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Brain and behavior changes associated with an abbreviated 4-week mindfulness-based stress reduction course in back pain patients.
Brain Behav 2016; 6(3):e00443BB

Abstract

INTRODUCTION

Mindfulness-based stress reduction (MBSR) reduces depression, anxiety, and pain for people suffering from a variety of illnesses, and there is a growing need to understand the neurobiological networks implicated in self-reported psychological change as a result of training. Combining complementary and alternative treatments such as MBSR with other therapies is helpful; however, the time commitment of the traditional 8-week course may impede accessibility. This pilot study aimed to (1) determine if an abbreviated MBSR course improves symptoms in chronic back pain patients and (2) examine the neural and behavioral correlates of MBSR treatment.

METHODS

Participants were assigned to 4 weeks of weekly MBSR training (n = 12) or a control group (stress reduction reading; n = 11). Self-report ratings and task-based functional MRI were obtained prior to, and after, MBSR training, or at a yoked time point in the control group.

RESULTS

While both groups showed significant improvement in total depression symptoms, only the MBSR group significantly improved in back pain and somatic-affective depression symptoms. The MBSR group also uniquely showed significant increases in regional frontal lobe hemodynamic activity associated with gaining awareness to changes in one's emotional state.

CONCLUSIONS

An abbreviated MBSR course may be an effective complementary intervention that specifically improves back pain symptoms and frontal lobe regulation of emotional awareness, while the traditional 8-week course may be necessary to detect unique improvements in total anxiety and cognitive aspects of depression.

Authors+Show Affiliations

Department of Neuroimaging Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix Arizona.College of Nursing and Health Innovation Arizona State University Phoenix Arizona.Department of Neuroimaging Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix Arizona; Departments of Psychiatry and Psychology University of Arizona Tucson Arizona.Department of Neuroimaging Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix Arizona.Department of Neuroimaging Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix Arizona.Department of Neuroimaging Barrow Neurological Institute St. Joseph's Hospital and Medical Center Phoenix Arizona.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

26925304

Citation

Braden, B Blair, et al. "Brain and Behavior Changes Associated With an Abbreviated 4-week Mindfulness-based Stress Reduction Course in Back Pain Patients." Brain and Behavior, vol. 6, no. 3, 2016, pp. e00443.
Braden BB, Pipe TB, Smith R, et al. Brain and behavior changes associated with an abbreviated 4-week mindfulness-based stress reduction course in back pain patients. Brain Behav. 2016;6(3):e00443.
Braden, B. B., Pipe, T. B., Smith, R., Glaspy, T. K., Deatherage, B. R., & Baxter, L. C. (2016). Brain and behavior changes associated with an abbreviated 4-week mindfulness-based stress reduction course in back pain patients. Brain and Behavior, 6(3), pp. e00443. doi:10.1002/brb3.443.
Braden BB, et al. Brain and Behavior Changes Associated With an Abbreviated 4-week Mindfulness-based Stress Reduction Course in Back Pain Patients. Brain Behav. 2016;6(3):e00443. PubMed PMID: 26925304.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Brain and behavior changes associated with an abbreviated 4-week mindfulness-based stress reduction course in back pain patients. AU - Braden,B Blair, AU - Pipe,Teri B, AU - Smith,Ryan, AU - Glaspy,Tyler K, AU - Deatherage,Brandon R, AU - Baxter,Leslie C, Y1 - 2016/02/16/ PY - 2015/06/17/received PY - 2015/12/17/revised PY - 2015/12/19/accepted PY - 2016/3/1/entrez PY - 2016/3/1/pubmed PY - 2017/2/1/medline KW - Anxiety KW - back pain KW - depression KW - frontal lobe KW - functional magnetic resonance imaging KW - mindfulness KW - stress SP - e00443 EP - e00443 JF - Brain and behavior JO - Brain Behav VL - 6 IS - 3 N2 - INTRODUCTION: Mindfulness-based stress reduction (MBSR) reduces depression, anxiety, and pain for people suffering from a variety of illnesses, and there is a growing need to understand the neurobiological networks implicated in self-reported psychological change as a result of training. Combining complementary and alternative treatments such as MBSR with other therapies is helpful; however, the time commitment of the traditional 8-week course may impede accessibility. This pilot study aimed to (1) determine if an abbreviated MBSR course improves symptoms in chronic back pain patients and (2) examine the neural and behavioral correlates of MBSR treatment. METHODS: Participants were assigned to 4 weeks of weekly MBSR training (n = 12) or a control group (stress reduction reading; n = 11). Self-report ratings and task-based functional MRI were obtained prior to, and after, MBSR training, or at a yoked time point in the control group. RESULTS: While both groups showed significant improvement in total depression symptoms, only the MBSR group significantly improved in back pain and somatic-affective depression symptoms. The MBSR group also uniquely showed significant increases in regional frontal lobe hemodynamic activity associated with gaining awareness to changes in one's emotional state. CONCLUSIONS: An abbreviated MBSR course may be an effective complementary intervention that specifically improves back pain symptoms and frontal lobe regulation of emotional awareness, while the traditional 8-week course may be necessary to detect unique improvements in total anxiety and cognitive aspects of depression. SN - 2162-3279 UR - https://www.unboundmedicine.com/medline/citation/26925304/Brain_and_behavior_changes_associated_with_an_abbreviated_4_week_mindfulness_based_stress_reduction_course_in_back_pain_patients_ L2 - https://doi.org/10.1002/brb3.443 DB - PRIME DP - Unbound Medicine ER -