School of Health and Biomedical Sciences, RMIT University, Melbourne, Australia.
Psychol Health Med. 2020 Jan;25(1):53-63. doi: 10.1080/13548506.2019.1619786. Epub 2019 May 24.
The high prevalence of depression among chronic pain populations is well-established: however, treatments for both depression and chronic pain remain only moderately effective. Previous research has indicated that mindfulness is a promising treatment pathway for both depression and chronic pain, however, the mechanisms of change underlying mindfulness are unclear. The purpose of this study was to examine the effects of the mindfulness facets on depression and pain, using two pain measures; severity and interference. One hundred and fifty-eight Australian females and 32 males with chronic pain participated in the study. Higher levels of mindfulness were associated with lower depression as well as lower pain. Path models using depression as a mediator, found that the mindfulness facets observing and describing had a direct effect on pain, while non-judgement, non-reactivity and describing showed indirect effects on pain through depression. Greater effects were seen for pain interference compared to pain severity, highlighting its importance as a potential treatment outcome. Future research should continue to analyse the effects of the mindfulness facets and consider using pain interference as a core treatment outcome.
然而，抑郁和慢性疼痛的治疗方法仍然只有中等效果。先前的研究表明，正念是治疗抑郁和慢性疼痛的一种很有前途的方法，但是，正念的改变机制尚不清楚。本研究的目的是使用两种疼痛测量方法（严重程度和干扰）来检验正念的各个方面对抑郁和疼痛的影响。158 名澳大利亚女性和 32 名男性慢性疼痛患者参与了这项研究。更高的正念水平与更低的抑郁和更低的疼痛相关。使用抑郁作为中介的路径模型发现，正念的观察和描述方面对疼痛有直接影响，而不评判、不反应和描述则通过抑郁对疼痛产生间接影响。疼痛干扰的影响比疼痛严重程度更大，突出了它作为一种潜在治疗结果的重要性。未来的研究应该继续分析正念的各个方面的影响，并考虑将疼痛干扰作为核心治疗结果。
