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Mindfulness

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03-05-2022 | ORIGINAL PAPER

Self-transcendence Predicts Better Pre- and Postoperative Outcomes in Two Randomized Clinical Trials of Brief Mindfulness-Based Interventions

Auteurs: Adam W. Hanley, Eric L. Garland

Gepubliceerd in: Mindfulness | Uitgave 6/2022

Abstract

Objectives

Self-transcendent experiences have been infrequently examined by modern psychological science, despite their purported healing potential. The two studies reported here were designed to test whether surgical patients could achieve self-transcendent states and whether those states predicted better clinical outcomes.

Methods

Two, single-site, parallel-group randomized clinical trials (RCTs) involving knee and hip replacement patients were conducted. In Study 1 (N = 196), patients were randomized to a preoperative, 15-min mindfulness of breath or cognitive-behavioral pain psychoeducation intervention. In Study 2 (N = 118), patients were randomized to a preoperative, 20-min mindfulness of breath, mindfulness of pain, or cognitive-behavioral pain psychoeducation intervention. Self-transcendent state and acute clinical symptomology were assessed immediately before and after the preoperative interventions. Postoperative outcomes were also assessed.

Results

A brief MBI induced self-transcendent states in a general sample of knee and hip replacement patients (Study 1: F = 36.79, p < .001; Study 2: F = 7.25, p = .001). MBI-induced self-transcendent states were associated with decreases in pain intensity (Study 1: β = − .26, p = .001; Study 2: β = − .30, p = .004), pain unpleasantness (β = − .21, p = .008), and anxiety (β = − .36, p < .001) immediately after the preoperative intervention. The depth of self-transcendent states achieved during meditation before surgery predicted better postoperative physical function (β = .21, p = .033) in Study 1 and less postoperative pain intensity (β = − .35, p = .016) and pain interference (β = − .32, p = .019) in Study 2.

Conclusions

These two studies suggest self-transcendence is a therapeutic mechanism of mindfulness that is accessible to a general sample of surgical patients and can improve clinical outcomes. Clinical Trial Registration for Study 1: ClinicalTrials.gov = NCT03665727. Clinical Trial Registration for Study 2: ClinicalTrials.gov = NCT04520958.

vorige artikel Contemplating Critique: Mindfulness Attenuates Self-Esteem and Self-Regulatory Impacts of Negative Feedback

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Titel: Self-transcendence Predicts Better Pre- and Postoperative Outcomes in Two Randomized Clinical Trials of Brief Mindfulness-Based Interventions
Auteurs: Adam W. Hanley
Eric L. Garland
Publicatiedatum: 03-05-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 6/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-01896-6

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Abstract

Objectives

Methods

Results

Conclusions

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