Top

Mindfulness

Gepubliceerd in:

01-02-2019 | ORIGINAL PAPER

Effect of Acceptance Versus Attention on Pain Tolerance: Dissecting Two Components of Mindfulness

Auteurs: Yuzheng Wang, Zhenzhen Qi, Stefan G. Hofmann, Mei Si, Xinghua Liu, Wei Xu

Gepubliceerd in: Mindfulness | Uitgave 7/2019

Abstract

Objectives

Previous studies have shown that brief mindfulness trainings can have significant analgesic effects. However, the effects of the various components of mindfulness on pain analgesia are not well understood. The objective of this study was to examine the effects of two components of mindfulness interventions—attention and acceptance—on pain analgesia.

Methods

One hundred and nineteen healthy college students without prior mindfulness experience underwent a cold-pressor test to measure pain tolerance before and after the training. Pain intensity, tolerance, distress, threshold, and endurance time were also tested. The participants were randomly assigned to one of the following four conditions: (1) acceptance of pain, (2) attention to pain, (3) acceptance of and attention to pain, or (4) control.

Results

The results showed that both the acceptance strategy and the combined acceptance and attention group increased pain endurance and tolerance after training. Furthermore, the acceptance group had longer pain endurance and tolerance times than the attention and control groups.

Conclusions

These results suggest that acceptance of pain is more important than attention to pain. Study limitations and future research directions are discussed.

vorige artikel Psychometric Investigation of the Five Facets of Mindfulness and Well-Being Measures in the Kingdom of Bhutan and the USA

volgende artikel Mindfulness Meditators Do Not Show Differences in Electrophysiological Measures of Error Processing

Alleen toegankelijk voor geautoriseerde gebruikers

Baer, R. A. (2009). Self-focused attention and mechanisms of change in mindfulness-based treatment. Cognitive Behaviour Therapy, 38(Suppl 1), 15–20. https://doi.org/10.1080/16506070902980703.CrossRefPubMed

Bishop, S. R., Lau, M., Shapiro, S., Carlson, L., Anderson, N. D., Carmody, J., et al. (2004). Mindfulness: a proposed operational definition. Clinical Psychology: Science and Practice, 11(3), 230–241. https://doi.org/10.1093/clipsy.bph077.CrossRef

Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: a meta-analysis. Journal of Psychosomatic Research, 68(6), 539–544. https://doi.org/10.1016/j.jpsychores.2009.10.005.CrossRefPubMed

Branstetter-Rost, A., Cushing, C., & Douleh, T. (2009). Personal values and pain tolerance: does a values intervention add to acceptance? The Journal of Pain, 10(8), 887–892. https://doi.org/10.1016/j.jpain.2009.01.001.CrossRefPubMed

Faul, F., Erdfelder, E., Lang, A. G., & Buchner, A. (2007). G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods, 39(2), 175–191. https://doi.org/10.3758/bf03193146.CrossRef

Feldner, M. T., Hekmat, H., Zvolensky, M. J., Vowles, K. E., Secrist, Z., & Leen-Feldner, E. W. (2006). The role of experiential avoidance in acute pain tolerance: a laboratory test. Journal of Behavior Therapy and Experimental Psychiatry, 37(2), 146–158. https://doi.org/10.1016/j.jbtep.2005.03.002.CrossRefPubMed

Forsyth, L., & Hayes, L. L. (2014). The effects of acceptance of thoughts, mindful awareness of breathing, and spontaneous coping on an experimentally induced pain task. The Psychological Record, 64(3), 447–455. https://doi.org/10.1007/s40732-014-0010-6.CrossRef

Frewen, P. A., Evans, E. M., Maraj, N., Dozois, D. J. A., & Partridge, K. (2007). Letting go: mindfulness and negative automatic thinking. Cognitive Therapy and Research, 32(6), 758–774. https://doi.org/10.1007/s10608-007-9142-1.CrossRef

Frewen, P. A., Lundberg, E., MacKinley, J., & Wrath, A. (2011). Assessment of response to mindfulness meditation: meditation breath attention scores in association with subjective measures of state and trait mindfulness and difficulty letting go of depressive cognition. Mindfulness, 2(4), 254–269. https://doi.org/10.1007/s12671-011-0069-y.CrossRef

Gao, L., Curtiss, J., Liu, X., & Hofmann, S. (2018). Differential treatment mechanisms in mindfulness meditation and progressive muscle relaxation. Mindfulness, 9(4), 1268–1279.CrossRef

Grant, J. A. (2014). Meditative analgesia: the current state of the field. Annals of the New York Academy of Sciences, 1307, 55–63. https://doi.org/10.1111/nyas.12282.CrossRefPubMed

Grant, J. A., & Rainville, P. (2009). Pain sensitivity and analgesic effects of mindful states in Zen meditators: a cross-sectional study. Psychosomatic Medicine, 71(1), 106–114. https://doi.org/10.1097/PSY.0b013e31818f52ee.CrossRefPubMed

Gutiérrez, O., Luciano, C., Rodríguez, M., & Fink, B. C. (2004). Comparison between an acceptance-based and a cognitive-control-based protocol for coping with pain. Behavior Therapy, 35(4), 767–783.CrossRef

Hayes, S. C., Strosahl, K. D., & Wilson, K. G. (1999). Acceptance and commitment therapy. New York: The Guilford Press.

Kabat-Zinn, J. (2003). Mindfulness-based interventions in context: past, present, and future. Clinical Psychology: Science and Practice, 10(2), 144–156. https://doi.org/10.1093/clipsy.bpg016.CrossRef

Keogh, E., Bond, F. W., Hanmer, R., & Tilston, J. (2005). Comparing acceptance- and control-based coping instructions on the cold-pressor pain experiences of healthy men and women. European Journal of Pain, 9(5), 591–598. https://doi.org/10.1016/j.ejpain.2004.12.005.CrossRefPubMed

Kingston, J., Chadwick, P., Meron, D., & Skinner, T. C. (2007). A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. Journal of Psychosomatic Research, 62(3), 297–300. https://doi.org/10.1016/j.jpsychores.2006.10.007.CrossRefPubMed

Kohl, A., Rief, W., & Glombiewski, J. A. (2012). How effective are acceptance strategies? A meta-analytic review of experimental results. Journal of Behavior Therapy and Experimental Psychiatry, 43(4), 988–1001. https://doi.org/10.1016/j.jbtep.2012.03.004.CrossRefPubMed

Kohl, A., Rief, W., & Glombiewski, J. A. (2013). Acceptance, cognitive restructuring, and distraction as coping strategies for acute pain. Journal of Pain, 14(3), 305–315. https://doi.org/10.1016/j.jpain.2012.12.005.CrossRefPubMed

Lindsay, E. K., & Creswell, J. D. (2017). Mechanisms of mindfulness training: monitor and acceptance theory (MAT). Clinical Psychology Review, 51, 48–59. https://doi.org/10.1016/j.cpr.2016.10.011.CrossRefPubMed

Liu, X., Wang, S., Chang, S., Chen, W., & Si, M. (2013). Effect of brief mindfulness intervention on tolerance and distress of pain induced by cold-pressor task. Stress and Health, 29(3), 199–204. https://doi.org/10.1002/smi.2446.CrossRefPubMed

Masedo, A. I., & Esteve, M. R. (2007). Effects of suppression, acceptance and spontaneous coping on pain tolerance, pain intensity and distress. Behaviour Research and Therapy, 45(2), 199–209. https://doi.org/10.1016/j.brat.2006.02.006.CrossRefPubMed

McCaul, K. D., & Haugtvedt, C. (1982). Attention, distraction, and cold-pressor pain. Journal of Personality and Social Psychology, 43(1), 154–162. https://doi.org/10.1037/0022-3514.43.1.154.CrossRefPubMed

McCracken, L. M., Vowles, K. E., & Eccleston, C. (2005). Acceptance-based treatment for persons with complex, long standing chronic pain: a preliminary analysis of treatment outcome in comparison to a waiting phase. Behaviour Research and Therapy, 43(10), 1335–1346. https://doi.org/10.1016/j.brat.2004.10.003.CrossRefPubMed

McMullen, J., Barnes-Holmes, D., Barnes-Holmes, Y., Stewart, I., Luciano, C., & Cochrane, A. (2008). Acceptance versus distraction: brief instructions, metaphors and exercises in increasing tolerance for self-delivered electric shocks. Behaviour Research and Therapy, 46(1), 122–129. https://doi.org/10.1016/j.brat.2007.09.002.CrossRefPubMed

Mitchell, L. A., MacDonald, R. A., & Brodie, E. E. (2004). Temperature and the cold pressor test. Journal of Pain, 5(4), 233–237. https://doi.org/10.1016/j.jpain.2004.03.004.CrossRefPubMed

Roche, B., Forsyth, J. P., & Maher, E. (2007). The impact of demand characteristics on brief acceptance- and control-based interventions for pain tolerance. Cognitive and Behavioral Practice, 14(4), 381–393. https://doi.org/10.1016/j.cbpra.2006.10.010.CrossRef

Veehof, M. M., Oskam, M. J., Schreurs, K. M., & Bohlmeijer, E. T. (2011). Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain, 152(3), 533–542. https://doi.org/10.1016/j.pain.2010.11.002. CrossRefPubMed

Wang, Y., Xu, W., Zhuang, C., & Liu, X. (2017). Does mind wandering mediate the association between mindfulness and negative mood? A preliminary study. Psychological Reports, 120(1), 118–129. https://doi.org/10.1177/0033294116686036.CrossRefPubMed

Zeidan, F., & Vago, D. R. (2016). Mindfulness meditation-based pain relief: a mechanistic account. Annals of the New York Academy of Sciences, 1373(1), 114–127. https://doi.org/10.1111/nyas.13153.CrossRefPubMedPubMedCentral

Zeidan, F., Gordon, N. S., Merchant, J., & Goolkasian, P. (2010). The effects of brief mindfulness meditation training on experimentally induced pain. Journal of Pain, 11(3), 199–209. https://doi.org/10.1016/j.jpain.2009.07.015.CrossRefPubMed

Zeidan, F., Grant, J. A., Brown, C. A., McHaffie, J. G., & Coghill, R. C. (2012). Mindfulness meditation-related pain relief: evidence for unique brain mechanisms in the regulation of pain. Neuroscience Letters, 520(2), 165–173. https://doi.org/10.1016/j.neulet.2012.03.082.CrossRefPubMedPubMedCentral

Titel: Effect of Acceptance Versus Attention on Pain Tolerance: Dissecting Two Components of Mindfulness
Auteurs: Yuzheng Wang
Zhenzhen Qi
Stefan G. Hofmann
Mei Si
Xinghua Liu
Wei Xu
Publicatiedatum: 01-02-2019
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-1091-8

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Objectives

Methods

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 7/2019

Mindfulness Meditators Do Not Show Differences in Electrophysiological Measures of Error Processing

The Inside Out Group Model: Teaching Groups in Mindfulness-Based Programs

Navigating Dilemmas in Training People to Deliver Non-Eight-Week Adapted Mindfulness-Based Interventions

A Randomized Controlled Trial of Awareness Training Program (ATP), a Group-Based Mahayana Buddhist Intervention

The Experiences of People with an Intellectual Disability of a Mindfulness-Based Program

Open Monitoring and Mindfulness