Crisp Carol D, Hastings-Tolsma Marie, Jonscher Karen R
U.S. Air Force, PSC 9 Box 3968, APO AE, Spangdahlem, Germany.
Louise Herrington School of Nursing, Baylor University, 3700 Worth Street, Dallas, TX 75246.
Mil Med. 2016 Sep;181(9):982-9. doi: 10.7205/MILMED-D-15-00354.
One of the most common reasons women seek gynecologic health care services is for chronic pelvic pain (CPP) and women in the military are no exception. For women diagnosed with CPP, the burden can be difficult as they struggle to perform military obligations. A chronic low-grade systemic disease believed triggered by inflammation, CPP is difficult to diagnose and treat. With limited treatment strategies available, this study sought to examine the feasibility of implementing a mindfulness-based stress reduction (MBSR) program in a military population.
This prospective study evaluated the feasibility of a standard 8-week MBSR training program in a population of active duty women previously diagnosed with CPP (N = 15). Participants also completed the Kentucky Inventory of Mindfulness survey and the Brief Pain Inventory, did home practice and kept a daily diary. Vaginal swabs were obtained at baseline and at study completion.
A standard MBSR program is difficult to implement in a military population; other delivery formats should be considered. There was a trend suggestive that program participation promotes mindfulness, reduces pain, and promotes modulation of select pro-inflammatory cytokines. On the basis of results of this pilot feasibility study, further research is warranted.
女性寻求妇科医疗服务最常见的原因之一是慢性盆腔疼痛（CPP），军人女性也不例外。对于被诊断患有CPP的女性来说，由于她们努力履行军事义务，负担可能很重。CPP被认为是一种由炎症引发的慢性低度全身性疾病，难以诊断和治疗。由于可用的治疗策略有限，本研究旨在探讨在军人人群中实施基于正念减压（MBSR）计划的可行性。
这项前瞻性研究评估了标准的为期8周的MBSR培训计划在先前被诊断患有CPP的现役女性人群（N = 15）中的可行性。参与者还完成了肯塔基正念量表调查和简明疼痛量表，进行家庭练习并每天记日记。在基线和研究结束时采集阴道拭子。
标准的MBSR计划在军人人群中难以实施；应考虑其他实施形式。有迹象表明，参与该计划可提高正念、减轻疼痛并促进某些促炎细胞因子的调节。基于这项初步可行性研究的结果，有必要进行进一步研究。
