The Effectiveness of Mindfulness Meditation in Relieving Chronic Pain in Older Adults: A Systematic Review
Abstract
Chronic pain is a common problem that affects older populations. It is a common condition that does not completely respond to medical treatment. Consequently, in recent years many alternative treatments have been suggested. Among them, mindfulness meditation is receiving growing attention. The purpose of this paper is to review studies that has determined whether mindfulness mediation can relieve chronic pain in older adults. The PRISMA model guided a systematic literature search method. A literature search was undertaken using MEDLINE, CINAHL, Ovid, and ProQuest. The search terms were “mindfulness meditation,” “mindfulness-based intervention,” “meditation,” “chronic pain,” “arthritis,” “older,” and “aged or elderly.” The search included articles written in English published during the period of 2003 thru 2018.
This systematic literature review search yielded 35 articles through an electronic database search effort. Nineteen articles were evaluated for relevancy after removing duplicates. Three studies were then selected for the present review. Two articles were randomized control trials, and only one article was a pretest-posttest experimental study. All reviewed studies showed that mindfulness meditation interventions led to improvement in pain acceptance, physical functioning, quality of life and well-being in patients with chronic pain. There is not yet sufficient evidence to show that mindfulness meditation techniques are more effective than other non-specific interventions. More research is needed to investigate mindfulness meditation interventions in longer follow ups.
References
2. Leveille SG, Jones RN, Kiely DK, et al. Chronic musculoskeletal pain and the occurrence of falls in an older population. JAMA. 2009; 302(20):2214–2221. doi:10.1001/jama.2009.1738
3. Reid MC, Eccleston C, Pillemer K. Management of chronic pain in older adults. BMJ. 2015; 350:h532. doi:10.1136/bmj.h532
4. Malec M, Shega JW. Pain management in the elderly. Med Clin North Am. 2015; 99:337-350.
5. Molton IR, Terrill, AL. Overview of persistent pain in older adults. Am. Psychol. 2014;69: 197-207.
6. Brown ST, Kirkpatrick MK, Swanson MS, McKenzie IL. Pain experience of the elderly. Pain Manag Nurs. 2011;12(4):190-196. doi: 10.1016/j.pmn.
2010.05.004.
7. Reyes-Gibby CC, Aday L, Cleeland C. Impact of pain on self-rated health in the community-dwelling older adults. Pain. 2002; 95:75-82.
8. Yasaei R, Saadabadi A. Chronic Pain Syndrome. [Updated 2019 May 11]. In: Stat Pearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019.
9. Foster DF, Phillips RS, Hamel MB, Eisenberg DM. Alternative medicine use in older Americans. JAGS. 2000; 48:1560-1565.
10. Groden SR, Woodward AT, Chatters LM, Taylor RJ. Use of Complementary and Alternative Medicine among Older Adults: Differences between Baby Boomers and Pre-Boomers. Am J Geriatr Psychiatry. 2017;25(12):1393-1401. doi:10.1016/j.jagp.2017.08.001
11. Kabat-Zinn, J. Mindfulness-based interventions in context: Past, present and future. Clin Psychol Sci Pract. 2003; 10:144-156.
12. Baer R A. Mindfulness training as a clinical intervention: A conceptual and empirical review. Clin Psychol Sci. Pract 2003; 10(2):125-143.
13. Fountain-Zaragoza S, Prakash RS. Mindfulness Training for Healthy Aging: Impact on Attention, Well-Being, and Inflammation. Front Aging Neurosci. 2017;9-11.doi:10.3389/fnagi.2017.00011
14. Foulk MA, Ingersoll-Dayton B, Kavanagh J, Robinson E, Kales HC. Mindfulness-based cognitive therapy with older adults: an exploratory study. J Gerontol Soc Work. 2014;57:498-520.
15. Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and zen meditation for depression, anxiety, pain,
and psychological distress. J Psychiatr Pract. 2012; 18:233-252.
16. Geiger PJ, Boggero IA, Brake CA, et al. Mindfulness-Based Interventions for Older Adults: A Review of the Effects on Physical and Emotional Well-being. Mindfulness (NY). 2016;7(2):296-307. doi:10.1007/s12671-015-0444-1
17. Vattanavanit V, Uppanisakorn S, Bhurayanontachai R, Khwannimit B. Quality of Dying in the Medical Intensive Care Unit: Comparison between Thai Buddhists and Thai Muslims. Indian J Crit Care Med. 2017;21(6):359–363. doi:10.4103/ijccm.IJCCM_88_17
18. Bodhi, B. What does mindfulness really mean? Contemporary Buddhism. 2001; 12(1): 19-39.
19. Teixeira, M. E. (2008). Meditation as an intervention for chronic pain: An integrative review. Holist Nurs Pract.2008; 22(4): 225-234.
20. Van Dam NT, van Vugt MK, Vago DR, et al. Mind the Hype: A Critical Evaluation and Prescriptive Agenda for Research on Mindfulness and
Meditation. Perspect Psychol Sci. 2018;13(1):36–61. doi:10.1177/1745691617709589
21. Chiesa A, Calati R, Serretti A. Does Mindfulness Training Improve Cognitive Abilities? A Systematic Review of Neuropsychological Findings. Clin Psychol Rev.2011; 31: 449-464.
22. Hilton L, Hempel S, Ewing BA, et al. Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-analysis. Ann Behav Med. 2017;51(2):199–213. doi:10.1007/s12160-016-9844-2
23. Kabat-Zinn J. Full catastrophe living: Using the wisdom of your body and mind to face stress, pain and illness. New York, NY: Delacorte;1990.
24. Hölzel BK, Carmody J, Vangel M, et al. Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Res. 2011;
191(1):36-43.
25. Brown CA, Jones AK. Meditation experience predicts less negative appraisal of pain: electrophysiological evidence for the involvement of anticipatory neural responses. Pain. 2010; 150:428-438.
26. Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7): e1000097. doi:10.1371/journal.pmed.1000097
27. Morone NE, Greco CM, Weiner DK. Mindfulness meditation for the treatment of chronic low back pain in older adults: a randomized controlled pilot study. Pain. 2008;134(3):310–319. doi:10.1016/j.pain.2007.04.038
28. Morone NE, Rollman BL, Moore CG, Li Q, Weiner DK. A mind-body program for older adults with chronic low back pain: results of a pilot study.
Pain Med. 2009;10(8):1395–1407. doi:10.1111/j.1526-4637.2009.00746.x
29. Teixeira E. The effect of mindfulness meditation on painful diabetic peripheral neuropathy in adults older than 50 years. Holist Nurs Pract.2010;24:277-283.
30. Dearholt S, Dang D. Johns Hopkins Nursing Evidence-based Practice: Model and Guidelines. 2 nd ed. Indianapolis, IN: Sigma Theta Tau International, 2012.
31. Bishop SR, Lau M, Shapiro S, Carlson L, Anderson ND, Carmody J., et al. Mind-fulness: A proposed operational definition. Clin Psychol Sci Pract.
2004; 11:230-241.
32. Jeong S, Cho S. Acceptance and patient functioning in chronic pain: the mediating role of physical activity. Qual Life Res. 2017;26(4):903-911.
33. Jensen MP, Smith AE, Alschuler KN, Gillanders DT, Amtmann D, Molton IR. The role of pain acceptance on function in individuals with disabilities: a longitudinal study.2016;157(1):247-254.
34. Nojai V, Khampeera A, Kajai C, Khumdee B, Rimchan K. Effects of Somporn Kantharadussadee Triumchaisri (SKT) Meditation on Blood Glucose Levels of Pre-diabetes Mellitus. Journal of The Royal Thai Army Nurses. 2018;19(3): 175-180. (In Thai).
35. Lertsakornsiri M. The Effectiveness of Meditation Program toward Multiple Intelligences among the First Year Students at Saint Louis College.
Journal of The Royal Thai Army Nurses. 2016;17(3): 44-53. (In Thai).
36. Grossman P, Niemann L, Schmidt S, Walach H. Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom
Res. 2004; 57: 35-43.
37. Yaruang N. Low back pain in rice farmers with the role of community health nurses. Journal of The Royal Thai Army Nurses. 2016; 17(1):
1-9. (In Thai)
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