Toward a theoretical model for mindfulness-based pain management

Day, Melissa A.; Jensen, Mark P.; Ehde, Dawn M.; Thorn, Beverly E.

doi:10.1016/j.jpain.2014.03.003

Cited by 112Mindfulness and Compassion InterventionsMusculoskeletal pain and rehabilitationPain Management and Placebo Effect

Toward a theoretical model for mindfulness-based pain management

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Day, Melissa A., Jensen, Mark P., Ehde, Dawn M., Thorn, Beverly E.·2014·The Journal of Pain

DOI 10.1016/j.jpain.2014.03.003

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Abstract

Unlabelled Mindfulness, as both a process and a practice, has received substantial research attention across a range of health conditions, including chronic pain. Previously proposed mechanisms underlying the potential health-related benefits of mindfulness and mindfulness-based interventions (MBIs) are based on a strong theoretical background. However, to date, an empirically grounded, integrated theoretical model of the mechanisms of MBIs within the context of chronic pain has yet to be proposed. This is a surprising gap in the literature given the exponential growth of studies reporting on the benefits of MBIs for heterogeneous chronic pain conditions. Moreover, given the importance of determining how, and for whom, psychological interventions for pain management are effective, it is imperative that this gap in the literature be addressed. The overarching aim of the current theoretical paper was to propose an initial integrated, theoretically driven, and empirically based model of the mechanisms of MBIs for chronic pain management. Theoretical and research implications of the model are discussed. The theoretical considerations proposed herein can be used to help organize and guide future research that will identify the mechanisms underlying the benefits of mindfulness-based treatments, and perhaps psychosocial treatments more broadly, for chronic pain management.Perspective This focus article presents an initial framework for an empirically based, theoretical model of the mechanisms of MBIs for chronic pain management. Implications of the framework for refining theory and for future research are addressed.

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Behavioral therapy treatment effects are generally modest.
“treatment effects for behavioral therapies tend to be modest”
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 [41]
In “Effects of MBIs on Chronic Pain Management” (page unavailable), the paper says that pain-intensity effect sizes for mindfulness-based interventions range from d = .27 to .73 and are comparable to those for psychosocial interventions such as CBT. That provides some basis for describing effects in chronic pain treatment as modest, but it does not establish that behavioral therapies generally have modest treatment effects across conditions or outcomes. (LLM, conf=0.78)
Experimental — accuracy not yet measured
Chronic pain is biopsychosocial, and accumulating evidence supports interventions that treat pain from this holistic perspective.
“Chronic pain is a biopsychosocial condition, and mounting evidence supports the efficacy of interventions that target pain from this more holistic perspective.[41, 90]”
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 [41]
The findings are in accordance with the theory that being mindful helps one encounter the pain experience without unnecessary elaboration, catastrophizing, or reactivity.
“As such, our findings are in accordance with the theory that being mindful helps one encounter the pain experience without unnecessary elaboration, catastrophizing, or reactivity.10,15,50”
From Mindful attention is inversely associated with pain via mediation by psychological distress in orthopedic patients. (2024) · cites this paper as [15]

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Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial
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Mindfulness-based cognitive therapy for the treatment of headache pain: A mixed-methods analysis comparing treatment responders and treatment non-responders
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Collaboration in Mindfulness‐Based Cognitive Therapy
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Authors: Day, M. A., Jensen, M. P., Ehde, D. M., & Thorn, B. E.
Affiliations: University of Washington (US)
University of Alabama (US)
Corresponding author: Day, Melissa A.
ORCID: Day, Melissa A.
Jensen, Mark P.
Ehde, Dawn M.
Thorn, Beverly E.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2014-07
Volume: 15
Issue: 7
Pages: 691-703
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2014.03.003
OpenAlex: W2031124602
Cited by: 112
References: 120
Citations by year: 2026: 3 · 2025: 2 · 2024: 10 · 2023: 11 · 2022: 6 · 2021: 10 · 2020: 9 · 2019: 9 · 2018: 13 · 2017: 18 · 2016: 12 · 2015: 8 · 2014: 1
FWCI: 15.34
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, 3359 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Research Bank (Australian Catholic University) (submittedVersion)
Funders: Multiple Sclerosis Society
Topics: Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Keywords: mindfulness-based interventions, chronic pain, pain management, mechanisms of change, theoretical model, psychosocial interventions, mindfulness
MeSH terms: Humans, Models, Theoretical, Chronic Pain, Pain Management, Mindfulness

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Toward a theoretical model for mindfulness-based pain management

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