Kronik Ağrı ve Mindfulness Meditasyon
Özet
Ağrı kişiden kişiye farklı deneyimlenen ve tedavisinde multidisipliner tedaviyiı gerektiren bir semptomdur. Kronik ağrı klinik olarak 3-6 aydan uzun süren ağrıyı tanımlamaktadır. Kronik ağrı etiopatogenezinde organik patolojiler kadar, bilişsel ve duygusal faktörler, proinflamatuar sitokinler, kortizol de rol oynamaktadır. Mindfulness meditasyon kişinin andaki içsel ve dışsal deneyimlerinin farkındalığını temel alan bir pratiktir. Mindfulness meditasyon kronik ağrı tedavisinde depresyon, anksiyete, ağrı katastrofisi ve metakognitif inançlar gibi psikolojik komorbiditeleri iyileştirerek etkili olabilir. Mindfulness meditasyon’un kronik ağrı üzerindeki iyileştirici etkisine ile ilgili Kalp Hızı Değişkenliği (HRV), proinflamatuar sitokinler ve kortizol düzeyindeki değişimler aracılık edebilir.
Pain is a symptom that is experienced differently from person to person and requires multidisciplinary treatment. Chronic pain is clinically defined as pain that lasts longer than 3-6 months. Cognitive and emotional factors, proinflammatory cytokines and cortisol as well as organic pathologies play a role in the etiopathogenesis of chronic pain. Mindfulness meditation is a practice based on awareness of one's own inner and outer experiences in the moment. Mindfulness meditation may be effective in the treatment of chronic pain by improving psychological comorbidities such as depression, anxiety, pain catastrophizing, and metacognitive beliefs. The healing effect of mindfulness meditation on chronic pain may be mediated by changes in heart rate variability (HRV), proinflammatory cytokines and cortisol levels.
Referanslar
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news/iasp-announces-revised-definition-of-pain/. 2020
Yeşilyurt M, Faydalı S. Derleme/Review Ağri Değerlendirmesinde Tek Boyutlu Ölçeklerin Kullanimi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020 ;23(3): 444-451. https://doi.org/10.17049/ataunihem.508877
Nahman‐Averbuch H, Hughes C, Hoeppli ME, White K, Peugh J, Leon E, et al. Communication of pain intensity and unpleasantness through magnitude ratings: influence of scale type, but not gender of the participant. European Journal of Pain. 2023;27(10):1161-1176. https://doi.org/10.1002/ejp.2147
Dansie E, Turk DC. Assessment of patients with chronic pain. British Journal Of Anaesthesia. 2013;111(1):19-25. DOI: 10.1093/bja/aet124
https://www.nobelprize.org/prizes/medicine/1932/summary/ [
Gold MS, Gebhart G. Peripheral pain mechanisms and nociceptor sensitization. Bonica’s pain management: Lippincott Williams & Wilkins (LWW); 2010. p. 25-34.
Basbaum AI JT. Principles Of Neurosciences. In: ER K, JH S, TM J, SA S, AJ H, editors. Principles Of Neural Sciences. 5 ed: The McGraw-Hill Companies; 2013. p. 530-548.
Hall JE HM. Somatic Sensations: II. Pain, Headache, and ermal Sensations. Guyton and Hall. Textbook of Medical Physiology. 9. Canada: Elsevier; 2021. p. 613-621.
Mertens P, Blond S, David R, Rigoard P. Anatomy, physiology and neurobiology of the nociception: a focus on low back pain (part A). Neurochirurgie. 2015;61:S22-S34. https://doi.org/10.1016/j.neuchi.2014.09.001
Levine J, Fields H, Basbaum A. Peptides and the primary afferent nociceptor. Journal of Neuroscience. 1993;13(6):2273-2286. https://doi.org/10.1523/JNEUROSCI.13-06-02273.1993
Melzack R, Wall PD. Pain mechanisms: a new theory. Survey of Anesthesiology. 1967;11(2):89-90.
Fuchs PN, Peng YB, Boyette-Davis JA, Uhelski ML. The anterior cingulate cortex and pain processing. Frontiers in Integrative Neuroscience. 2014;8:35. https://doi.org/10.3389/fnint.2014.00035
Derbyshire SW, Jones AK, Gyulai F, Clark S, Townsend D, Firestone LL. Pain processing during three levels of noxious stimulation produces differential patterns of central activity. Pain. 1997;73(3):431-445. https://doi.org/10.1016/S0304-3959(97)00138-3
Thompson JM, Neugebauer V. Cortico-limbic pain mechanisms. Neuroscience Letters. 2019;702:15-23. https://doi.org/10.1016/j.neulet.2018.11.037
Ong W-Y, Stohler CS, Herr DR. Role of the prefrontal cortex in pain processing. Molecular Neurobiology. 2019;56(2):1137-1166. https://doi.org/10.1007/s12035-018-1130-9
Kucyi A, Moayedi M, Weissman-Fogel I, Goldberg MB, Freeman BV, Tenenbaum HC, et al. Enhanced medial prefrontal-default mode network functional connectivity in chronic pain and its association with pain rumination. Journal of Neuroscience. 2014;34(11):3969-3975. https://doi.org/10.1523/JNEUROSCI.5055-13.2014
Melzack R, Casey KL. Sensory, motivational, and central control determinants of pain: a new conceptual model. The Skin Senses. 1968;1:423-443.
Fornasari D. Pain mechanisms in patients with chronic pain. Clinical Drug Investigation. 2012;32:45-52. DOI: 10.2165/11630070-000000000-00000
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Penny KI, Purves AM, Smith BH, Chambers WA, Smith WC. Relationship between the chronic pain grade and measures of physical, social and psychological well-being. Pain. 1999;79(2-3):275-279. https://doi.org/10.1016/S0304-3959(98)00166-3
Yong RJ, Mullins PM, Bhattacharyya N. Prevalence of chronic pain among adults in the United States. Pain. 2022;163(2):e328-e32. DOI: 10.1097/j.pain.0000000000002291
Koch A, Zacharowski K, Boehm O, Stevens M, Lipfert P, Von Giesen H, et al. Nitric oxide and pro-inflammatory cytokines correlate with pain intensity in chronic pain patients. Inflammation Research. 2007;56:32-37. DOI: 10.1007/s00011-007-6088-4
Wieseler-Frank J, Maier SF, Watkins LR. Central proinflammatory cytokines and pain enhancement. Neurosignals. 2005;14(4):166-174. DOI: 10.1159/000087655
Electrophysiology TFotESoCtNASoP. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation. 1996;93(5):1043-1065. PMID: 8598068
Forte G, Troisi G, Pazzaglia M, Pascalis VD, Casagrande M. Heart rate variability and pain: a systematic review. Brain Sciences. 2022;12(2):153. DOI: 10.3390/brainsci12020153
Krygier JR, Heathers JA, Shahrestani S, Abbott M, Gross JJ, Kemp AH. Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation. International Journal of Psychophysiology. 2013;89(3):305-313. DOI: 10.1016/j.ijpsycho.2013.06.017
Hannibal KE, Bishop MD. Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical Therapy. 2014;94(12):1816-1825. DOI: 10.2522/ptj.20130597
Quartana PJ, Buenaver LF, Edwards RR, Klick B, Haythornthwaite JA, Smith MT. Pain catastrophizing and salivary cortisol responses to laboratory pain testing in temporomandibular disorder and healthy participants. The Journal of Pain. 2010;11(2):186-194. DOI: 10.1016/j.jpain.2009.07.008
Úbeda-D’Ocasar E, Jiménez Díaz-Benito V, Gallego-Sendarrubias GM, Valera-Calero JA, Vicario-Merino Á, Hervás-Pérez JP. Pain and cortisol in patients with fibromyalgia: Systematic review and meta-analysis. Diagnostics. 2020;10(11):922. DOI: 10.3390/diagnostics10110922
Gerrits MM, van Marwijk HW, van Oppen P, van der Horst H, Penninx BW. Longitudinal association between pain, and depression and anxiety over four years. Journal of Psychosomatic Research. 2015;78(1):64-70. DOI: 10.1016/j.jpsychores.2014.10.011
Flink IL, Boersma K, Linton SJ. Pain catastrophizing as repetitive negative thinking: a development of the conceptualization. Cognitive Behaviour Therapy. 2013;42(3):215-223. DOI: 10.1080/16506073.2013.769621
Cheng S-T, Leung CM, Chan KL, Chen PP, Chow YF, Chung JW, et al. The relationship of self-efficacy to catastrophizing and depressive symptoms in community-dwelling older adults with chronic pain: a moderated mediation model. Plos One. 2018;13(9):e0203964. DOI: 10.1371/journal.pone.0203964
Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Frontiers in Psychiatry. 2018;9:1 9.https://doi.org/10.3389/fpsyt.2018.00450.
Association AP. Anxiety disorders: DSM-5® selections: American Psychiatric Pub; 2015.
Lerman SF, Rudich Z, Brill S, Shalev H, Shahar G. Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosomatic Medicine. 2015;77(3):333-341. DOI: 10.1097/PSY.0000000000000158
Juang KD, Wang SJ, Fuh JL, Lu SR, Su TP. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache: The Journal of Head and Face Pain. 2000;40(10):818-823. DOI: 10.1046/j.1526-4610.2000.00148.x
Sagheer MA, Khan MF, Sharif S. Association between chronic low back pain, anxiety and depression in patients at a tertiary care centre. Journal of the Pakistan Medical Association. 2013;63(6):688-690.
Adler-Neal AL, Zeidan F. Mindfulness meditation for fibromyalgia: mechanistic and clinical considerations. Current Rheumatology Reports. 2017;19(9):1-9. DOI: 10.1007/s11926-017-0686-0
Ziadni M, Sturgeon J, Darnall B. The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain. European Journal of Pain. 2017;22(4):756-762. DOI: 10.1002/ejp.1160
Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical perspectives on the relation between catastrophizing and pain. The Clinical Journal of Pain. 2001;17(1):52-64. DOI: 10.1097/00002508-200103000-00008
Dudeja JP. Scientific analysis of mantra-based meditation and its beneficial effects: An overview. International Journal of Advanced Scientific Technologies in Engineering and Management Sciences. 2017;3(6):21-26.
Scott-Sheldon LA, Gathright EC, Donahue ML, Balletto B, Feulner MM, DeCosta J, et al. Mindfulness-based interventions for adults with cardiovascular disease: a systematic review and meta-analysis. Annals of Behavioral Medicine. 2020;54(1):67-73. DOI: 10.1093/abm/kaz020
Schreiner I, Malcolm JP.The Benefits of Mindfulness Meditation: Changes in Emotional States of Depression, Anxiety and Stress. Behaviour Change. 2008; 25(3): 156-168.
Zylowska L, Ackerman DL, Yang MH, Futrell JL, Horton NL, Hale TS, et al. Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders. 2008;11(6):737-46. DOI: 10.1177/1087054707308502
Germer C. What is mindfulness. Insight Journal. 2004;22(3):24-29.
Lutz A, Slagter HA, Dunne JD, Davidson RJ. Attention regulation and monitoring in meditation. Trends in Cognitive Sciences. 2008;12(4):163-9. DOI: 10.1016/j.tics.2008.01.005
Özyeşil Z, Arslan C, Kesici Ş, Deniz ME. Bilinçli farkındalık ölçeği’ni Türkçeye uyarlama çalışması. Eğitim ve Bilim. 2011;36(160).
Ayalp HD, Şahin NH. Beş Faktörlü bilgece farkındalık ölçeği-kısa formu’nun (BFBFÖ-K) Türkçe Uyarlaması. Klinik Psikoloji Dergisi. 2018;2(3):117-127.
Santorelli SF, Kabat-Zinn J, Blacker M, Meleo-Meyer F, Koerbel L. Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Center for mindfulness in medicine, health care, and society (CFM) University of Massachusetts Medical School. 2017.
Kabat-Zinn J, Burney R. The clinical use of mindfulness meditation in the self-regulation of chronic pain. Pain. 1981;11:S273. DOI: 10.1007/BF00845519
la Cour P, Petersen M. Effects of mindfulness meditation on chronic pain: a randomized controlled trial. Pain Medicine. 2015;16(4):641-652. DOI: 10.1111/pme.12605
Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. Mindfulness meditation for chronic pain: systematic review and meta-analysis. Annals of Behavioral Medicine. 2017;51(2):199-213. DOI: 10.1007/s12160-016-9844-2
Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. International journal of yoga. 2015;8(2):128-133. doi: 10.4103/0973-6131.158476.
Majeed MH, Ali AA, Sudak DM. Mindfulness-based interventions for chronic pain: Evidence and applications. Asian Journal of Psychiatry. 2018;32:79-83. DOI: 10.1016/j.ajp.2017.11.025
Pei J-H, Ma T, Nan R-L, Chen H-X, Zhang Y-B, Gou L, et al. Mindfulness-based cognitive therapy for treating chronic pain a systematic review and meta-analysis. Psychology, Health & Medicine. 2020;26(3):333-346. DOI: 10.1080/13548506.2020.1849746
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news/iasp-announces-revised-definition-of-pain/. 2020
Yeşilyurt M, Faydalı S. Derleme/Review Ağri Değerlendirmesinde Tek Boyutlu Ölçeklerin Kullanimi. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2020 ;23(3): 444-451. https://doi.org/10.17049/ataunihem.508877
Nahman‐Averbuch H, Hughes C, Hoeppli ME, White K, Peugh J, Leon E, et al. Communication of pain intensity and unpleasantness through magnitude ratings: influence of scale type, but not gender of the participant. European Journal of Pain. 2023;27(10):1161-1176. https://doi.org/10.1002/ejp.2147
Dansie E, Turk DC. Assessment of patients with chronic pain. British Journal Of Anaesthesia. 2013;111(1):19-25. DOI: 10.1093/bja/aet124
https://www.nobelprize.org/prizes/medicine/1932/summary/ [
Gold MS, Gebhart G. Peripheral pain mechanisms and nociceptor sensitization. Bonica’s pain management: Lippincott Williams & Wilkins (LWW); 2010. p. 25-34.
Basbaum AI JT. Principles Of Neurosciences. In: ER K, JH S, TM J, SA S, AJ H, editors. Principles Of Neural Sciences. 5 ed: The McGraw-Hill Companies; 2013. p. 530-548.
Hall JE HM. Somatic Sensations: II. Pain, Headache, and ermal Sensations. Guyton and Hall. Textbook of Medical Physiology. 9. Canada: Elsevier; 2021. p. 613-621.
Mertens P, Blond S, David R, Rigoard P. Anatomy, physiology and neurobiology of the nociception: a focus on low back pain (part A). Neurochirurgie. 2015;61:S22-S34. https://doi.org/10.1016/j.neuchi.2014.09.001
Levine J, Fields H, Basbaum A. Peptides and the primary afferent nociceptor. Journal of Neuroscience. 1993;13(6):2273-2286. https://doi.org/10.1523/JNEUROSCI.13-06-02273.1993
Melzack R, Wall PD. Pain mechanisms: a new theory. Survey of Anesthesiology. 1967;11(2):89-90.
Fuchs PN, Peng YB, Boyette-Davis JA, Uhelski ML. The anterior cingulate cortex and pain processing. Frontiers in Integrative Neuroscience. 2014;8:35. https://doi.org/10.3389/fnint.2014.00035
Derbyshire SW, Jones AK, Gyulai F, Clark S, Townsend D, Firestone LL. Pain processing during three levels of noxious stimulation produces differential patterns of central activity. Pain. 1997;73(3):431-445. https://doi.org/10.1016/S0304-3959(97)00138-3
Thompson JM, Neugebauer V. Cortico-limbic pain mechanisms. Neuroscience Letters. 2019;702:15-23. https://doi.org/10.1016/j.neulet.2018.11.037
Ong W-Y, Stohler CS, Herr DR. Role of the prefrontal cortex in pain processing. Molecular Neurobiology. 2019;56(2):1137-1166. https://doi.org/10.1007/s12035-018-1130-9
Kucyi A, Moayedi M, Weissman-Fogel I, Goldberg MB, Freeman BV, Tenenbaum HC, et al. Enhanced medial prefrontal-default mode network functional connectivity in chronic pain and its association with pain rumination. Journal of Neuroscience. 2014;34(11):3969-3975. https://doi.org/10.1523/JNEUROSCI.5055-13.2014
Melzack R, Casey KL. Sensory, motivational, and central control determinants of pain: a new conceptual model. The Skin Senses. 1968;1:423-443.
Fornasari D. Pain mechanisms in patients with chronic pain. Clinical Drug Investigation. 2012;32:45-52. DOI: 10.2165/11630070-000000000-00000
Treede R-D, Rief W, Barke A, Aziz Q, Bennett MI, Benoliel R, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003-1007. DOI: 10.1097/j.pain.0000000000000160
Yunus MB. The prevalence of fibromyalgia in other chronic pain conditions. Pain Research and Treatment. 2011;2012:1-8. https://doi.org/10.1155/2012/584573
Penny KI, Purves AM, Smith BH, Chambers WA, Smith WC. Relationship between the chronic pain grade and measures of physical, social and psychological well-being. Pain. 1999;79(2-3):275-279. https://doi.org/10.1016/S0304-3959(98)00166-3
Yong RJ, Mullins PM, Bhattacharyya N. Prevalence of chronic pain among adults in the United States. Pain. 2022;163(2):e328-e32. DOI: 10.1097/j.pain.0000000000002291
Koch A, Zacharowski K, Boehm O, Stevens M, Lipfert P, Von Giesen H, et al. Nitric oxide and pro-inflammatory cytokines correlate with pain intensity in chronic pain patients. Inflammation Research. 2007;56:32-37. DOI: 10.1007/s00011-007-6088-4
Wieseler-Frank J, Maier SF, Watkins LR. Central proinflammatory cytokines and pain enhancement. Neurosignals. 2005;14(4):166-174. DOI: 10.1159/000087655
Electrophysiology TFotESoCtNASoP. Heart rate variability: standards of measurement, physiological interpretation, and clinical use. Circulation. 1996;93(5):1043-1065. PMID: 8598068
Forte G, Troisi G, Pazzaglia M, Pascalis VD, Casagrande M. Heart rate variability and pain: a systematic review. Brain Sciences. 2022;12(2):153. DOI: 10.3390/brainsci12020153
Krygier JR, Heathers JA, Shahrestani S, Abbott M, Gross JJ, Kemp AH. Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation. International Journal of Psychophysiology. 2013;89(3):305-313. DOI: 10.1016/j.ijpsycho.2013.06.017
Hannibal KE, Bishop MD. Chronic stress, cortisol dysfunction, and pain: a psychoneuroendocrine rationale for stress management in pain rehabilitation. Physical Therapy. 2014;94(12):1816-1825. DOI: 10.2522/ptj.20130597
Quartana PJ, Buenaver LF, Edwards RR, Klick B, Haythornthwaite JA, Smith MT. Pain catastrophizing and salivary cortisol responses to laboratory pain testing in temporomandibular disorder and healthy participants. The Journal of Pain. 2010;11(2):186-194. DOI: 10.1016/j.jpain.2009.07.008
Úbeda-D’Ocasar E, Jiménez Díaz-Benito V, Gallego-Sendarrubias GM, Valera-Calero JA, Vicario-Merino Á, Hervás-Pérez JP. Pain and cortisol in patients with fibromyalgia: Systematic review and meta-analysis. Diagnostics. 2020;10(11):922. DOI: 10.3390/diagnostics10110922
Gerrits MM, van Marwijk HW, van Oppen P, van der Horst H, Penninx BW. Longitudinal association between pain, and depression and anxiety over four years. Journal of Psychosomatic Research. 2015;78(1):64-70. DOI: 10.1016/j.jpsychores.2014.10.011
Flink IL, Boersma K, Linton SJ. Pain catastrophizing as repetitive negative thinking: a development of the conceptualization. Cognitive Behaviour Therapy. 2013;42(3):215-223. DOI: 10.1080/16506073.2013.769621
Cheng S-T, Leung CM, Chan KL, Chen PP, Chow YF, Chung JW, et al. The relationship of self-efficacy to catastrophizing and depressive symptoms in community-dwelling older adults with chronic pain: a moderated mediation model. Plos One. 2018;13(9):e0203964. DOI: 10.1371/journal.pone.0203964
Tolentino JC, Schmidt SL. DSM-5 criteria and depression severity: implications for clinical practice. Frontiers in Psychiatry. 2018;9:1 9.https://doi.org/10.3389/fpsyt.2018.00450.
Association AP. Anxiety disorders: DSM-5® selections: American Psychiatric Pub; 2015.
Lerman SF, Rudich Z, Brill S, Shalev H, Shahar G. Longitudinal associations between depression, anxiety, pain, and pain-related disability in chronic pain patients. Psychosomatic Medicine. 2015;77(3):333-341. DOI: 10.1097/PSY.0000000000000158
Juang KD, Wang SJ, Fuh JL, Lu SR, Su TP. Comorbidity of depressive and anxiety disorders in chronic daily headache and its subtypes. Headache: The Journal of Head and Face Pain. 2000;40(10):818-823. DOI: 10.1046/j.1526-4610.2000.00148.x
Sagheer MA, Khan MF, Sharif S. Association between chronic low back pain, anxiety and depression in patients at a tertiary care centre. Journal of the Pakistan Medical Association. 2013;63(6):688-690.
Adler-Neal AL, Zeidan F. Mindfulness meditation for fibromyalgia: mechanistic and clinical considerations. Current Rheumatology Reports. 2017;19(9):1-9. DOI: 10.1007/s11926-017-0686-0
Ziadni M, Sturgeon J, Darnall B. The relationship between negative metacognitive thoughts, pain catastrophizing and adjustment to chronic pain. European Journal of Pain. 2017;22(4):756-762. DOI: 10.1002/ejp.1160
Sullivan MJ, Thorn B, Haythornthwaite JA, Keefe F, Martin M, Bradley LA, et al. Theoretical perspectives on the relation between catastrophizing and pain. The Clinical Journal of Pain. 2001;17(1):52-64. DOI: 10.1097/00002508-200103000-00008
Dudeja JP. Scientific analysis of mantra-based meditation and its beneficial effects: An overview. International Journal of Advanced Scientific Technologies in Engineering and Management Sciences. 2017;3(6):21-26.
Scott-Sheldon LA, Gathright EC, Donahue ML, Balletto B, Feulner MM, DeCosta J, et al. Mindfulness-based interventions for adults with cardiovascular disease: a systematic review and meta-analysis. Annals of Behavioral Medicine. 2020;54(1):67-73. DOI: 10.1093/abm/kaz020
Schreiner I, Malcolm JP.The Benefits of Mindfulness Meditation: Changes in Emotional States of Depression, Anxiety and Stress. Behaviour Change. 2008; 25(3): 156-168.
Zylowska L, Ackerman DL, Yang MH, Futrell JL, Horton NL, Hale TS, et al. Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders. 2008;11(6):737-46. DOI: 10.1177/1087054707308502
Germer C. What is mindfulness. Insight Journal. 2004;22(3):24-29.
Lutz A, Slagter HA, Dunne JD, Davidson RJ. Attention regulation and monitoring in meditation. Trends in Cognitive Sciences. 2008;12(4):163-9. DOI: 10.1016/j.tics.2008.01.005
Özyeşil Z, Arslan C, Kesici Ş, Deniz ME. Bilinçli farkındalık ölçeği’ni Türkçeye uyarlama çalışması. Eğitim ve Bilim. 2011;36(160).
Ayalp HD, Şahin NH. Beş Faktörlü bilgece farkındalık ölçeği-kısa formu’nun (BFBFÖ-K) Türkçe Uyarlaması. Klinik Psikoloji Dergisi. 2018;2(3):117-127.
Santorelli SF, Kabat-Zinn J, Blacker M, Meleo-Meyer F, Koerbel L. Mindfulness-based stress reduction (MBSR) authorized curriculum guide. Center for mindfulness in medicine, health care, and society (CFM) University of Massachusetts Medical School. 2017.
Kabat-Zinn J, Burney R. The clinical use of mindfulness meditation in the self-regulation of chronic pain. Pain. 1981;11:S273. DOI: 10.1007/BF00845519
la Cour P, Petersen M. Effects of mindfulness meditation on chronic pain: a randomized controlled trial. Pain Medicine. 2015;16(4):641-652. DOI: 10.1111/pme.12605
Hilton L, Hempel S, Ewing BA, Apaydin E, Xenakis L, Newberry S, et al. Mindfulness meditation for chronic pain: systematic review and meta-analysis. Annals of Behavioral Medicine. 2017;51(2):199-213. DOI: 10.1007/s12160-016-9844-2
Banth S, Ardebil MD. Effectiveness of mindfulness meditation on pain and quality of life of patients with chronic low back pain. International journal of yoga. 2015;8(2):128-133. doi: 10.4103/0973-6131.158476.
Majeed MH, Ali AA, Sudak DM. Mindfulness-based interventions for chronic pain: Evidence and applications. Asian Journal of Psychiatry. 2018;32:79-83. DOI: 10.1016/j.ajp.2017.11.025
Pei J-H, Ma T, Nan R-L, Chen H-X, Zhang Y-B, Gou L, et al. Mindfulness-based cognitive therapy for treating chronic pain a systematic review and meta-analysis. Psychology, Health & Medicine. 2020;26(3):333-346. DOI: 10.1080/13548506.2020.1849746
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81-96
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7 Kasım 2024
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