Journal article
Mindfulness-based stress reduction for treating low back pain: a systematic review and meta-analysis
Annals of internal medicine, Vol.166(11), pp.799-807
2017
PMID: 28437793
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Source: InCites
Abstract
Mindfulness-based stress reduction (MBSR) is frequently used to treat pain-related conditions, but its effects on low back pain are uncertain. To assess the efficacy and safety of MBSR in patients with low back pain. Searches of MEDLINE/PubMed, Scopus, the Cochrane Library, and PsycINFO to 15 June 2016. Randomized controlled trials (RCTs) that compared MBSR with usual care or an active comparator and assessed pain intensity or pain-related disability as a primary outcome in patients with low back pain. Two reviewers independently extracted data on study characteristics, patients, interventions, outcome measures, and results at short- and long-term follow-up. Risk of bias was assessed using the Cochrane risk-of-bias tool. Seven RCTs involving 864 patients with low back pain were eligible for review. Compared with usual care, MBSR was associated with short-term improvements in pain intensity (4 RCTs; mean difference [MD], -0.96 point on a numerical rating scale [95% CI, -1.64 to -0.34 point]; standardized mean difference [SMD], -0.48 point [CI, -0.82 to -0.14 point]) and physical functioning (2 RCTs; MD, 2.50 [CI, 0.90 to 4.10 point]; SMD, 0.25 [CI, 0.09 to 0.41 point]) that were not sustained in the long term. Between-group differences in disability, mental health, pain acceptance, and mindfulness were not significant at short- or long-term follow-up. Compared with an active comparator, MBSR was not associated with significant differences in short- or long-term outcomes. No serious adverse events were reported. The number of eligible RCTs was limited; only 3 evaluated MBSR against an active comparator. Mindfulness-based stress reduction may be associated with short-term effects on pain intensity and physical functioning. Long-term RCTs that compare MBSR versus active treatments are needed in order to best understand the role of MBSR in the management of low back pain. None.
Details
- Title
- Mindfulness-based stress reduction for treating low back pain: a systematic review and meta-analysis
- Creators
- Dennis Anheyer (Author) - University of Duisburg-EssenHeidemarie Haller (Author) - University of Duisburg-EssenJürgen Barth (Author) - University of ZurichRomy Lauche (Author) - University of Technology SydneyGustav Dobos (Author) - University of Duisburg-EssenHolger Cramer (Author) - University of Duisburg-Essen
- Publication Details
- Annals of internal medicine, Vol.166(11), pp.799-807
- Publisher
- United States
- Identifiers
- 991012858699902368
- Academic Unit
- Faculty of Health; National Centre for Naturopathic Medicine
- Language
- English
- Resource Type
- Journal article