명상도서관
An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary result
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- 자료유형학술지논문
- 저자명Jon Kabat-Zinn Ph.D.
- 학회/출판사/기관명Science Direct
- 출판년도
- 언어영어
- 학술지명/학위논문주기General Hospital Psychiatry
- 발행사항Volume 4, Issue 1Pages 33-47
- ISBN/ISSN
- 소개/요약The practice of mindfulness meditation was used in a 10-week Stress Reduction and Relaxation Program to train chronic pain patients in self-regulation. The meditation facilitates an attentional stance towards proprioception known as detached observation. This appears to cause an “uncoupling” of the sensory dimension of the pain experience from the affectivel evaluative alarm reaction and reduce the experience of suffering via cognitive reappraisal. Data are presented on 51 chronic pain patients who had not improved with traditional medical care. The dominant pain categories were low back, neck and shoulder, and headache. Facial pain, angina pectoris, noncoronary chest pain, and GI pain were also represented. At 10 weeks, 65% of the patients showed a reduction of ≥33% in the mean total Pain Rating Index (Melzack) and 50% showed a reduction of ≥50%. Similar decreases were recorded on other pain indices and in the number of medical symptoms reported. Large and significant reductions in mood disturbance and psychiatric symptomatology accompanied these changes and were relatively stable on follow-up. These improvements were independent of the pain category. We conclude that this form of meditation can be used as the basis for an effective behavioral program in self-regulation for chronic pain patients. Key features of the program structure, and the limitations of the present uncontrolled study are discussed.
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