To date, mindfulness-based stress reduction (MBSR) has not
been rigorously evaluated for young and middle-aged adults with chronic low
back pain.
A recent issue of the Journal of the American Medical Association reports on a trial which compared treatment
with MBSR with usual care as well as cognitive behavioural therapy (CBT).
In a study of 342 adults aged 20-70, randomly and equally
allocated to each treatment group and having suffered with back pain for an
average of 7.3 years, those given mindfulness training found it easier to get
out of chairs, go upstairs and had less pain than those given usual care.
In the MBSR group, 61 per cent felt more able to move around
without pain than the 44 per cent who carried on with their usual care. CBT was
equally as good as MBSR at reducing pain. The effects lasted for at least a
year.
Among adults with chronic low back pain, treatment with MBSR
or CBT, compared with usual care, resulted in greater improvement in back pain
and functional limitations at 26 weeks, with no significant differences in
outcomes between MBSR and CBT.
These findings suggest that MBSR may be an
effective treatment option for patients with chronic low back pain.
Study: Cherkin, Daniel C et al. ‘Effect of
Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual
Care on Back Pain and Functional Limitations in Adults With Chronic Low Back
Pain: A Randomized Clinical Trial.’ JAMA. 2016;315(12):1240-1249.
doi:10.1001/jama.2016.2323.
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