Attention-demand effects on respiration in chronic low back pain patients

Goosheh, Babak; Ravanbakhsh, Majid; Salavati, Mahyar; Takamjani, Ismail Ebrahimi; Akhbari, Behnam; Kahlaee, Amir Hossein

doi:10.1016/j.jbmt.2016.11.016

Cited by 4 publications

(2 citation statements)

References 43 publications

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“…Reductions in respiration and heart rate have been reported in recent analyses of different meditation techniques (Gerritsen Error bars = standard error of the mean. Pascoe, Thompson, Jenkins, & Ski, 2017) and with increases in cognitive and attentional engagement (Goosheh et al, 2017). The respiratory vagal nerve stimulation model identifies direct and indirect pathways by which cognition, affect, respiration, and heart rate interact (Gerritsen & Band, 2018).…”

Section: Acceptancementioning

confidence: 99%

Acceptance versus reappraisal: Behavioral, autonomic, and neural effects

Goldin

Moodie

Gross

2019

Cogn Affect Behav Neurosci

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Emotion regulation (ER) is an important skill for well-being. Cognitive reappraisal is a goal-oriented cognitive change strategy. Acceptance involves decentering from immediate habits of reactivity, observing moment-to-moment shifts in thoughts, emotions, and sensations. These two regulation strategies are thought to have different effects on emotion; however, no study has examined the differential effects of reappraisal and acceptance on behavioral, autonomic, and brain responses in the context of ideographic personally salient negative self-beliefs. Thirty-five right-handed, healthy adults were presented idiographic negative self-beliefs embedded in autobiographical scripts. We measured negative emotion ratings, autonomic psychophysiology, and functional magnetic resonance imaging blood oxygen-level dependent responses while participants read neutral statements, reacted to their own negative self-beliefs, and implemented reappraisal and acceptance strategies. Compared with react, reappraisal resulted in significantly lesser negative emotion and respiration rate; no differences in heart rate and skin conductance level; greater brain responses implicated in cognitive control, language, and social cognition; and lesser amygdala responses. Compared with react, acceptance resulted in significantly lesser negative emotion, respiration rate, and heart rate; no difference in skin conductance level; and greater brain responses in networks implicated in cognitive control and attention. Compared with acceptance, reappraisal resulted in significantly lesser negative emotion; no difference in respiration rate and skin conductance level; higher heart rate; greater brain responses in brain regions implicated in cognitive control; and lesser brain responses in amygdala. Reappraisal is more effective than acceptance in down-regulating negative emotion, but may require greater recruitment of autonomic, cognitive, and brain resources. ClinicalTrials.gov identifier: NCT02036658

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Section: Acceptancementioning

confidence: 99%

Acceptance versus reappraisal: Behavioral, autonomic, and neural effects

Goldin

Moodie

Gross

2019

Cogn Affect Behav Neurosci

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“…A large body of literature has thus addressed the effectiveness of chronic LBP (CLBP) management protocols . Common conservative interventions include manual therapy; education; physical activity and exercise prescription to reverse strength, endurance, and motor control deficits; and spinal traction and electrotherapy . However, there is considerable disagreement regarding the success of the intervention protocols, although they all maintain that management of CLBP is still not satisfactory .…”

Section: Introductionmentioning

confidence: 99%

The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review

Hajihasani

Rouhani

Salavati

et al. 2019

PM&R

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Objective: The purpose of this systematic review was to investigate the effect of adding the cognitive behavioral treatment (CBT) component to routine physical therapy (PT) on pain and depression reduction, improvement in quality of life, and enhanced function in patients with chronic low back pain (CLBP). Type: Systematic review. Literature Survey: Google Scholar, PubMed, Ovid, ScienceDirect, ProQuest, Scopus, Cochrane Library, and Embase electronic databases were explored for the key terms of "behavioral (or behavioural) treatment" OR "behavior (behaviour) treatment" OR "behavior (behaviour) therapy" OR "cognitive behavior (or behaviour) treatment" OR "cognitive treatment" OR "cognitive therapy" OR "operant behavior (or behaviour) treatment" OR "respondent behavior (or behaviour) treatment" AND "physical therapy" OR "physiotherapy" OR "exercise therapy" OR "electrotherapy" OR "electrical therapy" OR "manual therapy" OR "myofascial therapy" OR "rehabilitation" AND "low back pain" OR "lower back pain" OR "back pain" OR "chronic back pain" OR "chronic lower back pain", with no limitation on language, through January 2018. Methodology: All randomized controlled trials that statistically compared the effectiveness of CBT + PT and PT were included for quality analysis. Studies were rated by high to poor quality, using Hailey's classification, based on their design and performance. Synthesis: Of the 10 included studies, 7 were rated as high quality and 3 as good quality. Although CBT + PTwas found to be superior to PT for pain, disability, quality of life, and functional capacity variables in some of the included studies, no extra benefit from CBT was documented in other investigations. The included studies also failed to show any advantage of CBT + PT over PT in reducing depression, and PT was even found to be superior to CBT + PT in one high-quality study. Conclusions: Although appearing to be advantageous by reducing pain and disability and enhancing functional capacity and quality of life, CBT effects on depression cannot be teased out from the effects of PT. Level of Evidence: I

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Reduction of postural sway in athletes with chronic low back pain through eight weeks of inspiratory muscle training: A randomized controlled trial

Borujeni

Yalfani

2019

Clinical Biomechanics

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Attention-demand effects on respiration in chronic low back pain patients

Cited by 4 publications

References 43 publications

Acceptance versus reappraisal: Behavioral, autonomic, and neural effects

Acceptance versus reappraisal: Behavioral, autonomic, and neural effects

The Influence of Cognitive Behavioral Therapy on Pain, Quality of Life, and Depression in Patients Receiving Physical Therapy for Chronic Low Back Pain: A Systematic Review

Reduction of postural sway in athletes with chronic low back pain through eight weeks of inspiratory muscle training: A randomized controlled trial

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