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来源类型 | Report |
规范类型 | 报告 |
DOI | https://doi.org/10.7249/RR1317 |
来源ID | RR-1317-OSD |
Mindfulness Meditation for Chronic Pain: A Systematic Review | |
Margaret A. Maglione; Susanne Hempel; Alicia Ruelaz Maher; Eric Apaydin; Brett Ewing; Lara Hilton; Lea Xenakis; Roberta M. Shanman; Sydne Newberry; Benjamin Colaiaco; et al. | |
发表日期 | 2016-10-04 |
出版年 | 2016 |
页码 | 112 |
语种 | 英语 |
结论 | Mindfulness Meditation Is Associated with a Small Effect of Improved Pain Symptoms, but the Quality of Evidence is Low
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摘要 | RAND researchers conducted a systematic review that synthesized evidence from randomized controlled trials of mindfulness meditation interventions — used adjunctively or as monotherapy — to provide estimates of their efficacy and safety in alleviating chronic pain in adults. ,Outcomes of interest included changes in pain symptomatology, use of analgesics, functional status, health-related quality of life, functional impairment (disability measures), and adverse events. Meta-analyses for efficacy outcomes were conducted using the Hartung-Knapp-Sidik-Jonkman method for random-effects models. Quality of evidence was assessed using the Grades of Recommendation, Assessment, Development, and Evaluation (or GRADE) approach. ,In total, 28 studies met inclusion criteria. Mindfulness meditation was associated with a small effect of improved pain symptoms compared with control groups in a meta-analysis of 24 randomized controlled trials. However, there was evidence of substantial heterogeneity among studies, resulting in a low quality of evidence assessment for this outcome. We were unable to determine which patient subgroups or intervention characteristics were associated with greater efficacy. Mindfulness meditation statistically significantly improved depression and health-related quality of life. Adverse events were rare and not serious, but the vast majority of studies did not collect adverse event data. The low quality of evidence prevents any strong conclusions about mindfulness meditation for chronic pain. Additional trials with adequate power, greater efforts to prevent attrition, monitoring of adherence to meditation practice, active collection of adverse events, and better reporting of methods are suggested. |
目录 |
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主题 | Complementary and Integrative Health ; Health Interventions ; Health-Related Quality of Life ; Musculoskeletal Disorders ; Pain Management |
URL | https://www.rand.org/pubs/research_reports/RR1317.html |
来源智库 | RAND Corporation (United States) |
引用统计 | |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/523146 |
推荐引用方式 GB/T 7714 | Margaret A. Maglione,Susanne Hempel,Alicia Ruelaz Maher,et al. Mindfulness Meditation for Chronic Pain: A Systematic Review. 2016. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR1317.pdf(1462KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
1632238069256.jpg(4KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | ![]() 浏览 |
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