Pilot clinical trial of a clinical meditation and imagery intervention for chronic pain after spinal cord injury.
J Spinal Cord Med
; 45(3): 339-353, 2022 05.
Article
em En
| MEDLINE
| ID: mdl-34612802
ABSTRACT
OBJECTIVE:
To assess the feasibility and potential benefits of clinical meditation and imagery (CMI) for people with chronic spinal cord injury (SCI) and chronic pain.DESIGN:
Pilot randomized, controlled trial.SETTING:
Outpatients with SCI in the United States.PARTICIPANTS:
24 adults with chronic SCI (>1 year) and a >3 month history of pain rated ≥4/10 on average over the last week.INTERVENTIONS:
4-week program of once-weekly 2-hour group classes, offered in-person and online. CMI group participants were taught mindfulness, mantra meditation, and guided imagery practices. Control group participants received education on topics related to health and function after SCI. OUTCOMEMEASURES:
Pain interference (primary outcome), pain cognitions, pain intensity/unpleasantness, depressive symptomology, perceived stress.RESULTS:
Pain interference decreased to a greater extent in the control group at both Day 42 and Day 70, with a large effect size (d > 1.0). Several secondary outcome measures showed changes consistent with more favorable outcomes in the CMI group at both Day 42 and Day 70, with a large effect size d > 0.80, including worst pain intensity over the last week, depressive symptomology, belief in pain as a sign of harm and perceived control over pain. Perceived stress improved to a greater extent in the control group (d = 1.16 at Day 42, d = .20 at Day 70).CONCLUSION:
CMI is feasible and acceptable to implement with people with SCI and chronic pain. Further study is warranted to assess potential benefits for pain-related outcomes.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Traumatismos da Medula Espinal
/
Dor Lombar
/
Meditação
/
Dor Crônica
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
Limite:
Adult
/
Humans
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article