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Toward a Theoretical Model for Mindfulness-Based Pain Management
Open accessAbstract
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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“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]
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“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]
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“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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Kerns, R. D., Jensen, M. P., & Nielson, W. R. (2012) · Oxford University Press eBooks · doi:10.1093/med/9780199558902.003.0130 · Cited by 2
Self-citationA metacognitive model and therapy for generalized anxiety disorder
Wells, A. (1999) · Clinical Psychology & Psychotherapy · doi:10.1002/(sici)1099-0879(199905)6:2
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1 of the 120 references couldn’t be matched to a known paper.
Research works printed but not linked: 1
- Nash-McFerron, 2006, Mindfulness in the treatment of chronic headache pain, Diss Abstracts Int, 67
Cited by
Sorted by citations
Mindfulness meditation-based pain relief: a mechanistic account
Zeidan, F., & Vago, D. R. (2016) · Annals of the New York Academy of Sciences · doi:10.1111/nyas.13153 · Cited by 300
Haugmark, T., Hagen, K. B., Smedslund, G., & Zangi, H. A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221897 · Cited by 161
Mindfulness-based and acceptance-based interventions in sport and performance contexts
Gardner, F. L., & Moore, Z. E. (2017) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2017.06.001 · Cited by 92
Day, M. A., Ward, L. C., Ehde, D. M., Thorn, B. E., Burns, J., Barnier, A., Mattingley, J. B., & Jensen, M. P. (2019) · Pain Medicine · doi:10.1093/pm/pny273 · Cited by 91
Self-citationJensen, M. P., Ehde, D. M., & Day, M. A. (2016) · The Journal of Pain · doi:10.1016/j.jpain.2016.02.001 · Cited by 77
Self-citation
Metadata
- 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.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2014-07
- Volume
- 15
- Issue
- 7
- Pages
- 691-703
- ISSN
- 1526-5900 (ISSN-L)
- 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
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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