PDF(Pubmed)
Abstract：
BACKGROUND: Chronic pain is a growing worldwide health problem and complementary and integrative therapy options are becoming increasingly important. Multi-component yoga interventions represent such an integrative therapy approach with a promising body of evidence.
METHODS: The present study employed an experimental single-case multiple-baseline design. It investigated the effects of an 8-week yoga-based mind-body intervention, Meditation-Based Lifestyle Modification (MBLM), in the treatment of chronic pain. The main outcomes were pain intensity (BPI-sf), quality of life (WHO-5), and pain self-efficacy (PSEQ).
RESULTS: Twenty-two patients with chronic pain (back pain, fibromyalgia, or migraines) participated in the study and 17 women completed the intervention. MBLM proved to be an effective intervention for a large proportion of the participants. The largest effects were found for pain self-efficacy (TAU-U = 0.35), followed by average pain intensity (TAU-U = 0.21), quality of life (TAU-U = 0.23), and most severe pain (TAU-U = 0.14). However, the participants varied in their responses to the treatment.
CONCLUSIONS: The present results point to relevant clinical effects of MBLM for the multifactorial conditions of chronic pain. Future controlled clinical studies should investigate its usefulness and safety with larger samples. The ethical and philosophical aspects of yoga should be further explored to verify their therapeutic utility.
METHODS: The present study employed an experimental single-case multiple-baseline design. It investigated the effects of an 8-week yoga-based mind-body intervention, Meditation-Based Lifestyle Modification (MBLM), in the treatment of chronic pain. The main outcomes were pain intensity (BPI-sf), quality of life (WHO-5), and pain self-efficacy (PSEQ).
RESULTS: Twenty-two patients with chronic pain (back pain, fibromyalgia, or migraines) participated in the study and 17 women completed the intervention. MBLM proved to be an effective intervention for a large proportion of the participants. The largest effects were found for pain self-efficacy (TAU-U = 0.35), followed by average pain intensity (TAU-U = 0.21), quality of life (TAU-U = 0.23), and most severe pain (TAU-U = 0.14). However, the participants varied in their responses to the treatment.
CONCLUSIONS: The present results point to relevant clinical effects of MBLM for the multifactorial conditions of chronic pain. Future controlled clinical studies should investigate its usefulness and safety with larger samples. The ethical and philosophical aspects of yoga should be further explored to verify their therapeutic utility.
摘要：
背景：慢性疼痛是一个日益严重的全球健康问题，补充和综合治疗方案变得越来越重要。多组分瑜伽干预代表了这种综合治疗方法，并提供了有希望的证据。
方法：本研究采用实验性单病例多基线设计。它调查了基于8周瑜伽的身心干预的效果，基于冥想的生活方式修改（MBLM），在慢性疼痛的治疗中。主要结果是疼痛强度（BPI-sf），生活质量（WHO-5），和疼痛自我效能感（PSEQ）。
结果：22例慢性疼痛患者（背痛，纤维肌痛,或偏头痛）参与了研究，17名妇女完成了干预。MBLM被证明是很大一部分参与者的有效干预措施。最大的影响是疼痛自我效能感（TAU-U=0.35），其次是平均疼痛强度(TAU-U=0.21)，生活质量（TAU-U=0.23），和最严重的疼痛（TAU-U=0.14）。然而,参与者对治疗的反应各不相同。
结论：目前的结果指出了MBLM对慢性疼痛的多因素疾病的相关临床效果。未来的对照临床研究应该用更大的样本研究其有效性和安全性。瑜伽的伦理和哲学方面应该进一步探索，以验证其治疗效用。
方法：本研究采用实验性单病例多基线设计。它调查了基于8周瑜伽的身心干预的效果，基于冥想的生活方式修改（MBLM），在慢性疼痛的治疗中。主要结果是疼痛强度（BPI-sf），生活质量（WHO-5），和疼痛自我效能感（PSEQ）。
结果：22例慢性疼痛患者（背痛，纤维肌痛,或偏头痛）参与了研究，17名妇女完成了干预。MBLM被证明是很大一部分参与者的有效干预措施。最大的影响是疼痛自我效能感（TAU-U=0.35），其次是平均疼痛强度(TAU-U=0.21)，生活质量（TAU-U=0.23），和最严重的疼痛（TAU-U=0.14）。然而,参与者对治疗的反应各不相同。
结论：目前的结果指出了MBLM对慢性疼痛的多因素疾病的相关临床效果。未来的对照临床研究应该用更大的样本研究其有效性和安全性。瑜伽的伦理和哲学方面应该进一步探索，以验证其治疗效用。
