명상도서관
治療抵抗性慢性疼痛に対するマインドフルネス認知療法の試みA Pilot Study of Mindfulness-Based Cognitive Therapy for Refractory Chronic Pain
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- 자료유형학술지논문
- 저자명林 紀行 （大阪大学大学院医学系研究科統合医療学寄附講座，大阪大学大学院医学系研究科精神医学教室，ほうせんか病院）家接 哲次 （名古屋経済大学大学院人間生活科学研究科・人間生活科学部，名古屋経済大学マインドフルネスセンター）阪上 未紀 （大阪大学大学院医学系研究科統合医療学寄附講座）坂本 淑子 （大阪大学大学院医学系研究科統合医療学寄附講座）岩田 昌美 （大阪大学大学院医学系研究科統合医療学寄附講座）大野 智 （大阪大学大学院医学系研究科統合医療学寄附講座）柴田 政彦 （大阪大学大学院医学系研究科疼痛医学
- 학회/출판사/기관명日本マインドフルネス研究会
- 출판년도2018
- 언어일본어
- 학술지명/학위논문주기第2 巻第2 号pp.91-108
- 발행사항日本マインドフルネス研究会
- ISBN/ISSN
- 소개/요약This pilot study investigated quantitative and qualitative parameters to evaluate whether complementary alternative medicine, including the use of mindfulness-based cognitive therapy (MBCT) is feasibly safe and effective for the management of refractory chronic pain. We studied 5 patients who received a course of 8 weekly sessions (2 hours per session) of a modified MBCT program for chronic pain management. No adverse events or dropouts (which serve as primary endpoints) were reported suggesting that MBCT was a safe therapeutic option. In terms of the secondary endpoint, a statistically significant improvement was observed using the numerical rating scale (NRS) showing pain intensity assessed in terms of an 11-step evaluation (scale ranging between 0 and 10), as well as the pain disability assessment scale (PDAS), which evaluates the correlation between pain and the activities of daily living. The 4 patients we studied (1 patient did not achieve secondary outcomes but only received MBCT until the end of the study) showed a significant improvement when assessed using the NRS compared with the 13 patients who did not receive MBCT. Notably, one patient described completing a significant volume of homework and exercises and consequently reported a remarkable improvement. The importance of breath awareness has been particularly and repeatedly described in this context.
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