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在疾病中体验健康:探索一种基于正念的慢性背痛治疗方法。

Experiencing Wellness Within Illness: Exploring a Mindfulness-Based Approach to Chronic Back Pain.

作者信息

Doran Natasha J

机构信息

University of Bath, Bath, United Kingdom

出版信息

Qual Health Res. 2014 Jun;24(6):749-760. doi: 10.1177/1049732314529662. Epub 2014 Apr 11.

Abstract

In this article I explore how mindfulness-based techniques affect perceptions and management of back pain and discuss these findings in relation to embodiment theory and liminality. Sixteen volunteers attending Breathworks for persistent back pain took part in this study. The theme of "embodied awareness" formed the core category, as all participants reported a change in their experience of pain. Such embodied changes are described in relation to five subthemes: unpacking the pain experience, changing relationship to pain, letting go of the label, self-compassion and acceptance, and wellness within illness. Learning to respond rather than react, and living moment by moment enabled participants to replace a cycle of suffering with one of acceptance. Rather than fearing pain, participants found ways to move through it and live with it. Although some expressed finding a sense of wellness despite ongoing pain, all participants reported greater acceptance and a better quality of life.

摘要

在本文中,我探讨了基于正念的技巧如何影响对背痛的认知和管理,并结合具身理论和阈限性来讨论这些发现。16名因持续性背痛参加呼吸疗法课程的志愿者参与了这项研究。“具身意识”这一主题构成了核心类别,因为所有参与者都报告了他们疼痛体验的变化。这种具身变化与五个子主题相关:剖析疼痛体验、改变与疼痛的关系、放下标签、自我同情与接纳以及病痛中的健康。学会回应而非反应,活在当下,使参与者能够用接纳的循环取代痛苦的循环。参与者不再惧怕疼痛,而是找到了应对疼痛并与之共存的方法。尽管有些人表示尽管疼痛持续存在,但仍找到了健康的感觉,但所有参与者都报告说接受程度更高,生活质量更好。

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