Interactive effects of pain catastrophizing and mindfulness on pain intensity in women with fibromyalgia

Dorado, K.; Schreiber, Kristin L.; Koulouris, Alexandra; Edwards, Robert R.; Napadow, Vitaly; Lazaridou, Asimina

doi:10.1177/2055102918807406

Cited by 29 publications

(21 citation statements)

References 60 publications

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“…Contrary to our expectation, lifetime meditation experience did not predict trait pain catastrophizing. Our findings corroborate other studies that reported reduced pain catastrophizing following MBI (Turner et al, 2016), and negative relations between measures of mindfulness and pain catastrophizing (Day, Smitherman, Ward, & Thorn, 2015;Dorado et al, 2018;Elvery, Jensen, Ehde, & Day, 2017;Jensen, Thorn, Carmody, Keefe, & Burns, 2018;Schutze, Rees, Preece, & Schutze, 2010). In addition, the observed pattern of pain reduction is remarkably in line with the specific cognitive attitude cultivated by mindfulness meditation that emphasizes openness to sensory experience and deliberate disengagement from cognitive-affective appraisals.…”

Section: Effect Of Meditation Expertise and Relation To Trait Charasupporting

confidence: 90%

Mindfulness meditation is related to sensory‐affective uncoupling of pain in trained novice and expert practitioners

Zorn

Abdoun

Bouet

et al. 2020

European Journal of Pain

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Background: Mindfulness meditation can alleviate acute and chronic pain. It has been proposed that mindfulness meditation reduces pain by uncoupling sensory and affective pain dimensions. However, studies to date have reported mixed results, possibly due to a diversity of styles of and expertise in mindfulness meditation. Furthermore, the interrelations between mindfulness meditation and pain catastrophizing during acute pain remain little known. Methods: This cross-sectional study investigated the effect of a style of mindfulness meditation called Open Monitoring (OM) on sensory and affective pain experience by comparing novice (2-day formal training; average ~20 hr practice) to expert practitioners (>10.000 hr practice). We implemented a paradigm that was designed to amplify the cognitive-affective aspects of pain experience by the manipulation of pain anticipation and uncertainty of stimulus length (8 or 16 s thermal pain stimuli). We collected pain intensity and unpleasantness ratings and assessed trait pain catastrophizing with the Pain Catastrophizing Scale (PCS). Results: Across groups, mindfulness meditation reduced unpleasantness, but not intensity ratings compared to attentional distraction. Experts reported a lower score on PCS, reduced amplification of unpleasantness by long painful stimuli, and larger sensory-affective uncoupling than novices particularly during long painful stimuli. In experts, meditation-induced uncoupling spilled over the control condition. Across groups and task conditions, a higher score on PCS predicted lower sensory-affective uncoupling during long painful stimuli and higher ratings of pain intensity during short painful stimuli. Conclusion: These findings suggest that mindfulness meditation specifically downregulates pain affect as opposed to pain intensity, and that pain catastrophizing undermines sensory-affective uncoupling of pain. Significance: In this study, we found that a style of mindfulness meditation referred to as OM reduced unpleasantness but not intensity ratings compared to attentional distraction in trained novice (state effect) and expert meditators (state and trait effects). We also observed that trait pain catastrophizing scores predicted this sensoryaffective uncoupling. These findings advance our understanding of the cognitive mechanisms underlying mindfulness meditation and can inform treatment strategies for chronic pain.

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Section: Effect Of Meditation Expertise and Relation To Trait Charasupporting

confidence: 90%

Mindfulness meditation is related to sensory‐affective uncoupling of pain in trained novice and expert practitioners

Zorn

Abdoun

Bouet

et al. 2020

European Journal of Pain

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“…Different degrees of mindfulness as a trait exist in the general population (unrelated to any formal training) [ 47 ]. Mindfulness-based interventions for chronic pain seem to be effective by increasing the mindfulness trait [ 48 ], thus achieving nonreactivity to cognitions, emotions, and physiological sensations, and can lead to decreased pain catastrophizing and improved quality of life [ 49 , 50 ]. Specifically, in FM, practicing mindfulness training can be beneficial by reducing perceived stress and lessening the severity of symptoms [ 26 ].…”

Section: Discussionmentioning

confidence: 99%

Modifiable Psychological Factors Affecting Functioning in Fibromyalgia

Paschali

Lazaridou

Paschalis

et al. 2021

JCM

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Objective: To examine the role of several interrelated, potentially modifiable psychological factors (i.e., mindfulness and catastrophizing) in influencing patient-reported functioning. Methods: In this cross-sectional study, 107 patients with fibromyalgia completed self-report assessments of pain severity, functioning and impact of symptoms, mindfulness, and pain catastrophizing. Linear regression and bootstrapping mediation analyses were performed to assess the relationships between these factors. Results: Pain intensity was significantly and positively associated with pain catastrophizing and impact of fibromyalgia on functioning. Linear regression analyses indicated that pain intensity, catastrophizing, and mindfulness affect functioning in fibromyalgia. Follow-up mediation analysis revealed a significant indirect effect of pain catastrophizing on the relationship between pain intensity and fibromyalgia functioning. Conclusion: Individuals with fibromyalgia who have higher levels of pain and catastrophizing, and lower levels of mindfulness, are more likely to experience impaired functioning. Our findings suggest that pain catastrophizing appears to be an especially important variable contributing to reduced functioning in women with fibromyalgia. Therefore, catastrophizing-reducing treatments (e.g., cognitive behavioral therapy) are likely to have direct, beneficial impacts on functioning.

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“…PC is also a strong mediator of effects and pressure [4]. The study by Edwards et al And Taylor et al (2) stated that catastrophization of healthy vomiting behavior (health behavior) is beneficial for a person, such as exercise, which will aggravate symptoms [5]. According to Edwards et al catastrophization on how to make patients pay more attention to their pain, increase pain perception and disappoint unpleasant [5].…”

Section: Introductionmentioning

confidence: 99%

“…The study by Edwards et al And Taylor et al (2) stated that catastrophization of healthy vomiting behavior (health behavior) is beneficial for a person, such as exercise, which will aggravate symptoms [5]. According to Edwards et al catastrophization on how to make patients pay more attention to their pain, increase pain perception and disappoint unpleasant [5]. Furthermore, catastrophization is high in fibromyalgia patients with greater activation in the brain area associated with emotion and modulation of pain money [5].…”

Section: Introductionmentioning

confidence: 99%

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Mindfulness and Pain Catastrophizing on Chronic Disease Patients

Gamayanti¹,

Amalia²,

Mursidin³

2021

Proceedings of the 1st International Conference on Social Science, Humanities, Education and Society Development, ICONS 2020, 3

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So many patients experience chronic physical illness, some of them feel the pain excessively, which called pain catastrophizing. Pain catastrophizing causes the patient to feel excessive pain. It makes the patient become stress or depression. One that can relieve the pain catastrophizing is mindfulness. The aim of this research is to examine the correlation between mindfulness with pain catastrophizing in patients with chronic diseases. The participants were 40 patients with chronic disease who got treatment at the hospital. The instrument used in this research used Philadelphia Mindfulness Scale (PHLMS) and the Pain Catastrophizing Scale (PCS). The research used quantitative approach with analyses simple linear regression. The result shows that there is no significant relationship between mindfulness and pain catastrophizing.

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Interactive effects of pain catastrophizing and mindfulness on pain intensity in women with fibromyalgia

Cited by 29 publications

References 60 publications

Mindfulness meditation is related to sensory‐affective uncoupling of pain in trained novice and expert practitioners

Mindfulness meditation is related to sensory‐affective uncoupling of pain in trained novice and expert practitioners

Modifiable Psychological Factors Affecting Functioning in Fibromyalgia

Mindfulness and Pain Catastrophizing on Chronic Disease Patients

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