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Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain: A Randomized Clinical Trial
Open accessAbstract
IMPORTANCE: Mindfulness-based stress reduction (MBSR) has not been rigorously evaluated for young and middle-aged adults with chronic low back pain. OBJECTIVE: To evaluate the effectiveness for chronic low back pain of MBSR vs cognitive behavioral therapy (CBT) or usual care. DESIGN, SETTING, AND PARTICIPANTS: Randomized, interviewer-blind, clinical trial in an integrated health care system in Washington State of 342 adults aged 20 to 70 years with chronic low back pain enrolled between September 2012 and April 2014 and randomly assigned to receive MBSR (n = 116), CBT (n = 113), or usual care (n = 113). INTERVENTIONS: CBT (training to change pain-related thoughts and behaviors) and MBSR (training in mindfulness meditation and yoga) were delivered in 8 weekly 2-hour groups. Usual care included whatever care participants received. MAIN OUTCOMES AND MEASURES: Coprimary outcomes were the percentages of participants with clinically meaningful (≥30%) improvement from baseline in functional limitations (modified Roland Disability Questionnaire [RDQ]; range, 0-23) and in self-reported back pain bothersomeness (scale, 0-10) at 26 weeks. Outcomes were also assessed at 4, 8, and 52 weeks. RESULTS: There were 342 randomized participants, the mean (SD) [range] age was 49.3 (12.3) [20-70] years, 224 (65.7%) were women, mean duration of back pain was 7.3 years (range, 3 months-50 years), 123 (53.7%) attended 6 or more of the 8 sessions, 294 (86.0%) completed the study at 26 weeks, and 290 (84.8%) completed the study at 52 weeks. In intent-to-treat analyses at 26 weeks, the percentage of participants with clinically meaningful improvement on the RDQ was higher for those who received MBSR (60.5%) and CBT (57.7%) than for usual care (44.1%) (overall P = .04; relative risk [RR] for MBSR vs usual care, 1.37 [95% CI, 1.06-1.77]; RR for MBSR vs CBT, 0.95 [95% CI, 0.77-1.18]; and RR for CBT vs usual care, 1.31 [95% CI, 1.01-1.69]). The percentage of participants with clinically meaningful improvement in pain bothersomeness at 26 weeks was 43.6% in the MBSR group and 44.9% in the CBT group, vs 26.6% in the usual care group (overall P = .01; RR for MBSR vs usual care, 1.64 [95% CI, 1.15-2.34]; RR for MBSR vs CBT, 1.03 [95% CI, 0.78-1.36]; and RR for CBT vs usual care, 1.69 [95% CI, 1.18-2.41]). Findings for MBSR persisted with little change at 52 weeks for both primary outcomes. CONCLUSIONS AND RELEVANCE: Among adults with chronic low back pain, treatment with MBSR or CBT, compared with usual care, resulted in greater improvement in back pain and functional limitations at 26 weeks, with no significant differences in outcomes between MBSR and CBT. These findings suggest that MBSR may be an effective treatment option for patients with chronic low back pain. TRIAL REGISTRATION: clinicaltrials.gov Identifier: NCT01467843.
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“However, these effects do not seem to be maintained in the long term [32,42].”
From Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis (2024) · cites this paper as [32]
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“The disability variable also showed a strong effect in the meta-analysis [28,29,30,31,32,33,36,37,39,40,41,43].”
From Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis (2024) · cites this paper as [32]
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“One article had a high drop-out rate (61% adherence) (Cherkin et al., 2016)”
From What works in mindfulness interventions for medically unexplained symptoms? A systematic review (2020) · cites this paper as Cherkin et al., 2016
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Mindfulness-based interventions (MBIs) such as mindfulness-based stress reduction (MBSR) 1 and mindfulness-based cognitive therapy (MBCT) 2 are efficacious for improving patient-reported outcomes such as pain interference, pain intensity, and psychological distress for people living with chronic pain.3–5”
From Are Formal and Informal Home Mindfulness Practice Quantities Associated With Outcomes? Results From a Pilot Study of a Four-Week Mindfulness Intervention for Chronic Pain Management. (2024) · cites this paper as [3]
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“Attendance averaged ∼75%, or three out of four sessions, which is within the range of 5.5 to 7.6 sessions attended (out of eight) found in previous studies of MBIs for chronic pain [19, 47–49].”
From Feasibility and Acceptability of an Abbreviated, Four-Week Mindfulness Program for Chronic Pain Management. (2020) · cites this paper as [19]
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“In the Mind-body Approaches to Pain (MAP) randomized controlled trial (RCT), we found both CBT and mindfulness-based stress reduction (MBSR) to have benefits for pain and function among individuals with chronic low back pain (CLBP).13”
The cited source says what the claim attributes to it.
In the citing paper
“Both mindfulness-based stress reduction (MBSR) and cognitive-behavioral therapy (CBT) are effective for chronic low back pain (CLBP)”
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In the citing paper
“and retreat attendance rate (26% of participants randomized to MBSR),13”
From Moderators and Nonspecific Predictors of Treatment Benefits in a Randomized Trial of Mindfulness-Based Stress Reduction vs Cognitive-Behavioral Therapy vs Usual Care for Chronic Low Back Pain (2023) · cites this paper as [13]
Experimental — accuracy not yet measuredThe cited source says what the claim attributes to it.
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“These results suggest that the finding in the MAP RCT of CBT having greater benefit than MBSR for depression post-treatment13 may have been due largely to treatment differences among those who were more depressed.”
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In the citing paper
“session attendance rates (56.6% and 50.9% of randomized participants attended at least 6 sessions of CBT and MBSR, respectively)”
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In the citing paper
“research demonstrating that MM can lead to reductions in pain intensity,[16] pain interference,[15, 29] and pain-related affect,[30, 31]”
From The chronic pain skills study: Protocol for a randomized controlled trial comparing hypnosis, mindfulness meditation and pain education in Veterans (2020) · cites this paper as [15]
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“Two self-management approaches, hypnosis (HYP)[12–14] and mindfulness meditation(MM)[15–17], show promise across a range of chronic pain conditions and have been identified as priorities for further study and dissemination.[18]”
From The chronic pain skills study: Protocol for a randomized controlled trial comparing hypnosis, mindfulness meditation and pain education in Veterans (2020) · cites this paper as [15]
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In the citing paper
“Relevant trials have suggested that MBSR may be an effective treatment option for patients with chronic low back pain [14–16].”
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In the citing paper
“The combination of exercise therapy and health education has a strong effect on the pain variable compared to exercise therapy alone or health education alone [31,32,33,34,35,36,37,38,39,40,43].”
From Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis (2024) · cites this paper as [32]
Experimental — accuracy not yet measuredIn the citing paper
“By contrast, in a seminal study, Cherkin et al.19 found that both MBSR and CBT significantly improved ratings of functional limitations, pain-related distress, and pain intensity in chronic lower back pain patients when compared with standard of care.”
From The neural mechanisms of mindfulness-based pain relief: a functional magnetic resonance imaging-based review and primer (2019) · cites this paper as [19]
In the citing paper
“In the same study, findings persisted for MBSR and CBT at 8-, 26-, and 52-week follow-up, demonstrating the durability of mindfulness on certain pain-related outcomes over time.”
From The neural mechanisms of mindfulness-based pain relief: a functional magnetic resonance imaging-based review and primer (2019) · cites this paper as [19]
In the citing paper
“There is reliable and growing evidence demonstrating that long-term mindfulness practice can lead to significant increases in pain threshold values and lower pain sensitivity even when participants are not explicitly practicing mindfulness.13,19,43,46,82,83”
From The neural mechanisms of mindfulness-based pain relief: a functional magnetic resonance imaging-based review and primer (2019) · cites this paper as [19]
In the citing paper
“The MBSR and CBT programs were found to be significantly more effective at reducing pain intensity and reports of pain being bothersome when compared to usual care after 8, 26, and 52 weeks.71”
From Mindfulness meditation-based pain relief: a mechanistic account (2016) · cites this paper as [71]
In the citing paper
“While there were no significant differences between the CBT and MBSR programs in pain-related outcomes”
From Mindfulness meditation-based pain relief: a mechanistic account (2016) · cites this paper as [71]
In the citing paper
“In recent years, MBI has been successfully implemented to improve psychological health and coping skills 8 in a range of clinical populations, including chronic disease 9 , pain disorders 10 and cancer 11 .”
From Effects of mindfulness-based intervention on glycemic control and psychological outcomes in people with diabetes: a systematic review and meta-analysis (2021) · cites this paper as [10]
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“Past research has demonstrated support for MBSR in improving chronic pain (Cherkin et al., 2016) and symptoms of stress, anxiety, and depression (Fjorback, Arendt, Ø rnb ø l, Fink, & Walach, 2011).”
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Herman, P. M., McBain, R. K., Broten, N., & Coulter, I. D. (2020) · Spine · doi:10.1097/brs.0000000000003539 · Cited by 14
“The usual care arms assigned for each are: (1) Usual care (Sherman); (2) Usual care (Moore); (3) Selfcare education (Cherkin 2001); (4) Usual care (Cherkin 2009).”
BackgroundMethodWang, Y., Fu, C., Liu, Y., Li, D., Wang, C., Rongli, S., & Song, Y. (2021) · PubMed Central · Cited by 16
Rodondi, P., Dubois, J., Bill, A.-S., Koutaïssoff, D., Ros, J., Aveni, É., Pasquier, J., Herzig, L., Décosterd, I., & Burnand, B. (2018) · PLoS ONE · doi:10.1371/journal.pone.0204613 · Cited by 16
Brintz, C. E., Polser, G., Coronado, R. A., French, B., Faurot, K. R., & Gaylord, S. A. (2024) · Global Advances in Integrative Medicine and Health · doi:10.1177/27536130241236775 · Cited by 15
Burns, J. W., Gerhart, J. I., Dyke, B. P. V., Moraís, C. A., Newman, A. K., & Thorn, B. E. (2021) · Pain · doi:10.1097/j.pain.0000000000002237 · Cited by 15
Zhang, M. H., Cooley, C., Ziadni, M. S., Mackey, I. G., & Flood, P. D. (2023) · BMC Women s Health · doi:10.1186/s12905-022-02023-2 · Cited by 19
Lau, K. K. L., Kwan, K. Y.-H., Cheung, J. P. Y., Law, K. K. P., & Cheung, K. (2023) · European Spine Journal · doi:10.1007/s00586-023-07908-w · Cited by 17
“These findings together have insinuated the independent relationship between depression and back pain, which has been studied in academia recently [29, 30].”
BackgroundPain Management for Primary Care Providers: A Narrative Review of High-Impact Studies, 2014–2016
Becker, W. C., Bair, M. J., Picchioni, M., Starrels, J. L., & Frank, J. W. (2017) · Pain Medicine · doi:10.1093/pm/pnx146 · Cited by 15
Heapy, A. A., Wandner, L. D., Driscoll, M., LaChappelle, K. M., Czlapinski, R. A., Fenton, B. T., Piette, J. D., Aikens, J. E., Janevic, M. R., & Kerns, R. D. (2017) · Journal of Behavioral Medicine · doi:10.1007/s10865-017-9885-4 · Cited by 15
Wayne, P. M., Eisenberg, D. M., Osypiuk, K., Gow, B. J., Witt, C. M., Davis, R. B., & Buring, J. E. (2018) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2018.0002 · Cited by 15
“37).(31) In the MBSR study, the relative risk for experiencing a 30% reduction in RDQ was 1.”
BackgroundMethodResultInfluentialHosseinzadeh, Z., Sayadi, M., & Orazani, S. N. (2019) · Current Psychology · doi:10.1007/s12144-019-00487-4 · Cited by 20
“Several studies have reported a longlasting reduction in chronic pain as a result of mindfulness (Cherkin et al. 2016; Veehof et al. 2016; Hilton et al. 2016).”
BackgroundCox, C. E., Olsen, M. K., Gallis, J. A., Porter, L. S., Greeson, J. M., Gremore, T. M., Frear, A., Ungar, A., McKeehan, J. D., McDowell, B., et al. (2020) · Contemporary Clinical Trials · doi:10.1016/j.cct.2020.106119 · Cited by 17
“Although a higher dose would provide greater practice time and recapitulate the dose used in recent successful mindfulness trials including the initial uncontrolled LIFT pilot [6,15,16], it may be less convenient and lead to non-adherence.”
Meditation for adults with non-specific low back pain: a systematic review and meta-analysis
Soares, L. O., Ferreira, G. E., Costa, L. O. P., Nogueira, L. A. C., Meziat‐Filho, N., & dos Reis, F. J. J. (2021) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2021-0096 · Cited by 14
Effects of a Mindfulness-Based Intervention on Male Portuguese Prisoners
Carmo, C., Iacob, V., Brás, M., & Fernandes, J. (2024) · International Journal of Offender Therapy and Comparative Criminology · doi:10.1177/0306624x221106333 · Cited by 15
Miller, T. R., Halkitis, P. N., & Durvasula, R. (2018) · Ageing International · doi:10.1007/s12126-018-9333-y · Cited by 18
Gudin, J. A., Kaufman, A. G., & Datta, S. (2020) · Journal of Pain Research · doi:10.2147/jpr.s226483 · Cited by 16
Case, L. K., Adler-Neal, A. L., Wells, R. E., & Zeidan, F. Z. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000908 · Cited by 16
“Further, these findings demonstrate further evidence that mindfulness is mechanistically distinct from other cognitive techniques and provides mechanistic insight into the recent surge of well-controlled clinical trials demonstrating the analgesic benefits of mindfulness training on a spectrum of pain conditions (34,…”
BackgroundTelerehabilitation for Pain Management
Nanda, U., Luo, J., Convery, Q. W., & Pangarkar, S. S. (2021) · Physical Medicine and Rehabilitation Clinics of North America · doi:10.1016/j.pmr.2021.01.002 · Cited by 14
“The simultaneous treatment of comorbid mental health disorders has been demonstrated to improve chronic pain symptoms.(10,11) Additionally, the psychosocial factors of any individual experiencing chronic pain cannot be understated and are”
BackgroundBarrett, B. P., Torres, E. R., Meyer, J. D., Barnet, J. H., & Brown, R. (2019) · Mindfulness · doi:10.1007/s12671-019-01137-3 · Cited by 16
“Mindfulness-based stress reduction programs are among the most rigorously studied and widely implemented of the many types and styles of meditation practiced (Cherkin et al., 2016; Kabat-Zinn, 2003; Ludwig & Kabat-Zinn, 2008).”
BackgroundPsychological methods in the treatment of chronic nonspecific low back pain
Golovacheva, V. A., Александровна, Г. А., & Fateeva, T. G. (2019) · Neurology neuropsychiatry Psychosomatics · doi:10.14412/2074-2711-2019-2s-25-32 · Cited by 14
Jones, K., Tocco, E. C., Marshall, A. N., McLeod, T. C. V., & Bacon, C. E. W. (2020) · Journal of Sport Rehabilitation · doi:10.1123/jsr.2019-0345 · Cited by 14
Fuming, Z., Weihui, X., Jiajia, Y., Shufeng, L., Yiyi, Z., Wenjian, L., Yan, L., Zhicheng, L., Siyun, Z., Yingmin, Z., et al. (2022) · Trials · doi:10.1186/s13063-022-06258-0 · Cited by 9
Zeliadt, S. B., Coggeshall, S. S., Gelman, H. M., Shin, M. H., Elwy, A. R., Bokhour, B. G., & Taylor, S. L. (2020) · Pain Medicine · doi:10.1093/pm/pnaa349 · Cited by 13
Ziadni, M. S., Sturgeon, J. A., & Lumley, M. A. (2022) · Frontiers in Pain Research · doi:10.3389/fpain.2022.1028561 · Cited by 13
Garland, E. L., Roberts, R. L., Hanley, A. W., Zeidan, F. Z., & Keefe, F. J. (2022) · Mindfulness · doi:10.1007/s12671-022-02034-y · Cited by 15
Sears, C. S., Millman, R. D., Brotto, L. A., & Walker, L. M. (2022) · Journal of Sex & Marital Therapy · doi:10.1080/0092623x.2022.2154296 · Cited by 13
“Are participants able to attend at least 6/8 group sessions (Cherkin et al., 2016) and complete weekly homework?”
BackgroundMeditation for perioperative pain and anxiety: A systematic review
Rajjoub, R., Sammak, S. E., Rajjo, T. I., Rajjoub, N. S., Hasan, B., Saadi, S. M., Kanaan, A., & Bydon, M. (2024) · Brain and Behavior · doi:10.1002/brb3.3640 · Cited by 17
“Several reviews and clinical trials have published the effects of meditation on pain in recent years, particularly with respect to chronic conditions such as back pain, labor pain, and neuropathic pain (Cherkin et al., 2016; Hilton et al., 2016; Hussain & Said, 2019).”
BackgroundDarnall, B. D., Abshire, L., Courtney, R. E., & Davin, S. A. (2025) · Regional Anesthesia & Pain Medicine · doi:10.1136/rapm-2024-105601 · Cited by 14
Pediatric Integrative Medicine in Academia: Stanford Children’s Experience
Ramesh, G., Gerstbacher, D., Arruda, J., Golianu, B. J., Mark, J., & Yeh, A. M. (2018) · Children · doi:10.3390/children5120168 · Cited by 13
Pain management for patients with chronic kidney disease in the primary care setting
Lowe, K. M., & Robinson, D. (2019) · The Nurse Practitioner · doi:10.1097/01.npr.0000615544.81303.9c · Cited by 13
Fillingim, R. B., Woods, A. J., Ahn, H. B., Wu, S. S., Redden, D. T., Lai, S., Deshpande, H., DEUTSCH, G., Sibille, K. T., Staud, R. M., et al. (2020) · Contemporary Clinical Trials · doi:10.1016/j.cct.2020.106159 · Cited by 13
“While these individual treatments have shown pain relieving effects in musculoskeletal pain [1; 15; 55; 74], this will be the first attempt to investigate the potential additive or synergistic effects of these interventions when combined.”
BackgroundChronic pain in older and senile patients. Clinical guidelines
Tkacheva, O. N., Naumov, A. V., Kotovskaya, Y. V., Рунихина, Н. К., Milto, A. S., Alexanyan, L. A., Khovasova, N. O., Мороз, В. И., Маневич, Т. М., Розанов, А. В., et al. (2021) · Russian Journal of Geriatric Medicine · doi:10.37586/2686-8636-3-2021-275-312 · Cited by 14
Chronic Pain: A Complex Condition With a Multi-Tangential Approach
Kela, I., Kakarala, C. L., Hassan, M., Belavadi, R., Gudigopuram, S. V. R., Raguthu, C. C., Gajjela, H., & Sange, I. (2021) · Cureus · doi:10.7759/cureus.19850 · Cited by 14
“2016 [31] Randomized controlled trial 342 adults aged 20 to 70 years old with chronic low back pain Treatment with mindfulness-based stress reduction or CBT resulted in more significant improvement in functional limitations and back pain than usual care at weeks 26.”
BackgroundMindfulness Interventions for Cancer Survivors: Moving Beyond Wait-List Control Groups
Bower, J. E. (2016) · Journal of Clinical Oncology · doi:10.1200/jco.2016.68.2468 · Cited by 13
Nicklas, L., Albiston, M., Dunbar, M., Gillies, A. C., Hislop, J., Moffat, H., & Thomson, J. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08158-0 · Cited by 14
Day, M. A., Ehde, D. M., Bindicsova, I., & Jensen, M. P. (2023) · Journal of Pain · doi:10.1016/j.jpain.2023.10.007 · Cited by 13
Shah, N., Morone, N. E., Kim, E., Ellis, T. D., Cohn, E. S., LaValley, M. P., & Kumar, D. (2024) · Osteoarthritis and Cartilage Open · doi:10.1016/j.ocarto.2024.100494 · Cited by 12
“Among those who attended at least one session, the average attendance was 67% which is within the range observed for mindfulness programs [18,37], but lower than supervised, video-based, exercise programs for knee OA [38,39].”
What Patients and Providers Want to Know About Complementary and Integrative Health Therapies
Taylor, S. L., Giannitrapani, K. F., Yuan, A. H., & Marshall, N. J. (2017) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2017.0074 · Cited by 12
Freeman, R. C., Sukuan, N., Tota, N. M., Bell, S. M., Harris, A. G., & Wang, H. (2019) · Workplace Health & Safety · doi:10.1177/2165079919874795 · Cited by 12
What works in mindfulness interventions for medically unexplained symptoms? A systematic review
Billones, R., Lukkahatai, N., & Saligan, L. (2020) · PubMed Central · doi:10.31372/20200501.1082 · Cited by 12
“One article had a high drop-out rate (61% adherence) (Cherkin et al., 2016), and three studies had no control groups (Astin et al., 2003; Rimes & Wingrove, 2011; van Ravesteijn et al., 2013).”
BackgroundMethodResultInfluentialUnraveling Chronic Pain: From Mechanisms and Risks to Diagnosis and Treatment
Dai, X., Wang, C., Jiang, P., & Mei, X. (2026) · MedComm · doi:10.1002/mco2.70685 · Cited by 15
Poojari, S., Dhiman, D., Ghai, B., Mathur, D., Metri, K., Kataria, K., & Anand, A. (2023) · Pain Practice · doi:10.1111/papr.13296 · Cited by 13
Oliveira, M. L., Biggers, A., Oddo, V. M., Naylor, K. B., Chen, Z., Hamm, A., Pezley, L., Bernabé, B. P., Gabel, K., Sharp, L. K., et al. (2024) · Nutrients · doi:10.3390/nu16040504 · Cited by 12
“Small studies have tested the effects of Mindfulness on cardiovascular disease risk [33], glycemic control [34], stress reduction [35], and chronic pain management [36] with positive outcomes.”
BackgroundDay, M. A., Ciol, M. A., Mendoza, M. E., Borckardt, J. J., Ehde, D. M., Newman, A. K., Chan, J. F., Drever, S. A., Friedly, J. L., Burns, J. W., et al. (2024) · BMC Medicine · doi:10.1186/s12916-024-03383-2 · Cited by 15
Maddox, T., Oldstone, L., Sackman, J., Maddox, R., Adair, T., Ffrench, K., Sparks, C. Y., & Darnall, B. D. (2024) · PAIN Reports · doi:10.1097/pr9.0000000000001182 · Cited by 11
“4,16,37,48 Even so, access is poor because of the multisession and therapist-led nature of CBT. 9 In addition, effectiveness can fluctuate based on the quality of the CBT therapist and the trial methods, with the long-term effectiveness being variable at 12 months posttreatment.”
Sharpe, L., Bisby, M. A., Menzies, R. E., Boyse, J. B., Richmond, B., Todd, J., Sesel, A.-L., & Dear, B. F. (2025) · Psychotherapy and Psychosomatics · doi:10.1159/000542489 · Cited by 16
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Mindful Walking in Patients with Chronic Low Back Pain: A Randomized Controlled Trial
Rotter, G., Ortiz, M., Binting, S., Tomzik, J., Reese, F., Roll, S., Brinkhaus, B., & Teut, M. (2022) · Journal of Integrative and Complementary Medicine · doi:10.1089/jicm.2021.0361 · Cited by 12
Marais, C., Song, Y., Ferreira, R., Aounti, S., Duflos, C., Baptista, G., & Pers, Y. (2022) · BMC Rheumatology · doi:10.1186/s41927-022-00277-9 · Cited by 12
Whalen, W. M., Hawk, C., Farabaugh, R. J., Daniels, C. J., Taylor, D. N., Anderson, K. R., Crivelli, L. S., Anderson, D. R., Thomson, L. M., & Sarnat, R. L. (2022) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2023.04.010 · Cited by 12
Integrative Medicine for the Treatment of Persistent Pain
Hillinger, M. G., Wolever, R. Q., McKernan, L. C., & Elam, R. O. (2017) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2017.02.008 · Cited by 11
“Recently, a landmark RCT compared the efficacy of MBSR, CBT, and usual care for 342 subjects with chronic low back pain.(47) At 26 weeks, there were clinically meaningful improvements in both function and pain scores in both the CBT and MBSR groups in comparison with those who received usual care.”
Background
Metadata
- Authors
- Cherkin, D. C., Sherman, K. J., Balderson, B. H., Cook, A. J., Anderson, M. L., Hawkes, R. J., Hansen, K. E., & Turner, J. A.
- Affiliations
- Kaiser Permanente Washington Health Research Institute (US)
- University of Washington (US)
- Corresponding author
- Cherkin, Daniel C.
- ORCID
- Venue
- JAMA
- Publisher
- American Medical Association (AMA)
- Published
- 2016-03-22
- Volume
- 315
- Issue
- 12
- Pages
- 1240
- ISSN
- 0002-9955 (ISSN-L)
- 0098-7484
- PMC
- PMC4914381
- OpenAlex
- W2304035054
- Cited by
- 729
- References
- 42
- Citations by year
- 2026: 53 · 2025: 71 · 2024: 82 · 2023: 66 · 2022: 72 · 2021: 80 · 2020: 81 · 2019: 65 · 2018: 54 · 2017: 72 · 2016: 31
- FWCI
- 59.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- JAMA (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health
- National Center for Complementary and Integrative Health (R01AT006226)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
- Keywords
- mindfulness-based stress reduction, cognitive behavioral therapy, chronic low back pain, functional limitations, pain-related disability, mindfulness meditation, yoga, usual care, young and middle-aged adults, treatment effectiveness comparison, integrated health system, pain catastrophizing, pain acceptance, pain-related hopelessness, pain-related helplessness
- MeSH terms
- Adult, Female, Humans, Male, Middle Aged, Stress, Physiological, Stress, Psychological, Washington, Yoga, Cognitive Behavioral Therapy, Treatment Outcome, Low Back Pain, Sample Size, Young Adult, Intention to Treat Analysis, Mindfulness
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