Fox Sarah D, Flynn Ellen, Allen Rebecca H
Women & Infants Hospital of Rhode Island, the Warren Alpert Medical School at Brown University, Providence, Rhode Island 02905, USA.
J Reprod Med. 2011 Mar-Apr;56(3-4):158-62.
Chronic pelvic pain (CPP) is a common condition that can be difficult to treat. Mindfulness meditation improves outcomes in patients with cancer pain, low back pain and migraine headaches. This study evaluates feasibility and efficacy of mindfulness for patients with CPP.
Women with CPP were enrolled in an 8-week mindfulness program. Pre-assessments and post-assessments included daily pain scores, the Short Form-36 Health Status Inventory, Kentucky Inventory of Mindfulness Score and the Inventory of Depressive Symptomatology.
Twelve out of 22 enrolled subjects completed the program and had significant improvement in daily maximum pain scores (p = 0.02), physical function (p = 0.01), mental health (p = 0.01) and social function (p = 0.02). The mindfulness scores improved significantly in all measures (p < 0.01).
Data from this pilot study show the feasibility of mindfulness meditation in women with CPP. Initial pilot data suggest that quality of life and mindfulness outcomes may improve with mindfulness meditation and justify further investigation with a randomized, controlled trial.
慢性盆腔疼痛(CPP)是一种常见病症,治疗起来可能较为困难。正念冥想可改善癌症疼痛、腰痛和偏头痛患者的治疗效果。本研究评估正念疗法对CPP患者的可行性和疗效。
患有CPP的女性参加了一项为期8周的正念项目。评估前和评估后包括每日疼痛评分、简短健康调查量表-36、肯塔基正念量表和抑郁症状量表。
22名登记受试者中有12人完成了该项目,且在每日最大疼痛评分(p = 0.02)、身体功能(p = 0.01)、心理健康(p = 0.01)和社会功能(p = 0.02)方面有显著改善。所有测量指标的正念评分均有显著提高(p < 0.01)。
这项初步研究的数据表明,正念冥想对患有CPP的女性具有可行性。初步的试验数据表明,正念冥想可能会改善生活质量和正念治疗效果,有必要通过随机对照试验进行进一步研究。