Effectiveness of Mindfulness-Based Stress Reduction in the Reduction of Depression, Childhood Abuse, and Chronic Pain in Women

Document Type : Original Article

Authors

1 Psychology, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

2 Department of Psychology, Karaj Branch, Islamic Azad University, Karaj , Iran

3 Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran

Abstract

Background: Chronic pain can cause numerous psychological problems, such as anxiety, depression, and frustration.
 
Objectives: The present study aimed to determine the effectiveness of mindfulness-based stress reduction (MBSR) in childhood abuse, depression, and chronic pain in women.
 
Methods: This quasi-experimental study was conducted based on a pre-test-posttest control group design with a follow-up period. The statistical population of this study consisted of all women with chronic pain in Sari in 2019. A number of 20 women with chronic pain who were eligible were selected via convenience sampling method and randomly assigned to two groups of 10. To collect data, the psychological maltreatment Inventory (Coates & Messman-Moore, 2014), multidimensional pain inventory (Kernes et al. 1994), and Self-Rating Depression Scale (Zung, 1967) were used. Data were analyzed in SPSS software (version 24) using descriptive and inferential statistics (analysis of variance and multivariate covariance analysis).
 
Results: Based on the obtained results, MBSR was effective in the reduction of childhood abuse (P<0.01), depression (P<0.01), and chronic pain (P<0.01).
 
Conclusion: It can be concluded that MBSR was effective in the reduction of childhood abuse, depression, and chronic pain in women; therefore, this treatment can be used to manage the problems presented to women with chronic pain.
 

Keywords

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this licence, visit https://creativecommons.org/licenses/by/4.0/

References

1. Heshmati, F., ElmyManesh, N., Heshmati, R. Structural relationship of behavioral activation and inhibition system, dispositional mindfulness and chronic pain. Quarterly Journal of Health Psychology. 2018; 6(24): 120-137.
 
2. Ackerman MD, Stevens M J. Acute and chronic Pain: Pain dimensions and psychological status. J Clin Psycho 2018;45(2): 223-8. https://doi.org/10.1002/1097-4679(198903)45:2<223::AID-JCLP2270450208>3.0.CO;2-Y
https://doi.org/10.1002/1097-4679(198903)45:2<223::AID-JCLP2270450208>3.0.CO;2-Y
PMid:2524505
 
3. Anchorena MN, Ghiglione F, Nader M. Psychometric properties of the Five Facet Mindfulness Questionnaire in an Argentine sample. Archives of Assessment Psychology. 2017;7(1):29-41.
 
4. Twohig MP, Levin ME. Acceptance and commitment therapy as a treatment for anxiety and depression: a review. Psychiatric clinics. 2017;40(4):751-70. https://doi.org/10.1016/j.psc.2017.08.009
https://doi.org/10.1016/j.psc.2017.08.009
PMid:29080598
 
5. Bränström R, Kvillemo P, Brandberg Y, Moskowitz JT. Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients-A randomized study. Annals of behavioral medicine. 2010;39(2):151-61. https://doi.org/10.1007/s12160-010-9168-6
https://doi.org/10.1007/s12160-010-9168-6
PMid:20177843
 
6. Bränström R, Duncan LG, Moskowitz JT. The association between dispositional mindfulness, psychological well‐being, and perceived health in a Swedish population‐based sample. British journal of health psychology. 2011;16(2):300-16. https://doi.org/10.1348/135910710X501683
https://doi.org/10.1348/135910710X501683
PMid:21489058 PMCid:PMC3762484
 
7. Enkema MC, McClain L, Bird ER, Halvorson MA, Larimer ME. Associations Between Mindfulness and Mental Health Outcomes: a Systematic Review of Ecological Momentary Assessment Research. Mindfulness. 2020:1-5. https://doi.org/10.1007/s12671-020-01442-2
https://doi.org/10.1007/s12671-020-01442-2
PMid:35694042 PMCid:PMC9187214
 
8. Tegner H, Frederiksen P, Esbensen BA, Juhl C. Neurophysiological pain education for patients with chronic low back pain. The Clinical journal of pain. 2018;34(8):778-86. https://doi.org/10.1097/AJP.0000000000000594
https://doi.org/10.1097/AJP.0000000000000594
PMid:29443723
 
9. Cordeiro P, Paixão P, Lens W, Lacante M, Sheldon K. Factor structure and dimensionality of the balanced measure of psychological needs among Portuguese high school students. Relations to well-being and ill-being. Learning and Individual Differences. 2016;47:51-60. https://doi.org/10.1016/j.lindif.2015.12.010
https://doi.org/10.1016/j.lindif.2015.12.010
 
10. Eccleston C, Morley SJ, Williams AD. Psychological approaches to chronic pain management: evidence and challenges. British journal of anaesthesia. 2013;111(1):59-63. https://doi.org/10.1093/bja/aet207
https://doi.org/10.1093/bja/aet207
PMid:23794646
 
11. Liang YD, Li Y, Zhao J, Wang XY, Zhu HZ, Chen XH. Study of acupuncture for low back pain in recent 20 years: a bibliometric analysis via CiteSpace. Journal of pain research. 2017;10:951. https://doi.org/10.2147/JPR.S132808
https://doi.org/10.2147/JPR.S132808
PMid:28479858 PMCid:PMC5411170
 
12. Gatchel RJ, Polatin PB, Mayer TG. The dominant role of psychosocial risk factors in the development of chronic low back pain disability. Spine. 1995;20(24):2702-9. https://doi.org/10.1097/00007632-199512150-00011
https://doi.org/10.1097/00007632-199512150-00011
PMid:8747248
 
13. González-Cutre D, Sicilia Á, Sierra AC, Ferriz R, Hagger MS. Understanding the need for novelty from the perspective of self-determination theory. Personality and individual differences. 2016;102:159-69. https://doi.org/10.1016/j.paid.2016.06.036
https://doi.org/10.1016/j.paid.2016.06.036
 
14. Johnston JM, Landsittel DP, Nelson NA, Gardner LI, Wassell JT. Stressful psychosocial work environment increases risk for back pain among retail material handlers. American journal of industrial medicine. 2003;43(2):179-87. https://doi.org/10.1002/ajim.10165
https://doi.org/10.1002/ajim.10165
PMid:12541273
 
15. Kamimura A, Nourian MM, Assasnik N, Franchek-Roa K. Depression and intimate partner violence among college students in Iran. Asian journal of psychiatry. 2016;23:51-5. https://doi.org/10.1016/j.ajp.2016.07.014
https://doi.org/10.1016/j.ajp.2016.07.014
PMid:27969079
 
16. Karademas EC. Positive and negative aspects of well-being: Common and specific predictors. Personality and individual differences. 2007;43(2):277-87. https://doi.org/10.1016/j.paid.2006.11.031
https://doi.org/10.1016/j.paid.2006.11.031
 
17. Kimbrel NA, Meyer EC, DeBeer BB, Gulliver SB, Morissette SB. A 12-Month prospective study of the effects of PTSD-depression comorbidity on suicidal behavior in Iraq/Afghanistan-era veterans. Psychiatry research. 2016;243:97-9. https://doi.org/10.1016/j.psychres.2016.06.011
https://doi.org/10.1016/j.psychres.2016.06.011
PMid:27376669 PMCid:PMC5556391
 
18. Liang L, Zhou D, Yuan C, Shao A, Bian Y. Gender differences in the relationship between internet addiction and depression: A cross-lagged study in Chinese adolescents. Computers in Human Behavior. 2016;63:463-70. https://doi.org/10.1016/j.chb.2016.04.043
https://doi.org/10.1016/j.chb.2016.04.043
 
19. Linton SJ. A review of psychological risk factors in back and neck pain. Spine. 2000;25(9):1148-56. https://doi.org/10.1097/00007632-200005010-00017
https://doi.org/10.1097/00007632-200005010-00017
PMid:10788861
 
20. Mahati K, Bhagya V, Christofer T, Sneha A, Rao BS. Enriched environment ameliorates depression-induced cognitive deficits and restores abnormal hippocampal synaptic plasticity. Neurobiology of learning and memory. 2016;134:379-91. https://doi.org/10.1016/j.nlm.2016.08.017
https://doi.org/10.1016/j.nlm.2016.08.017
PMid:27555234
 
21. Olbrich D. Psychological and psychosocial factors in chronic backache. Findings and social medicine consequences. Versicherungsmedizin. 2003;55(2):70-5.
 
22. Pulliam CB, Gatchel RJ, Gardea MA. Psychosocial differences in high risk versus low risk acute low-back pain patients. Journal of Occupational Rehabilitation. 2001;11(1):43-52. https://doi.org/10.1023/A:1016604208480
https://doi.org/10.1023/A:1016604208480
PMid:11706776
 
23. Scalzitti DA. Screening for psychological factors in patients with low back problems: Waddell's nonorganic signs. Physical therapy. 1997;77(3):306-12. https://doi.org/10.1093/ptj/77.3.306
https://doi.org/10.1093/ptj/77.3.306
PMid:9062572
 
24. Teasell RW, White K. Clinical approaches to low back pain. Part 1. Epidemiology, diagnosis, and prevention. Canadian Family Physician. 1994;40:481.
 
25. Top ED, Karaçam Z. Effectiveness of structured education in reduction of postpartum depression scores: a quasi-experimental study. Archives of psychiatric nursing. 2016;30(3):356-62. https://doi.org/10.1016/j.apnu.2015.12.009
https://doi.org/10.1016/j.apnu.2015.12.009
PMid:27256941
 
26. Norouzi H, Hashemi E. The Efficacy of Mindfulness-based Cognitive Therapy (MBCT) on Emotion Regulation among Patients with Breast Cancer. ijbd. 2017; 10(2) :38-48.
 
27. Hasani J, Emamverdi F. The effectiveness of mindfulness based group cognitive therapy on assertiveness of women with breast cancer. EBNESINA. 2017; 19(2):21-27.
 
28. Jokelainen J, Timonen M, Keinänen-Kiukaanniemi S, Härkönen P, Jurvelin H, Suija K. Validation of the Zung self-rating depression scale (SDS) in older adults. Scandinavian journal of primary health care. 2019;37(3):353-7. https://doi.org/10.1080/02813432.2019.1639923
https://doi.org/10.1080/02813432.2019.1639923
PMid:31286810 PMCid:PMC6713148
 
29. Babakhanian M, Ghazanfarpour M. Factor structure and psychometric properties of the Zung Self-Rating Depression Scale in a population of women with a sick child. International Journal of Pediatrics. 2020;2(3):37-49.
 
30. Coates AA, Messman-Moore TL. A structural model of mechanisms predicting depressive symptoms in women following childhood psychological maltreatment. Child Abuse Negl. 2014;38(1):103-113. https://doi.org/10.1016/j.chiabu.2013.10.005
https://doi.org/10.1016/j.chiabu.2013.10.005
PMid:24238662
 
31. Nazari H, Farhadi A. Predicting Depression Symptoms Following Childhood Psychological Maltreatment: The Mediating Role of Early Maladaptive Schemas and Difficulties in Emotion Regulation. J Mazandaran Univ Med Sci. 2016; 26(136):85-98.
 
32. Kerns RD, Rosenberg R, Jacob MC. Anger expression and chronic pain. Journal of behavioral medicine. 1994;17(1):57-67. https://doi.org/10.1007/BF01856882
https://doi.org/10.1007/BF01856882
PMid:8201612
 
33. Mahigir F, Khanehkeshi A, Karimi A. Psychological treatment for pain among cancer patients by rational-emotive behavior therapy-efficacy in both India and Iran. Asian Pacific Journal of Cancer Prevention. 2012;13(9):4561-5. https://doi.org/10.7314/APJCP.2012.13.9.4561
https://doi.org/10.7314/APJCP.2012.13.9.4561
PMid:23167380
 
34. Asghari A, Nicholas MK. An investigation of pain self-efficacy beliefs in Iranian chronic pain patients: a preliminary validation of a translated English-language scale. Pain medicine. 2009;10(4):619-32. https://doi.org/10.1111/j.1526-4637.2009.00623.x
https://doi.org/10.1111/j.1526-4637.2009.00623.x
PMid:19453954
 
35. Andersen E, Geiger P, Schiller C, Bluth K, Watkins L, Zhang Y, Xia K, Tauseef H, Leserman J, Girdler S, Gaylord S. Effects of mindfulness-based stress reduction on experimental pain sensitivity and cortisol responses in women with early life abuse: A randomized controlled trial. Psychosomatic Medicine. 2021;83(6):515-27. https://doi.org/10.1097/PSY.0000000000000889
https://doi.org/10.1097/PSY.0000000000000889
PMid:33259351 PMCid:PMC8164640
 
36. Dutton MA, Bermudez D, Matas A, Majid H, Myers NL. Mindfulness-based stress reduction for low-income, predominantly African American women with PTSD and a history of intimate partner violence. Cognitive and behavioral practice. 2013;20(1):23-32. https://doi.org/10.1016/j.cbpra.2011.08.003
https://doi.org/10.1016/j.cbpra.2011.08.003
PMid:24043922 PMCid:PMC3772725
 
37. Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. Journal of Psychiatric Practice®. 2012;18(4):233-52. https://doi.org/10.1097/01.pra.0000416014.53215.86
https://doi.org/10.1097/01.pra.0000416014.53215.86
PMid:22805898
Razavi International Journal of Medicine
Volume 10, Issue 4
December 2022
Pages 37-43

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