Intensive meditation for refractory pain and symptoms
- PMID: 20569029
- PMCID: PMC3110811
- DOI: 10.1089/acm.2009.0372
Intensive meditation for refractory pain and symptoms
Abstract
Objective: The objective of this study was to assess patient interest in intensive meditation training for chronic symptoms.
Design and setting: This was a cross-sectional anonymous survey among six chronic disease clinics in Baltimore including Chronic Kidney Disease, Crohn's Disease, Headache, Renal Transplant Recipients, General Rheumatology, and lupus clinic.
Subjects: Subjects were 1119 consecutive patients registering for their appointments at these clinics.
Outcome measures: Outcome measures were 6-month pain, global symptomatology, four-item perceived stress scale, use of complementary and alternative medicine (CAM) therapies, and attitudes toward use of meditation for managing symptoms. We then gave a scripted description of an intensive, 10-day meditation training retreat. Patient interest in attending such a retreat was assessed.
Results: Seventy-seven percent (77%) of patients approached completed the survey. Fifty-three percent (53%) of patients reported moderate to severe pain over the past 6 months. Eighty percent (80%) reported use of some CAM therapy in the past. Thirty-five percent (35%) thought that learning meditation would improve their health, and 49% thought it would reduce stress. Overall, 39% reported interest in attending the intensive 10-day meditation retreat. Among those reporting moderate to severe pain or stress, the percentages were higher (48% and 59%). In a univariate analysis, higher education, nonworking/disabled status, female gender, higher stress, higher pain, higher symptomatology, and any CAM use were all associated with a greater odds of being moderately to very interested in an intensive 10-day meditation retreat. A multivariate model that included prior use of CAM therapies as predictors of interest in the program fit the data significantly better than a model not including CAM therapies (p = 0.0013).
Conclusions: Over 50% of patients followed in chronic disease clinics complain of moderate to severe pain. Patients with persistent pain or stress are more likely to be interested in intensive meditation.
Figures
References
-
- Gatchel RJ. Peng YB. Peters ML, et al. The biopsychosocial approach to chronic pain: Scientific advances and future directions. Psychol Bull. 2007;133:581–624. - PubMed
-
- Rosenberg EI. Genao I. Chen I, et al. Complementary and alternative medicine use by primary care patients with chronic pain. Pain Med. 2008;9:1065–1072. - PubMed
-
- Astin JA. Why patients use alternative medicine: Results of a national study. JAMA. 1998;279:1548–1553. - PubMed
-
- Barnes PM. Bloom B. Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2009:1–23. - PubMed
-
- Wolsko PM. Eisenberg DM. Davis RB, et al. Insurance coverage, medical conditions, and visits to alternative medicine providers: Results of a national survey. Arch Intern Med. 2002;162:281–287. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Miscellaneous