title: Mindfulness, functioning and catastrophizing after multidisciplinary pain management for chronic low back pain.
abstract: We examined mindfulness in people with chronic low back pain who were attending a multidisciplinary pain management programme. Participants completed questionnaires at baseline (n=116) and after a 3-month cognitive-behaviourally informed multidisciplinary intervention (n=87). Self-reported mindfulness was measured before and after the intervention, and relationships were explored between mindfulness, disability, affect and pain catastrophizing. Mindfulness increased following participation in the intervention, and greater mindfulness was predictive of lower levels of disability, anxiety, depression and catastrophizing, even when pain severity was controlled. Mediator analyses suggested that the relationship between mindfulness and disability was mediated by catastrophizing. It is possible that cognitive-behavioural interventions and processes can affect both catastrophizing and mindfulness.
authors.affiliation: Department of Clinical Psychology, University of Leicester, 104 Regent Road, Leicester LE1 7LT, UK Back Pain Unit, Sherwood Forest Hospitals NHS Foundation Trust, Mansfield Road, Sutton in Ashfield NG17 4JL, UK Arthritis Research UK Pain Centre, Academic Rheumatology, University of Nottingham, Clinical Sciences Building, Nottingham City Hospital, Hucknall Road, Nottingham NG5 1PB, UK School of Psychology, Henry Wellcome Building, University of Leicester, Lancaster Road, Leicester LE1 9HN, UK Chronic Pain Management Service, NHS Highland, Raigmore Hospital, Old Perth Road, Inverness IV2 3UJ, UK.
authors.forename: Emma Louise
authors.initials: EL
authors.lastname: Cassidy
authors.forename: Rachel Jane
authors.initials: RJ
authors.lastname: Atherton
authors.forename: Noelle
authors.initials: N
authors.lastname: Robertson
authors.forename: David Andrew
authors.initials: DA
authors.lastname: Walsh
authors.forename: Raphael
authors.initials: R
authors.lastname: Gillett
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000209:etiology; D001364:Awareness / Q000502:physiology*; D058443:Catastrophization / Q000523:psychology*; D059350:Chronic Pain; D003430:Cross-Sectional Studies; D003863:Depression / Q000209:etiology; D004185:Disability Evaluation; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D017116:Low Back Pain / Q000150:complications / Q000523:psychology* / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D012044:Regression Analysis; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D055815:Young Adult