Saturday , April 17 2021

How consciousness can help in chronic pain

A pooled analysis of data published in BMJ has discovered that meditation of consciousness can help relieve chronic pain

The analysis, published online in the magazine Mental health based on evidence, indicates that the practice could reduce the severity and impact on the daily life of chronic pain, as well as the anxiety that accompanies.

This is important, say the researchers, because the psychological technique most used to treat chronic pain is cognitive behavioral therapy (TCC), but not all those who live with chronic pain, which affects one or five adults, find the TCC useful .

The researchers examined the research databases for relevant clinical trials that examined the effectiveness of TCC or the reduction of consciousness-based stress for the treatment of chronic pain, defined as for a minimum period of three months.

When practicing the meditation of consciousness, the patients concentrate at the moment and at the time awareness of thoughts, feelings, bodily sensations and the immediate environment. The stress reduction element is intended to help those affected to develop ways to more effectively deal with the pain.

Of the first 184 appropriate clinical trials, 21 were selected, with about 2,000 people, and the results were grouped.

Most study participants were women and were between 35 and 65 years old. The conditions that caused pain were, to a large extent, musculoskeletal. In almost four out of 10 studies, participants had sustained their pain for more than a decade.

The review combines direct and indirect evidence of the potential impact of TCC health compared to usual care or not; Consciousness compared to usual care or not; and awareness in comparison to TCC.

The analysis showed that there were no significant differences between either of the two techniques. Both significantly improved their physical functioning and decreased the severity of pain and associated depression, compared to normal or unattended care.

However, the researchers warn that only one of the 21 trials directly compared TCC with consciousness, and only 12 trials were considered to be of reasonable quality or of good quality.

Although the analysis produced comparable results for both techniques, the statistical error margin was broad, which means that it is too early to know which of the TCC or the awareness could be best for people with Different types of pain and psychological symptoms, they point out. More research is needed to connect this gap, they say.

"While TCC is considered as the preferred psychological intervention of [chronic pain], not all patients with [it] They experience a significant clinical response to treatment, "they conclude.

"Although they have proposed several recommendations to improve TCC for patients with chronic pain, an additional solution can be to offer a reduction in stress based on the patient's awareness, as it shows promise to improve the severity of pain and reduce pain interference and psychological anguish ".

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