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Does Mindfulness Correlate With Physical Function and Pain Intensity in Patients With Upper Extremity Illness?
Reinier B Beks1, Jos J Mellema1, Mariano E Menendez1
11 Massachusetts General Hospital, Boston, USA.
Mindfulness skills may help with upper extremity pain, but pain interference is a stronger predictor of function and intensity. Interventions should prioritize reducing pain interference and secondarily teach mindfulness skills.
Area of Science:
- Orthopedics
- Psychology
- Rehabilitation Medicine
Background:
- Mindfulness interventions show promise for chronic pain management.
- The link between mindfulness and upper extremity complaints is understudied.
- Understanding this relationship is crucial for orthopedic patients.
Purpose of the Study:
- To investigate the association between mindfulness and physical function.
- To examine the relationship between mindfulness and pain intensity in upper extremity conditions.
Main Methods:
- Cross-sectional study of 126 patients with non-traumatic upper extremity conditions.
- Utilized questionnaires for mindfulness facets, pain intensity, and physical function.
- Collected demographic and clinical variables prior to surgical consultation.
Main Results:
- Nonreactivity to experiences correlated with physical function and pain intensity (bivariate analysis).
- Overall mindfulness correlated only with pain intensity (bivariate analysis).
- Pain interference emerged as the strongest predictor for both pain intensity and physical function in multivariable analyses.
Conclusions:
- While mindfulness shows some bivariate associations, pain interference is the primary driver of pain and function in upper extremity conditions.
- Psychosocial interventions should target pain interference reduction.
- Mindfulness skills training may serve as a secondary therapeutic approach.
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