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04-04-2023 | ORIGINAL PAPER

Meditation Practice, Mindfulness, and Pain-Related Outcomes in Mindfulness-Based Treatment for Episodic Migraine

Auteurs: Carly A. Hunt, Janelle E. Letzen, Samuel R. Krimmel, Shana A. B. Burrowes, Jennifer A. Haythornthwaite, Michael Keaser, Matthew Reid, Patrick H. Finan, David A. Seminowicz

Gepubliceerd in: Mindfulness | Uitgave 4/2023

Abstract

Objectives

Mindfulness-based interventions (MBIs) have emerged as promising prophylactic episodic migraine treatments. The present study investigated biopsychosocial predictors and outcomes associated with formal, daily-life meditation practice in migraine patients undergoing MBI, and whether augmented mindfulness mechanistically underlies change.

Methods

Secondary analyses of clinical trial data comparing a 12-week enhanced mindfulness-based stress reduction course (MBSR + ; n = 50) to stress management for headache (SMH; n = 48) were conducted.

Results

Pre-treatment mesocorticolimbic system functioning (i.e., greater resting state ventromedial prefrontal cortex-right nucleus accumbens [vmPFC-rNAC] functional connectivity) predicted greater meditation practice duration over MBSR + (r = 0.58, p = 0.001), as well as the change in headache frequency from pre- to post-treatment (B = − 12.60, p = 0.02) such that MBSR + participants with greater vmPFC-rNAC connectivity showed greater reductions in headache frequency. MBSR + participants who meditated more showed greater increases in mindfulness (B = 0.52, p = 0.02) and reductions in the helplessness facet of pain catastrophizing (B = − 0.13, p = 0.01), but not headache frequency, severity, or impact. Augmented mindfulness mediated reductions in headache impact resulting from MBSR + , but not headache frequency.

Conclusions

Mesocorticolimbic system function is implicated in motivated behavior, and thus, motivation-enhancing interventions might be delivered alongside mindfulness-based training to enhance meditation practice engagement. Formal, daily-life meditation practice duration appears to benefit pain-related cognitions, but not clinical pain, while mindfulness emerges as a mechanism of MBIs on headache impact, but not frequency. Further research is needed to investigate the day-to-day effects of formal, daily-life meditation practice on pain, and continue to characterize the specific mechanisms of MBIs on headache outcomes.

Preregistration

This study is not preregistered.

vorige artikel Classic Psychedelic Use and Current Meditation Practice

volgende artikel The Role of Self-Compassion in Minority Stress Processes and Life Satisfaction among Sexual Minorities in Hong Kong

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Titel: Meditation Practice, Mindfulness, and Pain-Related Outcomes in Mindfulness-Based Treatment for Episodic Migraine
Auteurs: Carly A. Hunt
Janelle E. Letzen
Samuel R. Krimmel
Shana A. B. Burrowes
Jennifer A. Haythornthwaite
Michael Keaser
Matthew Reid
Patrick H. Finan
David A. Seminowicz
Publicatiedatum: 04-04-2023
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 4/2023
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-023-02105-8

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