Ruan Hang, DelVentura Jennifer L, Katz Andrea C, Meyer William J, Goerlitz Dustin S, Chen Jessica A, Goldberg Simon B
VA Puget Sound Health Care System.
Dept. of Psychiatry and Behavioral Sciences, University of Washington School of Medicine.
Curr Psychol. 2025 Jul 22. doi: 10.1007/s12144-025-08182-3.
Mindfulness interventions are associated with improvements in multiple areas of health, including chronic pain functioning, but little is known about how these improvements are best achieved in clinical settings.
The present study examined clinical outcomes in a structured mindfulness training protocol in a sample of 112 veterans with chronic pain. Mindfulness practice time and quality, as well as pain- and health-related outcome measures were collected at baseline, 1 month, and 2 months. Multilevel models were used to examine changes in outcomes from baseline to 2 months.
Practice time and quality improved over the course of treatment. Self-reported well-being and health satisfaction also improved over time, although pain acceptance and pain interference did not. Those reporting steeper increases in practice quality over time reported greater improvements in quality of life. No associations were observed between practice quality and other outcomes nor between practice time and outcomes.
Results support a potential role of practice quality in producing improvements in quality of life among veterans with chronic pain. In contrast, practice time was not linked with outcomes. Future randomized trials comparing this protocol to a control group are warranted to further elucidate clinical effects and mechanisms and to clarify the roles of practice time and practice quality within this population.
正念干预与包括慢性疼痛功能在内的多个健康领域的改善相关，但对于如何在临床环境中最佳地实现这些改善知之甚少。
本研究在112名患有慢性疼痛的退伍军人样本中，对结构化正念训练方案的临床结果进行了检查。在基线、1个月和2个月时收集正念练习时间和质量，以及与疼痛和健康相关的结果测量。使用多层次模型来检查从基线到2个月时结果的变化。
在治疗过程中，练习时间和质量有所改善。自我报告的幸福感和健康满意度也随时间有所提高，尽管疼痛接受度和疼痛干扰没有改善。那些报告练习质量随时间增长幅度更大的人，其生活质量的改善也更大。未观察到练习质量与其他结果之间以及练习时间与结果之间的关联。
结果支持练习质量在改善慢性疼痛退伍军人生活质量方面的潜在作用。相比之下，练习时间与结果无关。未来有必要进行将该方案与对照组进行比较的随机试验，以进一步阐明临床效果和机制，并明确练习时间和练习质量在该人群中的作用。
