Smith Karen E, Norman Greg J
Department of Psychology, Integrative Neuroscience Area, University of Chicago, Chicago, Illinois, United States of America.
Grossman Institute for Neuroscience, University of Chicago, Chicago, Illinois, United States of America.
PLoS One. 2017 May 11;12(5):e0177228. doi: 10.1371/journal.pone.0177228. eCollection 2017.
Relaxation techniques, such as deep breathing and muscle relaxation, are aspects common to most forms of mindfulness training. There is now an abundance of research demonstrating that mindfulness training has beneficial effects across a wide range of clinical conditions, making it an important tool for clinical intervention. One area of extensive research is on the beneficial effects of mindfulness on experiences of pain. However, the mechanisms of these effects are still not well understood. One hypothesis is that the relaxation components of mindfulness training, through alterations in breathing and muscle tension, leads to changes in parasympathetic and sympathetic nervous system functioning which influences pain circuits. The current study seeks to examine how two of the relaxation subcomponents of mindfulness training, deep breathing and muscle relaxation, influence experiences of pain in healthy individuals. Participants were randomized to either a 10 minute deep breathing, progressive muscle relaxation, or control condition after which they were exposed to a cold pain task. Throughout the experiment, measures of parasympathetic and sympathetic nervous system activity were collected to assess how deep breathing and progressive muscle relaxation alter physiological responses, and if these changes moderate any effects of these interventions on responses to pain. There were no differences in participants' pain tolerances or self-reported pain ratings during the cold pain task or in participants' physiological responses to the task. Additionally, individual differences in physiological functioning were not related to differences in pain tolerance or pain ratings. Overall this study suggests that the mechanisms through which mindfulness exerts its effects on pain are more complex than merely through physiological changes brought about by altering breathing or muscle tension. This indicates a need for more research examining the specific subcomponents of mindfulness, and how these subcomponents might be acting, to better understand their utility as a clinical treatment.
放松技巧,如深呼吸和肌肉放松,是大多数形式的正念训练共有的方面。现在有大量研究表明,正念训练在广泛的临床病症中都有有益效果,使其成为临床干预的重要工具。一个广泛研究的领域是正念对疼痛体验的有益影响。然而,这些影响的机制仍未得到很好的理解。一种假设是,正念训练的放松成分通过呼吸和肌肉紧张的改变,导致副交感神经系统和交感神经系统功能的变化,从而影响疼痛传导通路。本研究旨在探讨正念训练的两个放松子成分,即深呼吸和肌肉放松,如何影响健康个体的疼痛体验。参与者被随机分为10分钟的深呼吸组、渐进性肌肉放松组或对照组,之后他们接受冷痛任务。在整个实验过程中,收集副交感神经系统和交感神经系统活动的测量数据,以评估深呼吸和渐进性肌肉放松如何改变生理反应,以及这些变化是否会调节这些干预措施对疼痛反应的任何影响。在冷痛任务期间,参与者的疼痛耐受性或自我报告的疼痛评分,以及参与者对该任务的生理反应均无差异。此外,生理功能的个体差异与疼痛耐受性或疼痛评分的差异无关。总体而言,这项研究表明,正念对疼痛产生影响的机制比仅仅通过改变呼吸或肌肉紧张所带来的生理变化更为复杂。这表明需要更多的研究来考察正念的具体子成分,以及这些子成分可能的作用方式,以便更好地理解它们作为临床治疗方法的效用。