المؤلفون: Valls, Èlia, Bonnín, C. Mar, Torres, Imma, Brat, Mercè, Prime-Tous, Mireia, Morilla, Ivette, Segú, Xavier, Solé, Brisa, Torrent, Carla, Vieta, Eduard, Martínez-Arán, Anabel, Reinares, María, Sánchez-Moreno, José

المصدر: Psychological Medicine; Dec2022, Vol. 52 Issue 16, p4094-4105, 12p

مصطلحات موضوعية: MINDFULNESS, ANALYSIS of variance, INTEGRATIVE medicine, RESEARCH methodology, PSYCHOEDUCATION, INTERVIEWING, TREATMENT effectiveness, RANDOMIZED controlled trials, T-test (Statistics), REPEATED measures design, DESCRIPTIVE statistics, CHI-squared test, COGNITIVE remediation, DATA analysis software, BIPOLAR disorder

مستخلص: Background: Bipolar disorder (BD) represents one of the most therapeutically complex psychiatric disorders. The development of a feasible comprehensive psychological approach to complement pharmacotherapy to improve its clinical management is required. The main objective of the present randomized controlled trial (RCT) was to test the efficacy of a novel adjunctive treatment entitled integrative approach in patients with BD, including: psychoeducation, mindfulness training, and functional remediation. Methods: This is a parallel two-armed, rater-blind RCT of an integrative approach plus treatment as usual (TAU), v. TAU alone. Participants were recruited at the Hospital Clinic of Barcelona and randomized to one of the two conditions. They were assessed at baseline and after finishing the intervention. The main outcome variable included changes in psychosocial functioning assessed through the Functioning Assessment Short Test (FAST). Results: After finishing the treatment, the repeated-measures analyses revealed a significant group × time interaction in favor of the patients who received the integrative approach (n = 28) compared to the TAU group (n = 37) (Pillai's trace = 0.10; F (1,57) = 6.9; p = 0.01), improving the functional outcome. Significant effects were also found in two out of the six domains of the FAST, including the cognitive domain (Pillai's trace = 0.25; F (1,57) = 19.1; p < 0.001) and leisure time (Pillai's trace = 0.11; F (1,57) = 7.15; p = 0.01). Regarding the secondary outcomes, a significant group × time interaction in Hamilton Depression Rating Scale changes was detected (Pillai's trace = 0.08; F (1,62) = 5.6; p = 0.02). Conclusion: This preliminary study suggests that the integrative approach represents a promising cost-effective therapy to improve psychosocial functioning and residual depressive symptoms in patients suffering from BD. [ABSTRACT FROM AUTHOR]

: Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Sherri Huang, Diane Riccardi, Sonya Pflanzer, Laura S. Redwine, Heewon L. Gray, Tiffany L. Carson, Marc McDowell, Zachary Thompson, Jesse J. Hubbard, Smitha Pabbathi

المصدر: Nutrients, Vol 15, Iss 19, p 4205 (2023)

مصطلحات موضوعية: cancer survivorship, breast cancer, teaching kitchens, mindful eating, mindfulness, integrative medicine, Nutrition. Foods and food supply, TX341-641

الوصف: The practice of mindful eating brings awareness to food choices, brings attention to the eating experience, and encourages selecting and preparing food that is both satisfying and nourishing. We examined mindful eating in breast cancer survivors following a 9-week, multidisciplinary virtual teaching kitchen intervention called Survivors Overcoming and Achieving Resiliency (SOAR). SOAR engaged participants through weekly cooking classes that also taught multiple domains of mindfulness. Participants (n = 102) were breast cancer survivors and completed the Mindful Eating Questionnaire (MEQ) prior to and after completion of the intervention. Linear regression analyses examined relationships between the aspects of mindful eating and body mass index (BMI). Wilcoxon (paired) rank sum tests evaluated the significance of the change in the MEQ total sum and subscales scores. A total of 102 participants completed both the pre- and post-intervention surveys. The mean change between the pre- and post-SOAR MEQ summary scores was 0.12 (sd = 0.30; Wilcoxon p-value = 0.0003). All MEQ subscale scores significantly increased with the exception of the distraction subscale. The MEQ summary scores increased for participants across both BMI stratifications. The SOAR teaching kitchen represents one of the first interventions that is tailored for breast cancer survivors and combines behavioral strategies from mindful eating training to nutritional knowledge and culinary medicine pedagogy in a virtual teaching kitchen. Further research is needed to examine whether mindful eating practices among cancer survivors result in sustainable healthy eating behaviors and food choices consistent with the cancer risk reduction guidelines.

وصف الملف: electronic resource

Relation: https://www.mdpi.com/2072-6643/15/19/4205; https://doaj.org/toc/2072-6643

URL الوصول: https://doaj.org/article/c10c23b0ad864a21b737cf15daff5bc6

المؤلفون: Sadowski, Adam, Wexler, Ryan S., Hanes, Douglas, Buttolph, Lita, Torrens, Tediana, Moehle, Jillian, Sarrar, Hadil, Harnett, Joanna, Zava, David T., Bradley, Ryan

المصدر: BMC Complementary Medicine & Therapies; 5/5/2022, Vol. 22 Issue 1, p1-10, 10p, 6 Charts, 1 Graph

مصطلحات موضوعية: MEDITATION, MINDFULNESS, INTEGRATIVE medicine, CROSS-sectional method, MULTIVARIATE analysis, REGRESSION analysis, SLEEP, DESCRIPTIVE statistics, ALTERNATIVE medicine, DATA analysis software, MIND & body therapies, PSYCHOLOGICAL stress

مستخلص: Background: The International Cohort on Lifestyle Determinants of Health (INCLD Health) is an ongoing, prospective cohort study assessing the health behaviours and lifestyles of higher education students, including their use of specialty diets and complementary and integrative health (CIH) practices. Purpose: This cross-sectional analysis of the INCLD Health cohort aims to (1) evaluate the associations between perceived stress, sleep disturbance, and meditative practices with diurnal salivary free cortisol and (2) evaluate the associations of meditative practices as well as mind-body practices with perceived stress and sleep disturbance. Methods: Serial multivariable linear regression models, adjusting for sociodemographic and lifestyle behaviours, were used to assess associations of (1) perceived stress, sleep disturbance, and meditative practices with salivary cortisol, and (2) meditative practices as well as mind-body practices with perceived stress and sleep disturbance. Meditative and mind-body practices were evaluated using a stress-management and self-care survey; perceived stress and sleep disturbance were evaluated using the 10-item Perceived Stress Scale (PSS), and the patient reported outcome measures information system-29 (PROMIS-29) sleep sub-score respectively. Salivary cortisol was collected at 4 time points over a 24-hour period and area under the curve (AUC) calculations conducted. Results: 82.5% (n = 80) of participants utilized at least monthly meditative practices. Greater disturbed sleep, but not perceived-stress, meditative, nor mind-body practices was independently associated with increased AUC cortisol (b = 0.02, 95% CI: 0.002–0.05, p = 0.03) after adjusting for age, sex, race, ethnicity, and BMI. Neither meditative nor mind-body practices were associated with perceived stress or disturbed sleep. Conclusions: Among INCLD Health participants, greater sleep disturbance, but not perceived stress or meditative practices were associated with daytime cortisol. [ABSTRACT FROM AUTHOR]

: Copyright of BMC Complementary Medicine & Therapies is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: David McDaid, A-La Park

المصدر: BMC Complementary and Alternative Medicine
Europe PubMed Central
BMC Complementary and Alternative Medicine, Vol 12, Iss Suppl 1, p P339 (2012)

مصطلحات موضوعية: 050103 clinical psychology, medicine.medical_specialty, Mindfulness, Cost effectiveness, Psychological intervention, 03 medical and health sciences, 0302 clinical medicine, Health care, medicine, 0501 psychology and cognitive sciences, Psychiatry, Cost–benefit analysis, business.industry, 05 social sciences, General Medicine, lcsh:Other systems of medicine, lcsh:RZ201-999, Mental health, 030227 psychiatry, 3. Good health, Complementary and alternative medicine, Poster Presentation, Anxiety, Integrative medicine, medicine.symptom, business

الوصف: Purpose One in four individuals can expect to experience a mental health problem during their lifetimes. This has a significant impact on the health system and wider economy. Annual costs of depression in the EU were more than €136.3 billion in 2007. These costs are likely to increase, with depression predicted to become the leading cause of morbidity in high income countries by 2030. Policy makers thus want increasing information on the costs and benefits of investing in mental health promotion. Methods A rapid review of literature was undertaken to identify estimates of costs/effects of selected integrative approaches: mindfulness, meditation, Tai Chi, Qi-Gong and yoga. Decision-analytic modelling techniques were used to synthesise data on the costs/effectiveness of these integrative medicine approaches for the prevention and treatment of stress, anxiety and depressive disorders, as well as any benefits of improved mental wellbeing. Cost effectiveness data and net returns on investment over short (1 year); mid (5 year); and long (10 year) timeframes for improved mental health were estimated. This data were then compared with that calculated by the authors in a previous study undertaken for the Department of Health in England on a range of conventional interventions and other actions to promote mental health and wellbeing. Results If integrative medicine can achieve modest improvements in depressive symptoms, economic modelling indicates positive returns on investment greater than 2:1 in the long run. This is comparable to some psychological therapies now rolled out. Much benefit is realised outside the healthcare sector, and is due to greater participation in work and other everyday activities. Conclusion There is an economic case for greater consideration of the potential of mindfulness, meditation, Tai Chi, Qi-Gong and yoga as alternative or adjunct options both for the prevention and early intervention to treat mild and moderate stress, depression and anxiety disorders.

URL الوصول: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::25a2673be4b61a929cf29702e8ca22fa
http://europepmc.org/articles/PMC3373874

المؤلفون: Drogos LL; Department of Psychology, University of Calgary, Calgary, Canada., Toivonen KI; Department of Psychology, University of Calgary, Calgary, Canada., Labelle L; Department of Psychosocial Resources, Tom Baker Cancer Centre Holy Cross Site, 2202 2nd St SW, Calgary, T2S 3C1, Canada., Campbell TS; Department of Psychology, University of Calgary, Calgary, Canada., Carlson LE; Department of Psychosocial Resources, Tom Baker Cancer Centre Holy Cross Site, 2202 2nd St SW, Calgary, T2S 3C1, Canada. lcarlso@ucalgary.ca.; Department of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Canada. lcarlso@ucalgary.ca.

المصدر: Journal of behavioral medicine [J Behav Med] 2021 Feb; Vol. 44 (1), pp. 84-93. Date of Electronic Publication: 2020 Aug 08.

نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't

بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 7807105 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3521 (Electronic) Linking ISSN: 01607715 NLM ISO Abbreviation: J Behav Med Subsets: MEDLINE

مواضيع طبية MeSH: Cancer Survivors* , Mindfulness* , Neoplasms*, Female ; Humans ; Hydrocortisone ; Quality of Life ; Stress, Psychological/therapy

مستخلص: Psychosocial stress in cancer survivors may contribute to compromised quality of life and negative cancer outcomes, which can be exacerbated by poor coping skills and emotional reactivity. Mindfulness based interventions (MBIs) have shown effectiveness in reducing stress, improving quality of life and coping skills in cancer survivors. We tested whether an MBI would also improve reactivity to an acute laboratory stress task. A total of 77 women with a cancer diagnosis were recruited for a waitlist-controlled trial of Mindfulness-Based Cancer Recovery (MBCR). Participants completed a laboratory-based psychosocial stress paradigm (the Trier Social Stress Test-TSST) pre- and post-intervention, throughout which cortisol and cardiovascular profiles were measured. Neither cortisol nor cardiovascular reactivity to the TSST was changed pre-to post intervention, either between or within groups. Blunted cortisol, but not cardiovascular, reactivity was observed across both groups, which may have contributed to the lack of intervention effect. Previous research suggests that diurnal cortisol is blunted following cancer treatment; the current findings suggest this blunting may also occur during exposure to acute stress.

عنوان ترانسليتريتد: Meditationsbasierte Lebensstilmodifikation: Entwicklung eines integrativen Mind-Body-Programms für seelische Gesundheit und eudaimonisches Wohlbefinden.

المؤلفون: Bringmann HC; Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany, holger.bringmann@charite.de.; Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany, holger.bringmann@charite.de., Bringmann N; Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany., Jeitler M; Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.; Department of Internal and Integrative Medicine, Immanuel Hospital, Berlin, Germany., Brunnhuber S; Department of Psychiatry, Psychosomatics, and Psychotherapy, Diakonie Kliniken Zschadraß, Colditz, Germany., Michalsen A; Institute for Social Medicine, Epidemiology, and Health Economics, Charité-Universitätsmedizin, Corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany.; Department of Internal and Integrative Medicine, Immanuel Hospital, Berlin, Germany., Sedlmeier P; Institute of Psychology, Chemnitz University of Technology, Chemnitz, Germany.

المصدر: Complementary medicine research [Complement Med Res] 2021; Vol. 28 (3), pp. 252-262. Date of Electronic Publication: 2020 Dec 07.

نوع المنشور: Journal Article; Review

بيانات الدورية: Publisher: S. Karger Country of Publication: Switzerland NLM ID: 101698453 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2504-2106 (Electronic) Linking ISSN: 25042092 NLM ISO Abbreviation: Complement Med Res Subsets: MEDLINE

مواضيع طبية MeSH: Life Style* , Meditation* , Mental Health* , Mindfulness* , Yoga*, Humans

مستخلص: Mental disorders are a core health challenge in the 21st century. Integrative mental health care takes an individual, lifestyle-modifying, salutogenic approach, combining somatic, psychosocial, and spiritual perspectives from evidence-based conventional and complementary medicine. In particular, meditation and mindfulness have received growing research interest in the last decade. In this article, we present Meditation-Based Lifestyle Modification (MBLM), a new, complex mind-body intervention for mental health care. It is the first program to intensify meditation practice using classical yoga. The program (a) covers all areas of classical yoga, (b) considers ethical and spiritual aspects of daily life, (c) orients participants toward sustained lifestyle modification, and (d) is applicable in a clinical context. The scientific rationale of the program is outlined in this article, based on the Criteria for Reporting the Development and Evaluation of Complex Interventions in Healthcare. Further research is planned to show the clinical feasibility of MBLM and evaluate its efficacy, processes of change, and cost-effectiveness.
(© 2020 The Author(s) Published by S. Karger AG, Basel.)

المؤلفون: Guo P; School of Nursing, Jilin University, Changchun, Jilin, China., Zhang X; School of Nursing, Jilin University, Changchun, Jilin, China., Liu N; School of Nursing, Jilin University, Changchun, Jilin, China., Wang J; School of Nursing, Jilin University, Changchun, Jilin, China., Chen D; School of Nursing, Jilin University, Changchun, Jilin, China., Sun W; School of Nursing, Jilin University, Changchun, Jilin, China., Li P; Department of Developmental Pediatrics, Second Hospital of Jilin University, Changchun, Jilin, China., Zhang W; School of Nursing, Jilin University, Changchun, Jilin, China.

المصدر: Journal of advanced nursing [J Adv Nurs] 2021 Jan; Vol. 77 (1), pp. 125-146. Date of Electronic Publication: 2020 Oct 13.

نوع المنشور: Journal Article; Meta-Analysis; Review; Systematic Review

بيانات الدورية: Publisher: Blackwell Scientific Publications Country of Publication: England NLM ID: 7609811 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-2648 (Electronic) Linking ISSN: 03092402 NLM ISO Abbreviation: J Adv Nurs Subsets: MEDLINE

مواضيع طبية MeSH: Mindfulness* , Yoga*, Female ; Humans ; Pregnancy ; Pregnant Women ; Randomized Controlled Trials as Topic ; Relaxation Therapy

مستخلص: Aim: To quantify the effect of mind-body interventions on stress in pregnant women.
Design: A systematic review and meta-analysis of randomized controlled trials was performed.
Data Sources: PubMed, Embase, CENTRAL, Web of Science and PsycINFO were searched from each database inception to January 2020.
Review Methods: Randomized controlled trials regarding mind-body interventions for stress in pregnant women were included. Methodological quality was evaluated using the Cochrane Collaboration 'Risk of Bias' tool and meta-analysis was performed via RevMan 5.3. Subgroup analysis and publication bias assessment were conducted. Post hoc sensitivity analysis was performed to investigate the source of heterogeneity.
Results: In total, 28 studies comprising 1944 participants were included. The overall meta-analysis showed that antenatal stress of pregnant women in the mind-body interventions groups showed significant high improvements (SMD=-0.94; 95% CI [-1.25, -0.63]; p < .00001) compared with the control groups. Results of subgroup analyses indicated that all types of mind-body interventions including mindfulness intervention, cognitive behavioural therapy, relaxation techniques and yoga were beneficial to antenatal stress. Both groups and individual formats mind-body interventions were effective. 4-8 weeks mind-body interventions were seemed as the optimal choice. Moreover, mind-body interventions were concomitant with reducing antenatal anxiety and depression.
Conclusion: Mind-body interventions are promising approaches for stress reduction in pregnant women. Nevertheless, the results should be interpreted with caution because of high heterogeneity and publication bias. Further high-quality studies are needed to verify the findings.
Impact: Mind-body interventions have been widely implemented to ameliorate antenatal stress, but conflicting results were found across studies. This systematic review and meta-analysis suggested that mind-body interventions are relatively safe and convenient and can successfully promote antenatal stress. The suggestions proposed in this review may be useful for developing a scientific mind-body interventions regimen and encouraging the application of mind-body interventions in pregnant women, thereby managing antenatal stress effectively.
(© 2020 John Wiley & Sons Ltd.)

المؤلفون: Wei G; Morsani College of Medicine, University of South Florida, Tampa, Florida, USA., Farooq J; Morsani College of Medicine, University of South Florida, Tampa, Florida, USA., Kumar A; Research Methodology and Biostatistics Core, Office of Research, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

المصدر: Dermatologic therapy [Dermatol Ther] 2021 Jan; Vol. 34 (1), pp. e14613. Date of Electronic Publication: 2020 Dec 07.

نوع المنشور: Journal Article; Meta-Analysis; Review; Systematic Review

بيانات الدورية: Publisher: Wiley-Blackwell Country of Publication: United States NLM ID: 9700070 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1529-8019 (Electronic) Linking ISSN: 13960296 NLM ISO Abbreviation: Dermatol Ther Subsets: MEDLINE

مواضيع طبية MeSH: Mindfulness* , Neurilemmoma* , Neurofibromatoses*/diagnosis , Neurofibromatoses*/therapy, Adolescent ; Humans ; Mind-Body Therapies ; Quality of Life

مستخلص: Individuals with neurofibromatosis (NF) experience poorer quality of life (QoL), in part contributed by the clinical manifestations of NF, such as functional disability, chronic pain, and altered physical appearance. Mind-body therapies (MBTs) tailored to NF have been developed, and have demonstrated promising potential to improve QoL in this population. We sought to systematically review current evidence on the effectiveness of MBTs in addressing QoL deficits in NF patients. Databases were reviewed between the date of inception and June 2020, using search terms: neurofibromatosis, schwannomatosis, psychotherapy, mind-body, mindfulness, meditation, resiliency, and behavioral therapy. Quality appraisal was assessed using the Cochrane Risk of Bias Tools and National Institutes of Health Study Quality Assessment Tools. We conducted a meta-analysis of mean differences and reported aggregate effect estimates with 95% confidence intervals. A total of 10 articles, including randomized-controlled trials and pre-post studies, were identified. Meta-analytic results of randomized-controlled trial data from six citations demonstrated MBTs were associated with improved physical (MD = 13.63, 95%CI 6.95-20.30, P < .0001, I ² = 24%), psychological (MD = 14.11, 95%CI 6.44-21.78, P = .0003, I ² = 38%), social (MD = 9.63, 95%CI 2.93-16.33, P = .005, I ² = 0%), and environmental QoL (MD = 14.14, 95%CI 8.28-20.00, P < .00001. I ² = 0%) in NF patients. These associations were maintained at 6-months follow-up for physical, psychological, and environmental QoL (P < .05). Our findings suggest that NF-adapted MBT strategies are associated with improving QoL in diverse NF populations, including NF2 patients experiencing deafness and youth NF patients. Providers and caregivers for NF should be aware of the potential benefits of MBT in chronic NF management.
(© 2020 Wiley Periodicals LLC.)

المؤلفون: Evangelista, Tonya, Sosko, Jordan, Weyant, Donna M., Schreiber, James B.

المصدر: Pediatric Nursing; Jan/Feb2022, Vol. 48 Issue 1, p7-20, 7p, 1 Black and White Photograph, 2 Charts

مصطلحات موضوعية: EVALUATION of medical care, MINDFULNESS, STATISTICS, BONE marrow transplantation, NAUSEA, AFFECT (Psychology), INTEGRATIVE medicine, YOGA, AROMATHERAPY, CONTINUING education units, PATIENT satisfaction, HUMAN services programs, TUMORS in children, CANCER patients, SURVEYS, HEALTH, QUALITY assurance, SCALE analysis (Psychology), DESCRIPTIVE statistics, STATISTICAL sampling, DATA analysis, DATA analysis software, TRANSPLANTATION of organs, tissues, etc.

مصطلحات جغرافية: UNITED States

مستخلص: Problem: A quality improvement project was conducted to evaluate the use of an integrative wellness program to improve mood and relieve chemotherapy-induced nausea in children and adolescents diagnosed with cancer at a freestanding children's hospital. Background: A wide variety of integrative wellness programs can assist in minimizing symptoms. Yoga and mindfulness create peace and balance by the practice of breathing and meditation, which can promote relaxation and stress reduction. Interventions: An integrative wellness program was implemented for hematology/ bone-marrow services in an outpatient clinic setting and inpatient unit within an urban pediatric hospital. The program included yoga, mindfulness, and aromatherapy. Nineteen patients participated in yoga, 18 patients in mindfulness, and 9 patients in aromatherapy over the course of one year. External specialty-trained personnel provided therapies in yoga and mindfulness in both the inpatient and outpatient setting. Additionally, while specialty-trained nurses provided aromatherapy to inpatients. Outcomes measured included nausea and mood pre- and post-implementation using established tools. Results: Results showed an increase in scores in the positive direction for yoga and mindfulness interventions from pre-implementation to post-implementation achieving significance in all four constructs of The Brief Mood Introspection Scale (Mayer & Gaschke, 1988). There was a reported decrease in nausea symptoms after the aromatherapy intervention and an overall satisfaction with the program. Conclusion: Integrative wellness is a positive intervention for this patient population and is beneficial to increase a child/adolescent's mood level. [ABSTRACT FROM AUTHOR]

: Copyright of Pediatric Nursing is the property of Jannetti Publications, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

المؤلفون: Bruns, Elizabeth B., Befus, Deanna, Wismer, Barbara, Knight, Kelly, Adler, Shelley R., Leonoudakis-Watts, Kristina, Thompson-Lastad, Ariana, Chao, Maria T.

المصدر: Journal of Alternative & Complementary Medicine; Jul2019, Vol. 25 Issue 7, p719-726, 8p, 3 Charts

مصطلحات موضوعية: CHRONIC pain treatment, ACUPUNCTURE, ANXIETY, CLINICAL trials, CONCEPTUAL structures, ETHNIC groups, EXPERIMENTAL design, HEALTH education, HOMELESSNESS, INTERVIEWING, MASSAGE therapy, RESEARCH methodology, NARCOTICS, PEOPLE with disabilities, POVERTY, RESEARCH funding, PSYCHOLOGICAL resilience, HEALTH self-care, SELF-efficacy, SOCIAL isolation, SOCIAL networks, PAIN management, PSYCHOLOGICAL disengagement, INTEGRATIVE medicine, THEMATIC analysis, BODY movement, AT-risk people, PRE-tests & post-tests, EVALUATION of human services programs, MINDFULNESS

مصطلحات جغرافية: CALIFORNIA

مستخلص: Objectives: To use a psychosocial framework to examine the pain experiences of low-income, ethnically diverse patients before and after an Integrative Pain Management Program (IPMP). Design and methods: IPMP is a 12-week, multimodal pain group incorporating mindfulness, acupuncture, massage, education, movement, and health coaching. The authors conducted semistructured interviews at the beginning, end, and 3 months following completion of IPMP. Interviews were digitally recorded and transcribed and analyzed using inductive coding methods. Setting: A primary care clinic in San Francisco, CA, serving low-income, ethnically diverse patients, many of whom are marginally housed and living with disabilities. Subjects: Forty-one patients with a diagnosis of chronic pain, currently receiving prescription opioids and referred by their primary care provider, who participated in IPMP. Results: Authors thematically analyzed 104 individual interviews with 41 IPMP participants, including 41 baseline, 35 three-month follow-up, and 28 six-month follow-up. Before IPMP, participants described a psychologic "vicious cycle" of pain symptoms that worsened with movement and anxiety, while increasing their sense of disempowerment and social isolation. Following IPMP, patients reported using new strategies to manage pain, including lowering medication use, resulting in an emerging sense of psychologic resilience, and more social connections. Conclusions: IPMP offers an accessible model for addressing psychosocial aspects of chronic pain. Vulnerable patients engaged with integrative medicine groups and developed new perspectives and tools for managing their pain; they emerged feeling hopeful and resilient. These results support the use of integrative medicine groups for targeting psychosocial aspects of chronic pain within primary care. [ABSTRACT FROM AUTHOR]

: Copyright of Journal of Alternative & Complementary Medicine is the property of Mary Ann Liebert, Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)