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Table 1 Characteristics of the included studies

From: Mindfulness-based stress reduction for low back pain. A systematic review

Author, year

No. of participants, No. of groups

Mean age

Inclusion criteria

Treatment group: Intervention Program length, frequency, duration

Control group: Intervention Program length, frequency, duration

Longest follow-up

Outcome measures

Resultsa

a) at post treatment

b) at follow up

Esmer et al. 2010[24]

40, 2

55.2 ± 11.2 (MBSR); 54.9 ± 9.5 (CG)

Persistent leg pain, low back pain or both, Lumbosacral spinal surgery within the last 2 years

MBSR according to the curriculum developed at the University of Massachusetts 8-week program, once weekly for 1.5 to 2.5 hours plus one 6-hour session Including gentle yoga Homework: 45 min. meditation each day Additional usual medical care allowed

Waiting list control group Additional usual medical care allowed

40 weeks (in MBSR only)

1. Pain Acceptance (CPAQ)

1a. MBSR > CG, p = 0.014

2. Disability (RMDQ)

2a. MBSR > CG, p = 0.005

3. Pain Intensity (VAS)

3a. MBSR > CG, p = 0.021

4. Sleep Quality (Abridged PSQI)

4a. MBSR > CG, p = 0.047

5. Analgesic Medication Log

5a. MBSR > CG, p = 0.001

 

1b-5b. All effects were maintained within MBSR

Morone et al. 2008[25]

37, 2

74.1 ± 6.1 (MBSR); 75.6 ± 5.0 (CG)

65 years of age or older, MMSE ≥ 23, Chronic low back pain (with moderate intensity for at least 3 months)

MBSR according to the curriculum developed at the University of Massachusetts Without yoga 8-week course, once weekly for 1.5 hours Homework: 45 min. meditation each day

Waiting list control group

3 months (in MBSR only)

1. Pain Intensity (MPQ-SF, SF-36 Pain Scale)

1a. NS

2. Pain Acceptance (CPAQ)

2a. Total Score: MBSR > CG, p = 0.008; Activities Engagement: MBSR > CG, p = 0.004

3. Quality of Life (SF-36)

3a. NS

4. Disability (RMDQ, SPPB, SF-36 Physical Functioning Scale)

4a. SF-36 Physical Functioning Scale: MBSR > CG p = 0.03; NS for RMDQ and SPPB

 

1b-4b. NS when compared to post treatment assessment

Morone et al. 2009[26]

40, 2

78.0 ± 7.1 (MBSR); 73.0 ± 6.2 (CG)

65 years of age or older, MMSE ≥ 24, Chronic low back pain (with moderate intensity for at least 3 months)

MBSR according to the curriculum developed at the University of Massachusetts Without yoga 8-week course, once weekly for 1.5 hours Homework: 45 min. meditation each day

Health education program 8-week course, once weekly for 1.5 hours Homework: mental exercise each day

4 months

1. Disability (RMDQ)

1a. NS

2. Pain Intensity (MPQ-SF, SF-36 Pain Scale)

2a. NS

3. Self-efficacy (CPSS)

3a. NS

4. Quality of Life (SF-36 Role Emotional Scale)

4a. MBSR > CG, p < 0.05

5. Mindfulness (MAAS, FFMQ)

5a. NS

 

1b-5b. NS

  1. Abbreviations: CG – control group; CPAQ – Chronic Pain Acceptance Questionnaire; CPSS – Chronic Pain Self-Efficacy Scale; FFMQ – Five Facet Mindfulness Questionnaire; MAAS – Mindful Attention Awareness Scale; MBSR – Mindfulness-Based Stress Reduction; MMSE – Mini-Mental Status Exam; MPQ-SF – McGill Pain Questionnaire Short Form; NS – not significant; PSQI – Pittsburgh Sleep Quality Index; RMDQ – Roland Morris Disability Questionnaire; SF-36 – Medical Outcomes Study 36-item short-form survey; SPPB – Short Physical Performance Battery; VAS – Visual Analog Scale.
  2. a > indicates “significantly better than”.