RESUMO
PURPOSE OF REVIEW: Psychological factors are associated with chronic pain. Mindfulness meditation may ameliorate symptoms. The objective was to evaluate the effects of mindfulness meditation in chronic pain. RECENT FINDINGS: A systematic search of four databases identified 534 citations; 13 Randomised controlled trials satisfied the inclusion criteria. Mindfulness meditation significantly reduced depression [Standardised mean difference (SMD) -0.28; 95% confidence interval (CI) -0.53, -0.03; Pâ=â0.03; Iâ=â0%]. For affective pain (SMD -0.13; 95% CI -0.42, 0.16; Iâ=â0%), sensory pain (SMD -0.02; 95% CI -0.31, 0.27; Iâ=â0%) and anxiety (SMD -0.16; 95% CI -0.47, 0.15; Iâ=â0%) there was a trend towards benefit with intervention. Quality of life items on mental health (SMD 0.65; 95% CI -0.27, 1.58; Iâ=â69%), physical health (SMD 0.08; 95% CI -0.40, 0.56; Iâ=â32%) and overall score (SMD 0.86, 95% CI -0.06, 1.78; Iâ=â88%) improved with mindfulness meditation. SUMMARY: Mindfulness meditation has most prominent effect on psychological aspects on living with chronic pain, improving associated depression and quality of life.