HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Mindfulness-based cognitive theory on cancer pain management: comments on the outcomes of the Aarhus University Hospital research protocol


Published: Jan 11, 2022
Keywords:
Cancer Pain Management Mindfulness-Based Cognitive Therapy MBCT Mindfulness-Based Interventions Psychooncology
Georgios Pilafas
Georgios Lyrakos
Abstract

Over the last 20 years a branch of ‘Mindfulness-Based Interventions’ (MBIs) has been strongly introduced against anxiety and depression. In between, practitioners perform ‘Mindfulness-Based Cognitive Therapy’ (MBCT) to cancer patients in order to assist them manage the intensity of cancer pain. The World Health Organization (WHO) and the Society of Behavioral Medicine (SBM) communicated very recently that MBIs should be used against cancer pain to compliment the effect of medical drugs. However, the scientific community is still quite skeptical regarding the efficacy of MBCT on cancer pain management, since there is a lack of proper scientific evidence in clinical trials. This article makes comments on the outcomes that were obtained by a single research protocol in Denmark. The published studies tested the efficacy and cost effectiveness of MBCT. What is more, the findings are reflected, as well as further considerations and suggestions are communicated throughout this article.

Article Details
  • Section
  • Letter to the Editor
Downloads
Download data is not yet available.
References
World Health Organization. WHO Guidelines for the pharmacological and radiotherapeutic man-agement of cancer pain in adults and adoles-cents [Internet]. Geneva: World Health Organiza-tion; 2018 [cited 2020 May 2] p. 144. Available from: http://www.who.int/ncds/management/palliative-care/cancer-pain-guidelines/en/
Caraceni A, Shkodra M. Cancer Pain Assessment and Classification. Cancers (Basel) 2019;11(4):1–13.
Janke EA, Cheatle M, Keefe FJ, Dhingra L, Society of Behavioral Medicine Health Policy Committee. Society of Behavioral Medicine (SBM) position statement: improving access to psychosocial care for individuals with persistent pain: sup-porting the National Pain Strategy’s call for in-terdisciplinary pain care. TranslBehav Med 2018;8(2):305–8.
Crombez G, De Paepe AL, Veirman E, Eccleston C, Verleysen G, Van Ryckeghem DML. Let’s talk about pain catastrophizing measures: an item content analysis. PeerJ 2020;8:1–24.
Braš M, Đorđević V, Janjanin M. Person-centered pain management – science and art. Croat Med J 2013;54(3):296–300.
Engel GL. The need for a new medical model: a challenge for biomedicine. Science 1977;196(4286):129–36.
Engel GL. The biopsychosocial model and the education of health professionals. General Hos-pital Psychiatry 1979;1(2):156–65.
Okifuji A, Neikrug A. Update and future perspec-tive of behavioral medicine in the treatment for chronic pain. Pain Management 2019;9(2):161–73.
Segal ZV, Williams JMG, Teasdale JD. Mindful-ness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse. First edi-tion. New York: The Guilford Press; 2001. 351 p.
Osborn RL, Demoncada AC, Feuerstein M. Psy-chosocial interventions for depression, anxiety, and quality of life in cancer survivors: meta-analyses. Int J Psychiatry Med 2006;36(1):13–34.
Crane R. Mindfulness-Based Cognitive Therapy. 1st edition. London ; New York: Routledge; 2009. 176 p.
Piet J, Würtzen H, Zachariae R. The effect of mindfulness-based therapy on symptoms of anxiety and depression in adult cancer patients and survivors: a systematic review and meta-analysis. J Consult ClinPsychol 2012;80(6):1007–20.
Johannsen M, O’Connor M, O’Toole MS, Jensen AB, Højris I, Zachariae R. Efficacy of Mindfulness-Based Cognitive Therapy on Late Post-Treatment Pain in Women Treated for Primary Breast Can-cer: A Randomized Controlled Trial. J ClinOncol 2016;34(28):3390–9.
Schulz KF, Altman DG, Moher D. CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials. BMJ 2010;340:1–9.
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, et al. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elabo-ration. BMJ 2009;339:1–27.
Harden SM, Gaglio B, Shoup JA, Kinney KA, Johnson SB, Brito F, et al. Fidelity to and com-parative results across behavioral interventions evaluated through the RE-AIM framework: a sys-tematic review. Syst Rev 2015;4(155):1–13.
Johannsen M, O’Connor M, O’Toole MS, Jensen AB, Zachariae R. Mindfulness-based Cognitive Therapy and Persistent Pain in Women Treated for Primary Breast Cancer. The Clinical Journal of Pain 2018;34(1):59–67.
Poulin PA, Romanow HC, Rahbari N, Small R, Smyth CE, Hatchard T, et al. The relationship be-tween mindfulness, pain intensity, pain catastro-phizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Support Care Cancer 2016;24(10):4167–75.
Johannsen M, Sørensen J, O’Connor M, Jensen AB, Zachariae R. Mindfulness-based cognitive therapy (MBCT) is cost-effective compared to a wait-list control for persistent pain in women treated for primary breast cancer-Results from a randomized controlled trial. Psychooncology 2017;26(12):2208–14.
Most read articles by the same author(s)