A mindfulness-based stress reduction (MBSR) course was found to benefit patients with chronic pain and depression, leading to significant improvement in participant perceptions of pain, mood and functional capacity, according to a study in the Journal of the American Osteopathic Association.
Most of the study respondents (89%) reported the program helped them find ways to better cope with their pain while 11% remained neutral, according to researchers, in a media release from the American Osteopathic Association.
Meditation and Mindful Hatha Yoga
The small-scale study was conducted in a semi-rural population in Oregon where issues of affordability, addiction and access to care are common. Participants received intensive instruction in mindfulness meditation and mindful hatha yoga during an 8-week period.
“Many people have lost hope because, in most cases, chronic pain will never fully resolve.
“However, mindful yoga and meditation can help improve the structure and function of the body, which supports the process of healing.”
— Cynthia Marske, DO, an osteopathic physician and director of graduate medical education at the Community Health Clinics of Benton and Linn County
Healing and curing are inherently different, Marske adds, in the release.
“Curing means eliminating disease, while healing refers to becoming more whole. With chronic pain, healing involves learning to live with a level of pain this is manageable. For this, yoga and meditation can be very beneficial.”
Improvements in Pain, Depression, Disability Perceptions
The study found mindful meditation and yoga led to significant improvements in patients’ perceptions of pain, depression and disability. Following the course, Patient Health Questionnaire (PHQ-9) scores, a standard measure of depression, dropped by 3.7 points on a 27-point scale. According to Marske, some patients experience a similar drop from the use of an antidepressant.
“Chronic pain often goes hand-in-hand with depression.
“Mindfulness-based meditation and yoga can help restore both a patient’s mental and physical health and can be effective alone or in combination with other treatments such as therapy and medication.”
— Cynthia Marske, DO
Study participants received instruction in MBSR, a systematic educational program based on training people to have an awareness of the self in the present moment and a nonjudgmental manner. The findings bolster other evidence that MBSR can be a useful adjunctive treatment for chronic pain while improving perceived depression.
“The bottom line is that patients are seeking new ways to cope with chronic pain and effective non-pharmaceutical treatments are available. Our findings show meditation and yoga can be a viable option for people seeking relief from chronic pain.”
— Cynthia Marske
[Source(s): American Osteopathic Association, Science Daily]