Mindfulness Meditation for Primary Headache Pain

Gu, Qiang; Hou, Jinchao; Fang, Xiangming

doi:10.4103/0366-6999.228242

Cited by 134 publications

(64 citation statements)

References 35 publications

(69 reference statements)

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“…Pain severity also improved in the IMMI group. Pain outcomes have long been studied in mindfulness meditation intervention with increasing positive evidence [43,44,45,46] although the symptom improvements seem to mediated by psychological aspects of chronic pain [47]. These outcome improvements are remarkable considering the low-dose and high-stress that was experienced during the study period.…”

Section: Discussionmentioning

confidence: 99%

Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults

Wahbeh

2018

Medicines

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Background: Older adults have fewer physiological reserves and are more likely to be affected by stress. Mindfulness meditation has the potential to be an effective treatment for depression, but little research has been conducted on older adults. The primary objective of this study was to evaluate depression symptom changes in older adults (55–80 years old) taking an Internet Mindfulness Meditation Intervention (IMMI) compared to a waitlist control. The secondary aims were to collect data on pain, perceived stress, resilience, mindfulness, sleep quality, and spirituality. Methods: Fifty older adults were randomized to either the Internet Mindfulness Meditation Intervention, a six-week online intervention with daily home practice, or a waitlist control. Measures were collected at baseline, after the six-week intervention period, and again six weeks later after the waitlist participants completed IMMI. Adherence to home practice was objectively measured with iMINDr. Changes in outcomes for the IMMI and waitlist participants were compared. All participants who completed IMMI were then combined for a within-participant analysis. Results: Adherence to the intervention was low, likely due to a traumatic event in the local area of the participants. Compared to the waitlist participants, those in IMMI had improved depression symptoms (p < 0.00005), perceived stress (p = 0.0007), insomnia symptoms ((p = 0.0009), and pain severity (p = 0.05). In the within-participant analysis of all data before and after IMMI (i.e., those initially randomized to IMMI and waitlist participants who took it), we found improvements in depression symptoms (p = 0.0001), perceived stress (p = 0.0001), insomnia symptoms (p < 0.00005), pain interference (p = 0.003), and spirituality (p = 0.018). A seven-week follow-up after the original six-week IMMI program showed sustained improvements in the IMMI participants. Conclusions: IMMI improved depression and related symptoms compared to controls despite minimal support from study staff. IMMI offers a low-dose, low-cost, easily accessible mindfulness meditation intervention for older adults with depression symptoms.

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Section: Discussionmentioning

confidence: 99%

Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults

Wahbeh

2018

Medicines

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“…330,331 A meta-analysis demonstrated that mindfulness meditation significantly reduces the intensity and frequency of primary headache pain. 332 Yoga, a practice rooted in ancient Hindu tradition and a way of life that incorporates mind, body, and a spiritual approach, has shown improved outcomes for a variety of medical and nonmedical conditions. Yoga has become popular in Western cultures as a form of mind and body exercise that incorporates meditation and chants.…”

Section: Complementary and Integrative Healthmentioning

confidence: 99%

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

Darnall¹,

Krishnamurthy²,

Tsuei³

et al. 2020

JMIR Form Res

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Background Patients with chronic pain often have limited access to comprehensive care that includes behavioral pain management strategies. Virtual reality (VR) is an immersive technology and emerging digital behavioral pain therapy with analgesic efficacy for acute pain. We found no scientific literature on skills-based VR behavioral programs for chronic pain populations. Objective The primary aim of this study is to evaluate the feasibility of a self-administered VR program that included content and skills informed by evidence-based behavioral treatment for chronic pain. The secondary aim is to determine the preliminary efficacy of the VR program in terms of average pain intensity and pain-related interference with activity, stress, mood, and sleep, and its impact on pain-related cognition and self-efficacy. The tertiary aim was to conduct a randomized controlled trial (RCT) and compare the VR treatment with an audio-only treatment. This comparison isolated the immersive effects of the VR program, thereby informing potential mechanisms of effect. Methods We conducted an RCT involving a web-based convenience sample of adults (N=97) aged 18-75 years with self-reported chronic nonmalignant low back pain or fibromyalgia, with an average pain intensity >4 over the past month and chronic pain duration >6 months. Enrolled participants were randomly assigned to 1 of 2 unblinded treatments: (1) VR: a 21-day, skills-based VR program for chronic pain; and (2) audio: an audio-only version of the 21-day VR program. The analytic data set included participants who completed at least 1 of 8 surveys administered during the intervention period: VR (n=39) and audio (n=35). Results The VR and audio groups launched a total of 1067 and 1048 sessions, respectively. The majority of VR participants (n=19/25, 76%) reported no nausea or motion sickness. High satisfaction ratings were reported for VR (n=24/29, 83%) and audio (n=26/33, 72%). For VR efficacy, symptom improvement over time was found for each pain variable (all P<.001), with results strengthening after 2 weeks. Importantly, significant time×group effects were found in favor of the VR group for average pain intensity (P=.04), pain-related inference with activity (P=.005), sleep (P<.001), mood (P<.001), and stress (P=.003). For pain catastrophizing and pain self-efficacy, we found a significant declining trend for both treatment groups. Conclusions High engagement and satisfaction combined with low levels of adverse effects support the feasibility and acceptability of at-home skills-based VR for chronic pain. A significant reduction in pain outcomes over the course of the 21-day treatment both within the VR group and compared with an audio-only version suggests that VR has the potential to provide enhanced treatment and greater improvement across a range of pain outcomes. These findings provide a foundation for future research on VR behavioral interventions for chronic pain.

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“…In the descriptive cross-sectional study done by Namjoo et al, it has been demonstrated that there is a meaningful and negative statistical correlation between mindfulness and pain severity (41). Furthermore, in the meta-analysis done by Gu et al with the aim of determining the effect of mindful mediation on patient's headache, the findings showed that mindful mediation can reduce the pain of these patients (53). In relation to the findings consistent with the present study results, the result of the review study done by Anheyer et al suggested that mindfulness-based stress reduction can lead to headaches (54), which is consistent with the results of this study.…”

Section: Discussionmentioning

confidence: 98%

The Relationship Between Mindfulness and Self-Compassion with Perceived Pain in Migraine Patients in Ilam, 2018

et al. 2019

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Background: Migraine is one of the common diseases, which has been considered as one of the reasons of disability and since this disease is widespread, attention to this subject is necessity. Objectives: The aim of study was to determine the relationship between mindfulness and self-compassion with perceived pain in migraine patients. Methods: This was a descriptive analytic cross-sectional study, which was carried out on the 168 patients with migraine in the west of Iran, in Ilam, during year 2018. The tools used included several sections of mind-consciousness questionnaires, self-compassionate questionnaire, and numerical scale pain. Patients with migraine referring to Ilam health centers (hospitals, clinics, and offices) were studied in the research with the sampling method. The researcher collected data by referring to the required centers in order to sample. After data collection, data entry to SPSS statistical software version 16 was performed. Results: Mean ± SD of the total score of mind-consciousness variables was 53.33 ± 4.69, self-compassion was 71.48 ± 4.85, and pain was 3.33 ± 1.75. Findings showed that there is a correlation between mindfulness and pain (F = 81.78, P = 0.000, r = 0.57), and there is no relationship between self-compassion and pain (F = 0.004, P = 0.95, r = 0.005). Conclusions: Considering the effect of mindfulness in controlling pain, it is necessary to perform interventions based on mindconsciousness. Also, due to there being no relationship between self-compassionate behavior and pain, more research is needed in this area to provide researchers with complete information.

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Mindfulness Meditation for Primary Headache Pain

Cited by 134 publications

References 35 publications

Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults

Internet Mindfulness Meditation Intervention (IMMI) Improves Depression Symptoms in Older Adults

Self-Administered Skills-Based Virtual Reality Intervention for Chronic Pain: Randomized Controlled Pilot Study

The Relationship Between Mindfulness and Self-Compassion with Perceived Pain in Migraine Patients in Ilam, 2018

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