Top

HAND

Published in:

01-06-2014

The influence of mindfulness on upper extremity illness

Authors: Timothy Voskuijl, David Ring

Published in: HAND | Issue 2/2014

Abstract

Background

Previous studies suggest a benefit of mindfulness-based interventions on pain conditions. This study addresses the null hypothesis that mindfulness is not correlated with pain intensity or magnitude of disability in orthopedic upper extremity conditions.

Methods

In a prospective cohort, the correlation of the two separate aspects of mindfulness—acceptance and awareness—with disability and pain intensity was tested in patients with nonacute upper extremity conditions. Regression analyses were performed to determine factors associated with arm-specific disability and pain intensity.

Results

Awareness and acceptance both correlated with arm-specific disability, but only awareness was retained as a predictor in the best multivariable model. Neither awareness nor acceptance correlated with pain intensity. Pain interference and symptoms of depression accounted for more of the variation in disability and pain intensity.

Conclusion

Improved mood and decreased pain interference (a greater sense that one can accomplish one's goals in spite of pain) may be more fruitful than increased mindfulness for patients with nonacute conditions of the upper extremity.

Alizadehkhaiyat O, Fisher AC, Kemp GJ, et al. Pain, functional disability, and psychologic status in tennis elbow. Clin J Pain. 2007;23(6):482–9.PubMedCrossRef

Astin JA. Mind-body therapies for the management of pain. Clin J Pain. 2004;20(1):27–32.PubMedCrossRef

Bardel MH, Woodman T, Perreaut-Pierre E, et al. The role of athletes' pain-related anxiety in pain-related attentional processes. Anxiety Stress Coping. 2013;26(5):573–83.PubMedCrossRef

Brown KW, Ryan RM. The benefits of being present: mindfulness and its role in psychological well-being. J Pers Soc Psychol. 2003;84(4):822–48.PubMedCrossRef

Cardaciotto L. Assessing mindfulness: the development of a bi-dimensional measure of awareness and acceptance [PhD thesis]. Philadelphia: Drexel University; 2005

Cardaciotto L, Herbert JD, Forman EM, et al. The assessment of present-moment awareness and acceptance: the Philadelphia Mindfulness Scale. Assessment. 2008;15(2):204–23.PubMedCrossRef

Cassidy EL, Atherton RJ, Robertson N, et al. Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain. Pain. 2012;153(3):644–50.PubMedCrossRef

Day MA, Thorn BE, Ward LC, et al. Mindfulness-based cognitive therapy for the treatment of headache pain: a pilot study. Clin J Pain. 2013. doi:10.1097/AJP.0b013e318287a1dc.

Dehghani M, Sharpe L, Nicholas MK. Selective attention to pain-related information in chronic musculoskeletal pain patients. Pain. 2003;105(1–2):37–46.PubMedCrossRef

10.

Edwards RR, Cahalan C, Mensing G, et al. Pain, catastrophizing, and depression in the rheumatic diseases. Nat Rev Rheumatol. 2011;7(4):216–24.PubMedCrossRef

11.

Fouladbakhsh J. Complementary and alternative modalities to relieve osteoarthritis symptoms: a review of the evidence on several therapies often used for osteoarthritis management. Orthop Nurs. 2012;31(2):115–21.PubMedCrossRef

12.

Glombiewski JA, Hartwich-Tersek J, Rief W. Depression in chronic back pain patients: prediction of pain intensity and pain disability in cognitive-behavioral treatment. Psychosomatics. 2010;51(2):130–6.PubMedCrossRef

13.

Goubert L, Crombez G, Eccleston C, et al. Distraction from chronic pain during a pain-inducing activity is associated with greater post-activity pain. Pain. 2004;110(1–2):220–7.PubMedCrossRef

14.

Grossi G, Soares JJ, Angeslevä J, et al. Psychosocial correlates of long-term sick-leave among patients with musculoskeletal pain. Pain. 1999;80(3):607–19.PubMedCrossRef

15.

Hassed C. Mind-body therapies—use in chronic pain management. Aust Fam Physician. 2013;42(3):112–7.PubMed

16.

Jansen GB, Linder J, Ekholm KS, et al. Differences in symptoms, functioning, and quality of life between women on long-term sick-leave with musculoskeletal pain with and without concomitant depression. J Multidiscip Healthc. 2011;4:281–92.PubMedCentralPubMed

17.

Johnson MH, Petrie SM. The effects of distraction on exercise and cold pressor tolerance for chronic low back pain sufferers. Pain. 1997;69(1–2):43–8.PubMedCrossRef

18.

Liu X, Wang S, Chang S, et al. Effect of brief mindfulness intervention on tolerance and distress of pain induced by cold-pressor task. Stress Health. 2012;29(3):199–204.PubMedCrossRef

19.

McCracken LM, Gauntlett-Gilbert J, Vowles KE. The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain. 2007;131(1–2):63–9.PubMedCrossRef

20.

McCracken LM, Keogh E. Acceptance, mindfulness, and values-based action may counteract fear and avoidance of emotions in chronic pain: an analysis of anxiety sensitivity. J Pain. 2009;10(4):408–15.PubMedCrossRef

21.

Menzies V, Taylor AG, Bourguignon C. Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia. J Altern Complement Med. 2006;12(1):23–30.PubMedCentralPubMedCrossRef

22.

Offenbacher M, Sauer S, Hieblinger R, et al. Spirituality and the International Classification of Functioning, Disability and Health: content comparison of questionnaires measuring mindfulness based on the International Classification of Functioning. Disabil Rehabil. 2011;33(25–26):2434–45.PubMedCrossRef

23.

Petter M, Chambers CT, MacLaren CJ. The effects of mindfulness-based attention on cold pressor pain in children. Pain Res Manag. 2013;18(1):39–45.PubMedCentralPubMed

24.

Piira T, Hayes B, Goodenough B, et al. Effects of attentional direction, age, and coping style on cold-pressor pain in children. Behav Res Ther. 2006;44(6):835–48.PubMedCrossRef

25.

Rief W, Isaac M. Are somatoform disorders ‘mental disorders’? A contribution to the current debate. Curr Opin Psychiatry. 2007;20(2):143–6.PubMedCrossRef

26.

Roh YH, Lee BK, Noh JH, et al. Effect of depressive symptoms on perceived disability in patients with chronic shoulder pain. Arch Orthop Trauma Surg. 2012;132(9):1251–7.PubMedCrossRef

27.

Salkovskis PM, Rimes KA, Warwick HM, et al. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843–53.PubMed

28.

Sharpe L, Dear BF, Schrieber L. Attentional biases in chronic pain associated with rheumatoid arthritis: hypervigilance or difficulties disengaging? J Pain. 2009;10(3):329–35.PubMedCrossRef

29.

Sullivan MJ, Stanish W, Waite H, et al. Catastrophizing, pain, and disability in patients with soft-tissue injuries. Pain. 1998;77(3):253–60.PubMedCrossRef

30.

Ussher M, Spatz A, Copland C, et al. Immediate effects of a brief mindfulness-based body scan on patients with chronic pain. J Behav Med. 2012. doi:10.1007/s10865-012-9466-5.PubMed

31.

Vranceanu AM, Safren S, Zhao M, et al. Disability and psychologic distress in patients with nonspecific and specific arm pain. Clin Orthop Relat Res. 2008;466(11):2820–6.PubMedCentralPubMedCrossRef

32.

Williams AC, Eccleston C, Morley S. Psychological therapies for the management of chronic pain (excluding headache) in adults. Cochrane Database Syst Rev. 2012;11:CD007407.PubMed

Title: The influence of mindfulness on upper extremity illness
Authors: Timothy Voskuijl
David Ring
Publication date: 01-06-2014
Publisher: Springer US
Published in: HAND / Issue 2/2014
Print ISSN: 1558-9447
Electronic ISSN: 1558-9455
DOI: https://doi.org/10.1007/s11552-013-9581-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The influence of mindfulness on upper extremity illness

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2014

An early shoulder repositioning program in birth-related brachial plexus injury: a pilot study of the Sup-ER protocol

Microsurgical principles related to excision of intraneural ganglion at the elbow

A prospective randomized controlled trial comparing night splinting with no splinting after treatment of mallet finger

Modifications to simplify intrathecal irrigation for pyogenic flexor tenosynovitis

The use of skin substitutes in the treatment of the hand and upper extremity

Arthroscopic dorsal wrist ganglion excision with color-aided visualization of the stalk: minimum 1-year follow-up