiento cognitivo. Se utilizó un conjunto de fotografías, el Inventario de Ansiedad Estado-Rasgo, el Inventario de Depresión de Beck II y el Addenbrooke's Cognitive Examination -Revised. Se hallaron correlaciones entre el rendimiento cognitivo (directas) y la edad (inversas) con las emociones en su conjunto y específicamente con sorpresa, enojo, tristeza y una categoría neutra; no se encontraron con alegría, asco y miedo. La prueba t de Student reveló un mayor reconocimiento de los adultos mayores con más de 12 años de escolaridad de las emociones en conjunto y asco, enojo, sorpresa y miedo. Los años de actividad laboral, la ansiedad y depresión no se correlacionaron con el reconocimiento de emociones. Un análisis de regresión reveló que es el rendimiento cognitivo el que más explica el reconocimiento del conjunto de fotografías.Palabras clave: reconocimiento, emociones faciales, adultos mayores, evolucionismo, rendimiento cognitivoThis study evaluated facial emotions recognition in a non-probability sample of 116 older adults over 60 years of age from the city of Cordoba, Argentina. It examined the relationship between this capability and sociodemographic variables (age, sex, years of schooling, and years of working life), affective variables (depression and anxiety), and cognitive performance. A set of photographs, the State-Trait Anxiety Inventory, the Beck Depression Inventory-II, and Addenbrooke's Cognitive Examination -Revised were used. Cognitive performance and age were observed to correlate (directly and inversely, respectively) with emotions as a whole and specifically with surprise, anger, sadness, and a neutral category; no correlations were found with happiness, disgust, or fear. Student's t test revealed that older adults with more than 12 years of schooling displayed better recognition of emotions as a whole and specifically of disgust, anger, surprise, and fear. Years of working life, anxiety, and depression were not found to correlate with emotion recognition. A regression analysis revealed that cognitive performance was the best predictor of recognition of the set of photographs.Keywords: recognition, facial emotions, older adults, evolutionism, cognitive...
The prevalence of chronic pain in Spain is 15%. The objective of this study was to evaluate the efficacy of mindfulness-based cognitive therapy on patients with chronic pain. A quasi-experimental design of repeated measures pre- and post-test (N = 57) was carried out at three hospitals from the province of Alicante. Self-reported assessment measurements of pain intensity, anxiety-depression symptoms, perception of health status, interference of pain on sleep, self-efficacy in pain, acceptance, and mindfulness attitude were included. The T-test indicates significant differences in intensity of present pain, mental quality of life, and depression (medium effect sizes), as well as in self-efficacy: total score, symptom management and pain control (medium effect sizes), sleep disturbances and quantity of sleep (large effect sizes). MBCT is effective in reducing many symptoms in patients with chronic pain, although its maintenance needs to be further investigated.
The objective of this study is to evaluate the differential efficacy between Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavioral Therapy (CBT). A quasi-experimental design of repeated measures before and after the test (n = 57) was used with a non-equivalent control group from a previous cohort treated with CBT (n = 105). The t-test revealed significant differences in subjective quality of life for the MBCT group, and in quantity, optimum, and adequate sleep for the CBT group. The pre–post effect size comparison mostly showed slightly larger effect sizes in the MBCT group. CBT and MBCT had comparable efficacies, although a slight trend towards larger effect sizes in MBCT was found. Likewise, CBT seemed to improve sleep-related variables, while MBCT was associated with improvements in pain and quality of life.
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