Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis

Lee, A.C.; Harvey, W.F.; Price, L.L.; Morgan, L.P.K.; Morgan, N.L.; Wang, C.

doi:10.1016/j.joca.2016.06.017

Cited by 57Mindfulness and Compassion InterventionsMusculoskeletal pain and rehabilitationHealth, psychology, and well-being

Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis

Open access

Lee, A.C., Harvey, W.F., Price, L.L., Morgan, L.P.K., Morgan, N.L., Wang, C.·2017·Osteoarthritis and Cartilage

DOI 10.1016/j.joca.2016.06.017PMC PMC5183521

Open this paper in CoChat — free account

Abstract

Objective Previous studies suggest that higher mindfulness is associated with less pain and depression. However, the role of mindfulness has never been studied in knee osteoarthritis (OA). We evaluate the relationships between mindfulness and pain, psychological symptoms, and quality of life in knee OA.Method We performed a secondary analysis of baseline data from our randomized comparative trial in participants with knee OA. Mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). We measured pain, physical function, quality of life, depression, stress, and self-efficacy with commonly-used patient-reported measures. Simple and multivariable regression models were utilized to assess associations between mindfulness and health outcomes. We further tested whether mindfulness moderated the pain-psychological outcome associations.Results Eighty patients were enrolled (60.3 ± 10.3 years; 76.3% female, body mass index: 33.0 ± 7.1 kg/m 2). Total mindfulness score was associated with mental (beta = 1.31, 95% CI: 0.68, 1.95) and physical (beta = 0.69, 95% CI:0.06, 1.31) component quality of life, self-efficacy (beta = 0.22, 95% CI:0.07, 0.37), depression (beta = -1.15, 95% CI:-1.77, -0.54), and stress (beta = -1.07, 95% CI:-1.53, -0.60). Of the five facets, the Describing, Acting-with-Awareness, and Non-judging mindfulness facets had the most associations with psychological health. No significant association was found between mindfulness and pain or function (P = 0.08-0.24). However, we found that mindfulness moderated the effect of pain on stress (P = 0.02).Conclusion Mindfulness is associated with depression, stress, self-efficacy, and quality of life among knee OA patients. Mindfulness also moderates the influence of pain on stress, which suggests that mindfulness may alter the way one copes with pain. Future studies examining the benefits of mind-body therapy, designed to increase mindfulness, for patients with OA are warranted.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1016/j.joca.2016.06.017

Cites

50 of 50 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

In clinical and community groups, including chronic pain patients, greater mindfulness is linked to better physical and psychological outcomes.
“Higher levels of mindfulness are associated with better physical and psychological outcomes in clinical and community populations, including in patients with chronic pain,4–10”
From Mindfulness is associated with psychological health and moderates the impact of fibromyalgia (2019) · cites this paper as [8]
The Results (page unavailable) associate higher mindfulness with better mental and physical quality-of-life scores, less depression and stress, and greater self-efficacy in patients with knee osteoarthritis. They find no significant association with pain or physical function. The paper does not establish the broader claim for community populations. (LLM, conf=0.88)
Experimental — accuracy not yet measured
The Describing, Acting-with-awareness, and Non-judging facets tend to show similar positive associations with psychological health.
“The Describing, Acting-with-awareness, and Non-judging facets are often similarly associated with better psychological health.”
From Mindfulness is associated with psychological health and moderates the impact of fibromyalgia (2019) · cites this paper as [8]
The five facets of mindfulness have different relationships with health outcomes.
“These facets of mindfulness differ in their associations with health outcomes.4–10,13–17”
From Mindfulness is associated with psychological health and moderates the impact of fibromyalgia (2019) · cites this paper as [8]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

1 retracted

Standardised mindfulness-based interventions in healthcare: An overview of systematic reviews and meta-analyses of rcts
Gotink, R. A., Chu, P., Busschbach, J. J. V., Benson, H., Fricchione, G. L., & Hunink, M. G. M. (2015) · PLOS ONE · doi:10.1371/journal.pone.0124344 · Cited by 539 · see citing works
Retracted
Using Self-Report Assessment Methods to Explore Facets of Mindfulness
Baer, R. A., Smith, G. T., Hopkins, J., Krietemeyer, J., & Toney, L. (2006) · Assessment · doi:10.1177/1073191105283504 · Cited by 7,511 · see citing works
Central sensitization: implications for the diagnosis and treatment of pain
Woolf, C. J. (2011) · Pain · doi:10.1016/j.pain.2010.09.030 · Cited by 4,771 · see citing works
Untitled work
(1994) · Medical Entomology and Zoology · Cited by 4,156 · see citing works
Untitled work
(1988) · Cited by 4,111 · see citing works
Mindfulness-based stress reduction and health benefits
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00573-7 · Cited by 3,958 · see citing works
Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples
Baer, R. A., Smith, G. T., Lykins, E., Button, D., Krietemeyer, J., Sauer, S., Walsh, E., Duggan, D., & Williams, J. M. G. (2008) · Assessment · doi:10.1177/1073191107313003 · Cited by 2,930 · see citing works
Effects of mindfulness on psychological health: A review of empirical studies
Keng, S.-L., Smoski, M. J., & Robins, C. J. (2011) · Clinical Psychology Review · doi:10.1016/j.cpr.2011.04.006 · Cited by 2,687 · see citing works
Relationships between mindfulness practice and levels of mindfulness, medical and psychological symptoms and well-being in a mindfulness-based stress reduction program
Carmody, J., & Baer, R. A. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9130-7 · Cited by 1,823 · see citing works
The social psychology of health
(1989) · Choice Reviews Online · doi:10.5860/choice.26-5686 · Cited by 1,797 · see citing works
Mindfulness-based stress reduction and health benefits: A meta-analysis
Grossman, P., Niemann, L., Schmidt, S., & Walach, H. (2003) · Focus on Alternative and Complementary Therapies · doi:10.1111/j.2042-7166.2003.tb04008.x · Cited by 1,394 · see citing works
Mindfulness in Medicine
Ludwig, D. S. (2008) · JAMA · doi:10.1001/jama.300.11.1350 · Cited by 957 · see citing works
Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice
Rosenzweig, S., Greeson, J. M., Reibel, D. K., Green, J. S., Jasser, S. A., & Beasley, D. (2010) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2009.03.010 · Cited by 517 · see citing works
Mindfulness and emotion regulation difficulties in generalized anxiety disorder: preliminary evidence for independent and overlapping contributions
Roemer, L., Lee, J. K., Salters-Pedneault, K., Erisman, S. M., Orsillo, S. M., & Mennin, D. S. (2009) · Behavior Therapy · doi:10.1016/j.beth.2008.04.001 · Cited by 392 · see citing works
Mindfulness-based interventions for chronic pain: a systematic review of the evidence
Chiesa, A., & Serretti, A. (2011) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2009.0546 · Cited by 374 · see citing works
Mindfulness: a systematic review of instruments to measure an emergent patient-reported outcome (PRO)
Park, T., Reilly-Spong, M., & Gross, C. R. (2013) · Quality of Life Research · doi:10.1007/s11136-013-0395-8 · Cited by 370 · see citing works
Tai Chi is effective in treating knee osteoarthritis: A randomized controlled trial
Wang, C., Schmid, C. H., Hibberd, P. L., Kalish, R. A., Roubenoff, R., Rones, R., & McAlindon, T. E. (2009) · Arthritis Care & Research · doi:10.1002/art.24832 · Cited by 337 · see citing works
Self-citation
Central pain mechanisms in chronic pain states – Maybe it is all in their head
Phillips, K., & Clauw, D. J. (2011) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2011.02.005 · Cited by 331 · see citing works
Examining the factor structures of the Five Facet Mindfulness Questionnaire and the Self-Compassion Scale.
Williams, M. J., Dalgleish, T., Karl, A., & Kuyken, W. (2014) · Psychological Assessment · doi:10.1037/a0035566 · Cited by 321 · see citing works
The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability
McCracken, L. M., Gauntlett-Gilbert, J., & Vowles, K. E. (2007) · Pain · doi:10.1016/j.pain.2006.12.013 · Cited by 290 · see citing works
WOMAC: a 20-year experiential review of a patient-centered self-reported health status questionnaire.
Bellamy, N. (2002) · PubMed · Cited by 289 · see citing works
Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain
Schütze, R., Rees, C., Preece, M., & Schütze, M. (2010) · Pain · doi:10.1016/j.pain.2009.10.030 · Cited by 248 · see citing works
Untitled work
(2003) · PubMed · Cited by 242 · see citing works
Mindfulness-Based Therapies in the Treatment of Somatization Disorders: A Systematic Review and Meta-Analysis
Lakhan, S. E., & Schofield, K. L. (2013) · PLoS ONE · doi:10.1371/journal.pone.0071834 · Cited by 233 · see citing works
Do mindfulness-based interventions reduce pain intensity? A critical review of the literature
Reiner, K., Tibi, L., & Lipsitz, J. D. (2013) · Pain Medicine · doi:10.1111/pme.12006 · Cited by 208 · see citing works
Psychological flexibility in adults with chronic pain: a study of acceptance, mindfulness, and values-based action in primary care
McCracken, L. M., & Velleman, S. C. (2010) · Pain · doi:10.1016/j.pain.2009.10.034 · Cited by 191 · see citing works
The 6-Minute Walk Test in Mobility-Limited Elders: What Is Being Measured?
Bean, J. F., Kiely, D. K., Leveille, S. G., Herman, S. D., Huynh, C., Fielding, R. A., & Frontera, W. R. (2002) · The Journals of Gerontology Series A · doi:10.1093/gerona/57.11.m751 · Cited by 157 · see citing works
An eight-week yoga intervention is associated with improvements in pain, psychological functioning and mindfulness, and changes in cortisol levels in women with fibromyalgia
Curtis, K., Osadchuk, & Katz, J. (2011) · Journal of Pain Research · doi:10.2147/jpr.s22761 · Cited by 150 · see citing works
Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity
Davis, M. C., Zautra, A. J., Wolf, L. D., Tennen, H., & Yeung, E. W. (2015) · Journal of Consulting and Clinical Psychology · doi:10.1037/a0038200 · Cited by 146 · see citing works
Increased sensitivity to physical activity among individuals with knee osteoarthritis: Relation to pain outcomes, psychological factors, and responses to quantitative sensory testing
Wideman, T. H., Finan, P. H., Edwards, R. R., Quartana, P. J., Buenaver, L. F., Haythornthwaite, J. A., & Smith, M. T. (2014) · Pain · doi:10.1016/j.pain.2013.12.028 · Cited by 142 · see citing works
Neurophysiological evidence for remediation of reward processing deficits in chronic pain and opioid misuse following treatment with Mindfulness-Oriented Recovery Enhancement: exploratory ERP findings from a pilot RCT
Garland, E. L., Froeliger, B., & Howard, M. O. (2015) · Journal of Behavioral Medicine · doi:10.1007/s10865-014-9607-0 · Cited by 136 · see citing works
Psychosocial factors and the pain experience of osteoarthritis patients: new findings and new directions
Somers, T. J., Keefe, F. J., Godiwala, N., & Hoyler, G. H. (2009) · Current Opinion in Rheumatology · doi:10.1097/bor.0b013e32832ed704 · Cited by 135 · see citing works
Arthritis and Heart Disease as Risk Factors for Major Depression
Dunlop, D. D., Lyons, J. S., Manheim, L. M., Song, J., & Chang, R. W. (2004) · Medical Care · doi:10.1097/01.mlr.0000127997.51128.81 · Cited by 132 · see citing works
Measures of self‐efficacy: Arthritis Self‐Efficacy Scale (ASES), Arthritis Self‐Efficacy Scale‐8 Item (ASES‐8), Children's Arthritis Self‐Efficacy Scale (CASE), Chronic Disease Self‐Efficacy Scale (CDSES), Parent's Arthritis Self‐Efficacy Scale (PASE), and Rheumatoid Arthritis Self‐Efficacy Scale (RASE)
Brady, T. J. (2011) · Arthritis Care & Research · doi:10.1002/acr.20567 · Cited by 123 · see citing works
Comparing the role of psychological flexibility and traditional pain management coping strategies in chronic pain treatment outcomes
Vowles, K. E., & McCracken, L. M. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.09.011 · Cited by 122 · see citing works
Comparison of an Online Mindfulness-based Cognitive Therapy Intervention With Online Pain Management Psychoeducation: A Randomized Controlled Study
Dowd, H., Hogan, M. J., McGuire, B. E., Davis, M. C., Sarma, K. M., Fish, R. A., & Zautra, A. J. (2015) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000201 · Cited by 121 · see citing works
Evaluation of the breathworks mindfulness-based pain management programme: Effects on well-being and multiple measures of mindfulness
Cusens, B., Duggan, G. B., Thorne, K., & Burch, V. (2010) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.653 · Cited by 102 · see citing works
Psychobiological Correlates of Improved Mental Health in Patients With Musculoskeletal Pain After a Mindfulness-based Pain Management Program
Brown, C. A., & Jones, A. K. P. (2012) · Clinical Journal of Pain · doi:10.1097/ajp.0b013e31824c5d9f · Cited by 98 · see citing works
Health‐related quality of life of US adults with arthritis: analysis of data from the behavioral risk factor surveillance system, 2003, 2005, and 2007
Furner, S. E., Hootman, J. M., Helmick, C. G., Bolen, J., & Zack, M. M. (2011) · Arthritis Care & Research · doi:10.1002/acr.20430 · Cited by 89 · see citing works
European project on osteoarthritis: design of a six-cohort study on the personal and societal burden of osteoarthritis in an older European population
van der Pas, S., Castell-Alcalá, M. V., Cooper, C. C., Denkinger, M. D., Dennison, E. M., Edwards, M. H., Herbolsheimer, F., Limongi, F., Lips, P. T. A. M., Maggi, S., et al. (2013) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-14-138 · Cited by 87 · see citing works
Mindfulness, Acceptance and Catastrophizing in Chronic Pain
de Boer, M. J., Steinhagen, H. E., Versteegen, G. J., Struys, M. M. R. F., & Sanderman, R. (2014) · PLoS ONE · doi:10.1371/journal.pone.0087445 · Cited by 72 · see citing works
Effect of Mindfulness-Based Stress Reduction on Pain Severity and Mindful Awareness in Patients With Tension Headache: A Randomized Controlled Clinical Trial
Omidi, A., & Zargar, F. (2014) · Nursing and Midwifery Studies · doi:10.17795/nmsjournal21136 · Cited by 61 · see citing works
Components of Mindfulness in Patients with Chronic Pain
McCracken, L. M., & Thompson, M. (2009) · Journal of Psychopathology and Behavioral Assessment · doi:10.1007/s10862-008-9099-8 · Cited by 59 · see citing works
Assessing the comparative effectiveness of Tai Chi versus physical therapy for knee osteoarthritis: design and rationale for a randomized trial
Wang, C., Iversen, M. D., McAlindon, T. E., Harvey, W. F., Wong, J. B., Fielding, R. A., Driban, J. B., Price, L. L., Rones, R., Gamache, T., et al. (2014) · BMC Complementary and Alternative Medicine · doi:10.1186/1472-6882-14-333 · Cited by 58 · see citing works
Self-citation
Spousal Mindfulness and Social Support in Couples With Chronic Pain
Williams, A. M., & Caño, A. (2013) · Clinical Journal of Pain · doi:10.1097/ajp.0000000000000009 · Cited by 48 · see citing works
Assessing the Quality, Efficacy, and Effectiveness of the Current Evidence Base of Active Self-Care Complementary and Integrative Medicine Therapies for the Management of Chronic Pain: A Rapid Evidence Assessment of the Literature
Delgado, R. E., York, A., Lee, C., Crawford, C. C., Buckenmaier, C. C., Schoomaker, E. B., Crawford, P. F., & Active Self-Care Therapies for Pain (PACT) Working Group (2014) · Pain Medicine · doi:10.1111/pme.12412 · Cited by 47 · see citing works
Predictors of Health Behavior Change After an Integrative Medicine Inpatient Program
Cramer, H., Lauche, R., Moebus, S., Michalsen, A., Langhorst, J., Dobos, G., & Paul, A. E. (2013) · International Journal of Behavioral Medicine · doi:10.1007/s12529-013-9354-6 · Cited by 39 · see citing works
Psychological distress across twelve months in patients with rheumatoid arthritis: The role of disease activity, disability, and mindfulness
Nyklíček, I., Hoogwegt, F., & Westgeest, T. (2014) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2014.08.004 · Cited by 39 · see citing works
Fibromyalgia Impact and Mindfulness Characteristics in 4986 People with Fibromyalgia
Jones, K. D., Mist, S. D., Casselberry, M. A., Ali, A., & Christopher, M. S. (2015) · EXPLORE · doi:10.1016/j.explore.2015.04.006 · Cited by 22 · see citing works
Is It Time to Make Mind-Body Approaches Available for Chronic Low Back Pain?
Goyal, M., & Haythornthwaite, J. A. (2016) · JAMA · doi:10.1001/jama.2016.2437 · Cited by 11 · see citing works

Flagged first, then by citations

1 of the 51 references couldn’t be matched to a known paper.

Sorted by citations

The relationship between trait mindfulness and affective symptoms: A meta-analysis of the Five Facet Mindfulness Questionnaire (FFMQ)
Carpenter, J. K., Conroy, K., Gomez, A. F., Curren, L. C., & Hofmann, S. G. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101785 · Cited by 342 · see citing works
Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review
Vitaloni, M., Bemden, A. B., Sciortino, R., Scotton, D., Bibas, M., Quintero, M. V., Monfort, J., Carné, X., de Abajo, F. J., Oswald, E., et al. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2895-3 · Cited by 278 · see citing works
Correlation between pain severity and levels of anxiety and depression in osteoarthritis patients: a systematic review and meta-analysis
Fonseca‐Rodrigues, D., Rodrigues, A. L., Martins, T., Pinto, J. M., Amorim, D., Almeida, A., & Pinto‐Ribeiro, F. (2021) · Rheumatology · doi:10.1093/rheumatology/keab512 · Cited by 141 · see citing works
Predictors of Osteoarthritis Pain: the Importance of Resilience
Bartley, E. J., Palit, S., & Staud, R. M. (2017) · Current Rheumatology Reports · doi:10.1007/s11926-017-0683-3 · Cited by 68 · see citing works
Mindfulness is associated with psychological health and moderates the impact of fibromyalgia
Pleman, B., Park, M., Han, X., Price, L. L., Bannuru, R. R., Harvey, W. F., Driban, J. B., & Wang, C. (2019) · Clinical Rheumatology · doi:10.1007/s10067-019-04436-1 · Cited by 49 · see citing works
Self-citation
Adding mindfulness practice to exercise therapy for female recreational runners with patellofemoral pain: A randomized controlled trial.
Bagheri, S., Naderi, A., Mirali, S., Calmeiro, L., & Brewer, B. (2020) · Journal of athletic training · doi:10.4085/1062-6050-0214.20 · Cited by 44 · see citing works
Autonomic Nervous System Dysregulation and Osteoarthritis Pain: Mechanisms, Measurement, and Future Outlook
Yeater, T. D., Cruz, C. J., Cruz‐Almeida, Y., & Allen, K. D. (2022) · Current Rheumatology Reports · doi:10.1007/s11926-022-01071-9 · Cited by 47 · see citing works
Association between osteoarthritis and mental health in a Korean population: a nationwide study
Jung, J. H., Seok, H., Kim, J., Song, G. G., & Choi, S. J. (2017) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13098 · Cited by 45 · see citing works
Economic Evaluations of Mindfulness-Based Interventions: a Systematic Review
Zhang, L., Lopes, S. S., Lavelle, T. A., Jones, K. O., Chen, L., Jindal, M., Zinzow, H. M., & Shi, L. (2022) · Mindfulness · doi:10.1007/s12671-022-01960-1 · Cited by 45 · see citing works
Mindfulness Is Associated With Treatment Response From Nonpharmacologic Exercise Interventions in Knee Osteoarthritis
Lee, A. C., Harvey, W. F., Price, L. L., Han, X., Driban, J. B., Wong, J. B., Chung, M. C., McAlindon, T. E., & Wang, C. (2017) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2017.04.014 · Cited by 31 · see citing works
Self-citation
Preoperative education on realistic expectations improves the satisfaction of patients with central sensitization after total knee arthroplasty: a randomized‐controlled trial
Nam, H. S., Yoo, H. J., Ho, J. P. Y., Kim, Y. B., & Lee, Y. S. (2023) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1007/s00167-023-07487-9 · Cited by 29 · see citing works
Impact of a Mindfulness-Based Weight-Loss Intervention on Sleep Quality Among Adults with Obesity: Data from the SHINE Randomized Controlled Trial
Adler, E., Dhruva, A., Moran, P. J., Daubenmier, J., Acree, M., Epel, E. S., Bacchetti, P., Prather, A. A., Mason, A., & Hecht, F. M. (2017) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2016.0141 · Cited by 22 · see citing works
Mindfulness is associated with sleep quality among patients with fibromyalgia
Park, M., Zhang, Y., Price, L. L., Bannuru, R. R., & Wang, C. (2019) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13756 · Cited by 19 · see citing works
Self-citation
The addition of structured lifestyle modifications to a traditional exercise program for the management of patients with knee osteoarthritis: A systematic review and meta-analysis of randomised trials
Sattler, L. N., Kan, A., Hing, W. A., & Vertullo, C. J. (2023) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2023.102858 · Cited by 19 · see citing works
Development of a mind body program for obese knee osteoarthritis patients with comorbid depression
Jacobs, C. A., Mace, R. A., Greenberg, J., Popok, P., Reichman, M., Lattermann, C. M., Burris, J. L., Macklin, E. A., & Vranceanu, A. (2021) · Contemporary Clinical Trials Communications · doi:10.1016/j.conctc.2021.100720 · Cited by 19 · see citing works
Is Mindfulness Associated With Lower Pain Reactivity and Connectivity of the Default Mode Network? A Replication and Extension Study in Healthy and Episodic Migraine Participants
Hunt, C., Letzen, J. E., Krimmel, S. R., Burrowes, S. A. B., Haythornthwaite, J. A., Finan, P. H., Vetter, M., & Seminowicz, D. A. (2022) · Journal of Pain · doi:10.1016/j.jpain.2022.07.011 · Cited by 13 · see citing works
Live Video Mind-Body Program for Patients With Knee Osteoarthritis, Comorbid Depression, and Obesity: Development and Feasibility Pilot Study
Mace, R. A., Greenberg, J., Lemaster, N., Duarte, B., Penn, T., Kanaya, M., Doorley, J. D., Burris, J. L., Jacobs, C. A., & Vranceanu, A.-M. (2022) · JMIR Formative Research · doi:10.2196/34654 · Cited by 15 · see citing works
“Combining mindfulness with walking is promising for improving mood and coping with KOA [35], and trials of this approach are ongoing (eg, NCT03064139).”
Background
Psychosocial Interventions to Reduce Post operative Pain in Total Knee Arthroplasty: A Systematic Review
Marcos, C. R., Schiller, N. C., Braun, S. B., Knauer, D., YaDeau, J. T., Nocon, A., Jivanelli, B., Flevas, D. A., & Sculco, T. P. (2024) · HSS Journal® The Musculoskeletal Journal of Hospital for Special Surgery · doi:10.1177/15563316241260717 · Cited by 15 · see citing works
Physical and Psychological Health Predict Adherence to an Online Mindfulness Program for College Students
Gutiérrez, D., Forbes, L., & Johnson, S. K. (2020) · Counseling and Values · doi:10.1002/cvj.12138 · Cited by 15 · see citing works
Pain perception in chronic knee osteoarthritis with varying levels of pain inhibitory control: an exploratory study
Teixeira, P. E. P., Zehry, H. I., Chaudhari, S., Dipietro, L., & Fregni, F. (2020) · Scandinavian Journal of Pain · doi:10.1515/sjpain-2020-0016 · Cited by 14 · see citing works
The effect of mindfulness and motivational interviewing along with neuromuscular exercises on pain, function, and balance of women affected by knee osteoarthritis: a rater-blinded randomized controlled clinical trial
Chaharmahali, L., Gandomi, F., Yalfani, A., & Fazaeli, A. (2023) · Disability and Rehabilitation · doi:10.1080/09638288.2023.2228691 · Cited by 13 · see citing works
Dispositional Mindfulness and Acute Heat Pain: Comparing Stimulus-Evoked Pain With Summary Pain Assessment
Mischkowski, D., Stavish, C. M., Palacios‐Barrios, E. E., Banker, L., Dildine, T. C., & Atlas, L. Y. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000911 · Cited by 11 · see citing works
Acceptability and preliminary effectiveness of a single-arm 12-week digital behavioral health intervention in patients with knee osteoarthritis
Godziuk, K., Prado, C. M. M., Quintanilha, M., & Forhan, M. A. (2023) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-023-06238-8 · Cited by 12 · see citing works
Predictors of the Health-Related Quality of Life (HRQOL) in SF-36 in Knee Osteoarthritis Patients: A Multimodal Model With Moderators and Mediators
Barbosa, S. P., Marques, L. M., Sugawara, A. T., Toledo, F., Imamura, M., Battistella, L. R., Simis, M., & Fregni, F. (2022) · Cureus · doi:10.7759/cureus.27339 · Cited by 11 · see citing works
Efeitos do Programa Terapia Cognitiva Baseada em Mindfulness sobre estresse, autoeficácia e mindfulness em universitários
de Azevedo, M. L., & Menezes, C. B. (2020) · SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português) · doi:10.11606/issn.1806-6976.smad.2020.165513 · Cited by 10 · see citing works
Associations of the modified STarT back tool and Hospital Anxiety and Depression Scale (HADS) with gait speed and knee pain in knee osteoarthritis: a retrospective cohort study
Poon, C. L.-L., Cheong, P., Tan, J. W.-M., Thumboo, J., Woon, E.-L., Clark, R. A., Cheok, G., & Pua, Y. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1883750 · Cited by 10 · see citing works
The role of state and trait positive affect and mindfulness in affective reactivity to pain in chronic migraine.
Ciere, Y., Snippe, E., Padberg, M., Jacobs, B., Visser, A., Sanderman, R., & Fleer, J. (2018) · Health Psychology · doi:10.1037/hea0000692 · Cited by 10 · see citing works
Evidence Review for Preventing Osteoarthritis After an Anterior Cruciate Ligament Injury: An Osteoarthritis Action Alliance Consensus Statement
Osteoarthritis Action Alliance, S. P. T. G., Driban, J. B., Vincent, H. K., Trojian, T. H., Ambrose, K., Baez, S., Beresic, N. J., Berkoff, D. J., Callahan, L. F., Cohen, B. S., et al. (2023) · Journal of Athletic Training · doi:10.4085/1062-6050-0504.22 · Cited by 10 · see citing works
Perceived Stress and Life Stressors in Adults with and without Fibromyalgia
Nguyen, H. M., Cherry, B. J., & Zettel‐Watson, L. (2024) · Biomedicines · doi:10.3390/biomedicines12061233 · Cited by 8 · see citing works
Facets of Mindfulness as Predictors of Emotional Distress Among Chinese Adults with Chronic Musculoskeletal Pain
Chen, S., You, B., & Jackson, T. (2020) · Mindfulness · doi:10.1007/s12671-020-01548-7 · Cited by 7 · see citing works
Antidepressants to Manage Osteoarthritic Pain: The Value of Pain Phenotyping
Zhang, D., Deveza, L. A., Tan, B. Y., Dear, B. F., & Hunter, D. J. (2025) · Drugs & Aging · doi:10.1007/s40266-025-01182-9 · Cited by 7 · see citing works
The Relative Importance of Mindfulness Facets and Their Interactions: Relations to Psychological Symptoms in Chronic Pain
Azizi, Z., Jandaghi, G., Firoozi, M., Zia-Tohidi, A., & Ebnerasouli, S. (2022) · Mindfulness · doi:10.1007/s12671-022-01862-2 · Cited by 6 · see citing works
Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299879 · Cited by 4 · see citing works
Evaluation of online adaptive yoga for psychological well-being in adults with disabilities.
Sundstrom, M. J., Asplund, A., & Nguyen‐Feng, V. N. (2023) · Rehabilitation Psychology · doi:10.1037/rep0000520 · Cited by 3 · see citing works
Mindful attention is inversely associated with pain via mediation by psychological distress in orthopedic patients.
Lam, C. N., Larach, D. B., Chou, C.-P., & Black, D. S. (2024) · Pain Medicine · doi:10.1093/pm/pnad119 · Cited by 2 · see citing works
Abnormal insulin metabolism and decreased levels of mindfulness in type 2 diabetes mellitus
Zhang, X., Huang, R., Li, J., Yang, M., Zhang, D., Liu, C., & Fan, K. (2025) · Diabetology & Metabolic Syndrome · doi:10.1186/s13098-025-01594-y · Cited by 2 · see citing works
The preoperative education on realistic expectations does not continually improve patients' satisfaction after total knee arthroplasty? A randomized controlled trial with serial assessment
Lee, S., Yoo, H. J., Nam, H. S., Ho, J. P. Y., & Lee, Y. S. (2025) · Knee Surgery Sports Traumatology Arthroscopy · doi:10.1002/ksa.12789 · Cited by 2 · see citing works
REBT with Clients with Disabilities
Balter, R. (2019) · Springer eBooks · doi:10.1007/978-3-030-02723-0_19 · Cited by 2 · see citing works
Self-regulation training for people with knee osteoarthritis: a protocol for a feasibility randomised control trial (MiNT trial)
Mani, R., Adhia, D. B., Awatere, S., Gray, A. R., Mathew, J., Wilson, L. C., Still, A., Jackson, D., Hudson, B., Zeidan, F. Z., et al. (2024) · Frontiers in Pain Research · doi:10.3389/fpain.2023.1271839 · Cited by 2 · see citing works
Osteoarthritis in Older Adults: Is More Emphasis on Managing and Mitigating its Stressful Ramifications, and Enhancing Coping, and Self Efficacy Cognitions Indicated?
Marks, R. (2024) · Journal Of Aging Research And Healthcare · doi:10.14302/issn.2474-7785.jarh-24-5141 · Cited by 2 · see citing works
Addressing the Effect of Mindfulness Based Stress Reduction and Mindfulness Based Approaches in Sport Injury: A Systematic Review
Mohammed, W. A., Poomsalood, S., & hroll-Lee, N. S. (2021) · Maǧallaẗ al-rāfidayn li-l-ʻulūm al-riyāḍiyyaẗ · doi:10.33899/rjss.2021.169826 · Cited by 1 · see citing works
The Application of Mindfulness in the Doctor-Patient Population
Li, Y.-F. (2024) · Advances in Psychology · doi:10.12677/ap.2024.147475 · Cited by 1 · see citing works
Pain-Induced Alcohol Urge and Intention to Drink: the Role of Dispositional Mindfulness
Moskal, D., Víta, M., & Maisto, S. A. (2019) · Mindfulness · doi:10.1007/s12671-019-01272-x · Cited by 1 · see citing works
“I don’t think it’s a real word though”: Perceptions of Mindfulness as a Treatment for Arthritis-related Fatigue
Bailey, C. M. (2020) · Otago University Research Archive (University of Otago)
Mindfulness and its Application for Older Adults with Chronically Painful Osteoarthritis
Marks, R. (2022) · International Journal of Geriatrics and Gerontology · doi:10.29011/2577-0748.100031
Assessment of Self-Efficacy among Patients with Knee Osteoarthritis
Kebary, S., Ali, G., Khalefa, A., & Elaal, E. M. A. (2022) · Sohag Journal of Nursing Science · doi:10.21608/sjns.2022.270356
Positive Association between Dispositional Mindfulness and Knee OsteoarthritisCommon Health ProblemsPreprint
Chu, S., Chiu, A., & Wang, H. (2023) · Research Square · doi:10.21203/rs.3.rs-2798757/v1
ผลของโปรแกรมการสงเสรมการรบรสมรรถนะแหงตนรวมกบการออกกำลงกายดวยโยคะเกาอตออาการปวดในผปวยโรคขอเขาเสอม
ปานมาศ, อ. (2020) · doi:10.58837/chula.the.2020.915
Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?Preprint
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · Research Square · doi:10.21203/rs.3.rs-2798757/v2
Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?Preprint
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · Research Square · doi:10.21203/rs.3.rs-2798757/v3
Non-pharmacologic Treatment for Musculoskeletal Conditions
Olivier, T. J., & Sharma, G. S. (2025) · Springer eBooks · doi:10.1007/978-3-031-86057-7_18
Integration of Mindfulness and Acupuncture After Spine Surgery: Protocol for a Randomized Acceptability and Feasibility Trial
Lentz, T. A., Porter, L. S., McGarvey, L., Rhodes, C., Rocos, B., Gremore, T. M., Reinke, E. K., Eucker, S. A., Green, C. L., Poehlein, E., et al. (2025) · JMIR Research Protocols · doi:10.2196/77236
Additional file 1 of Acceptability and preliminary effectiveness of a single-arm 12-week digital behavioral health intervention in patients with knee osteoarthritis
Godziuk, K., Prado, C. M., Quintanilha, M., & Forhan, M. A. (2024) · Figshare · doi:10.6084/m9.figshare.26569282
Effects of yoga on pain, physical function, and biomechanical/impairment outcomes in knee osteoarthritis: A systematic review and three-level meta-analysis
Zhou, J., Jawis, M. N., & Li, S. (2026) · Journal of Back and Musculoskeletal Rehabilitation · doi:10.1177/10538127261421867
Yoga-Based Rehabilitation for Knee Osteoarthritis: Effects on Physical Function and Mental Well-Being
Koch, M., Kakati, T., Brahma, K. K., Rabha, D., Goswami, K., Kalita, A., & Da, S. S. (2026) · PAIN JOINTS SPINE · doi:10.1922/pjs.16.3s.2026.526
Associations of rumination and worry with pain and functional limitation in knee osteoarthritis
Kahraman, B., & Kahraman, H. Ç. (2026) · Medicine · doi:10.1097/md.0000000000051052

The Role Of Mindfulness In Relation To Chronic Pain And Psychological Health In Knee Osteoarthritis
Lee, A. C., Harvey, W. F., Price, L. L., Morgan, L. P. K., Morgan, N. L., & Wang, C. (2016) · Medicine & Science in Sports & Exercise · doi:10.1249/01.mss.0000488180.57091.86
Self-citation
Mindfulness is associated with psychological symptoms, self-efficacy, and quality of life among patients with symptomatic knee osteoarthritis
Morgan, N. L., Ransford, G. L., Morgan, L. P. K., Driban, J. B., & Wang, C. (2013) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2013.02.535 · Cited by 9 · see citing works
Self-citation
Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?Preprint
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · Research Square · doi:10.21203/rs.3.rs-2798757/v3
Positive Association between Dispositional Mindfulness and Knee OsteoarthritisCommon Health ProblemsPreprint
Chu, S., Chiu, A., & Wang, H. (2023) · Research Square · doi:10.21203/rs.3.rs-2798757/v1
Acceptability and feasibility of a Mindfulness intervention for people with osteoarthritis-related knee pain
Hall, M. C., Hussain, B., White, S., Diver, C. J., Doherty, M., das Nair, R., & Zhang, W. (2017) · Physiotherapy · doi:10.1016/j.physio.2017.11.209 · Cited by 1 · see citing works

Authors: Lee, A. C., Harvey, W. F., Price, L. L., Morgan, L. P. K., Morgan, N. L., & Wang, C.
Affiliations: Tufts Medical Center (US)
Tufts University (US)
University of Massachusetts Boston (US)
University of Hawaiʻi at Mānoa (US)
Corresponding author: Lee, A.C.
Harvey, W.F.
Price, L.L.
Morgan, L.P.K.
Morgan, N.L.
Wang, C.
ORCID: Lee, A.C.
Price, L.L.
Morgan, L.P.K.
Wang, C.
Venue: Osteoarthritis and Cartilage
Publisher: Elsevier BV
Published: 2017-06
Volume: 25
Issue: 6
Pages: 824-831
ISSN: 1063-4584 (ISSN-L)
DOI: 10.1016/j.joca.2016.06.017
PMC: PMC5183521
OpenAlex: W2460926952
Cited by: 57
References: 51
Citations by year: 2026: 3 · 2025: 5 · 2024: 10 · 2023: 8 · 2022: 8 · 2021: 5 · 2020: 7 · 2019: 6 · 2018: 1 · 2017: 3 · 2016: 1
FWCI: 4.90
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 365 d)
Locations: Osteoarthritis and Cartilage (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (R01AT005521, K24AT007323, UL1TR001064)
National Center for Complementary and Integrative Health (R01AT005521, K24AT007323)
National Center for Advancing Translational Sciences (UL1TR001064)
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › General Health Professions › Health, psychology, and well-being
Keywords: mindfulness, knee osteoarthritis, pain, mental health, quality of life, depression, stress, self-efficacy, pain coping, moderation, Five Facet Mindfulness Questionnaire, mind-body interventions
MeSH terms: Patient Reported Outcome Measures, Aged, Cross-Sectional Studies, Depression, Female, Humans, Male, Mental Health, Middle Aged, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Randomized Controlled Trials as Topic, Arthralgia, Osteoarthritis, Knee, Self Efficacy, Tai Ji, Mindfulness

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Self-check

Cites

Cited by

Related

Record

About these checks