Mindfulness-based Intervention for Female Adolescents with Chronic Pain: A Pilot Randomized Trial
Nicholas Chadi1, Audrey McMahon2, Majorie Vadnais3
1Departments of Pediatrics, Child and Adolescent Psychiatry, Clinical Biochemistry, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Quebec; Department of Adolescent Medicine, Hospital for Sick Children, Toronto, Ontario.
Summary
This study found an adapted mindfulness-based intervention (MBI) feasible for female adolescents with chronic pain, showing improved pain coping and reduced salivary cortisol. Further trials are needed to confirm efficacy and bio-physiological impacts.
Area of Science:
- Adolescent Health
- Pain Management
- Psychological Interventions
Background:
- Chronic pain affects many female adolescents, impacting their quality of life.
- Mindfulness-based interventions (MBIs) show promise but require further investigation in this demographic.
- Limited data exists on the feasibility and impact of MBIs for adolescents with chronic pain.
Purpose of the Study:
- To assess the feasibility of a randomized-controlled trial for an adapted MBI in female adolescents with chronic pain.
- To evaluate the impact of the MBI on quality of life, psychological distress, and salivary cortisol.
- To determine the validity and acceptability of the study model for future research.
Main Methods:
- A single-center, single-blind, prospective, experimental, longitudinal trial was conducted.
- Participants (N=19) with chronic pain were randomized to an intervention or wait-list control group.
- An eight-week adapted MBI was administered, with data collected over four months.
Main Results:
- The study demonstrated high attendance (84%) and compliance (100%) with low attrition (17%).
- Participants reported improved pain coping, but no significant changes in quality of life, depression, anxiety, or psychological distress were observed.
- Significant reductions in salivary cortisol levels were found post-mindfulness sessions (p<0.001).
Conclusions:
- Adapted MBIs are feasible for teenage girls experiencing chronic pain.
- Mindfulness interventions show potential for managing pain perception and stress in adolescents.
- Larger trials are necessary to establish the efficacy and bio-physiological effects of MBIs in this population.
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