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Ann Behav Med. 2017 Apr;51(2):199-213. doi: 10.1007/s12160-016-9844-2.

Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis.

Author information

1
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA. hilton@rand.org.
2
RAND Corporation, 1776 Main Street, PO Box 2138, Santa Monica, CA, 90407-2138, USA.

Abstract

BACKGROUND:

Chronic pain patients increasingly seek treatment through mindfulness meditation.

PURPOSE:

This study aims to synthesize evidence on efficacy and safety of mindfulness meditation interventions for the treatment of chronic pain in adults.

METHOD:

We conducted a systematic review on randomized controlled trials (RCTs) with meta-analyses using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Quality of evidence was assessed using the GRADE approach. Outcomes included pain, depression, quality of life, and analgesic use.

RESULTS:

Thirty-eight RCTs met inclusion criteria; seven reported on safety. We found low-quality evidence that mindfulness meditation is associated with a small decrease in pain compared with all types of controls in 30 RCTs. Statistically significant effects were also found for depression symptoms and quality of life.

CONCLUSIONS:

While mindfulness meditation improves pain and depression symptoms and quality of life, additional well-designed, rigorous, and large-scale RCTs are needed to decisively provide estimates of the efficacy of mindfulness meditation for chronic pain.

KEYWORDS:

Chronic pain; Meditation; Mindfulness; Systematic review

PMID:
27658913
PMCID:
PMC5368208
DOI:
10.1007/s12160-016-9844-2
[Indexed for MEDLINE]
Free PMC Article

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