Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester LE1 7LT, UK Back Pain Unit, Sherwood Forest Hospitals NHS Foundation Trust, Mansfield Road, Sutton in Ashfield NG17 4JL, UK Arthritis Research UK Pain Centre, Academic Rheumatology, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK School of Psychology, Henry Wellcome Building, University of Leicester, Lancaster Road, Leicester LE1 9HN, UK Chronic Pain Management Service, NHS Highland, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, UK.
Pain. 2012 Mar;153(3):644-650. doi: 10.1016/j.pain.2011.11.027. Epub 2012 Jan 11.
We examined mindfulness in people with chronic low back pain who were attending a multidisciplinary pain management programme. Participants completed questionnaires at baseline (n=116) and after a 3-month cognitive-behaviourally informed multidisciplinary intervention (n=87). Self-reported mindfulness was measured before and after the intervention, and relationships were explored between mindfulness, disability, affect and pain catastrophizing. Mindfulness increased following participation in the intervention, and greater mindfulness was predictive of lower levels of disability, anxiety, depression and catastrophizing, even when pain severity was controlled. Mediator analyses suggested that the relationship between mindfulness and disability was mediated by catastrophizing. It is possible that cognitive-behavioural interventions and processes can affect both catastrophizing and mindfulness.
我们在参加多学科疼痛管理计划的慢性下背痛患者中研究了正念。参与者在基线（n=116）和 3 个月的认知行为信息多学科干预后（n=87）完成了问卷。在干预前后测量了自我报告的正念，并探讨了正念、残疾、情感和疼痛灾难化之间的关系。参与干预后正念增加，并且更高的正念预测更低水平的残疾、焦虑、抑郁和灾难化，即使在控制疼痛严重程度的情况下也是如此。中介分析表明，正念和残疾之间的关系是由灾难化介导的。认知行为干预和过程可能同时影响灾难化和正念。
