Evidence map›Paper›PMID 37226589›Full record

ArticleBrain and behavior2023

Mindfulness-based cognitive therapy for chronic noncancer pain and prescription opioid use disorder: A qualitative pilot study of its feasibility and the perceived process of change.

Hannah Ellerbroek, Imke Hanssen, Karen Lathouwers, Linda Cillessen, Sander Dekkers, Stijn E Veldman, Sandra A S van den Heuvel, Anne E M Speckens, Arnt F A Schellekens

Open access · goldAbstract read
In one paragraph

Article in Brain and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Hannah EllerbroekDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-9471-6779
Imke HanssenDepartment of Psychiatry, Centre for Mindfulness, Radboud University Medical Centre, Nijmegen, The Netherlands.
Karen LathouwersDepartment of Psychiatry, Centre for Mindfulness, Radboud University Medical Centre, Nijmegen, The Netherlands.
Linda CillessenDepartment of Psychiatry, Centre for Mindfulness, Radboud University Medical Centre, Nijmegen, The Netherlands.
Sander DekkersDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands.
Stijn E VeldmanNijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Nijmegen, The Netherlands.
Sandra A S van den HeuvelDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands.
Anne E M SpeckensDepartment of Psychiatry, Centre for Mindfulness, Radboud University Medical Centre, Nijmegen, The Netherlands.
Arnt F A SchellekensDepartment of Psychiatry, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLNijmegen Institute for Scientist Practitioners in Addiction · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMindfulness-based interventions have a positive impact on pain, craving, and well-being in both patients with chronic pain and those with opioid use disorder (OUD). Although data are limited, mindfulness-based cognitive therapy (MBCT) might be a promising treatment for patients with chronic noncancer pain combined with OUD. The aim of this qualitative study was to explore the feasibility and process of change during MBCT in this particular population.

methodsIn this qualitative pilot study, 21 patients who were hospitalized for rotation to buprenorphine/naloxone as agonist treatment for chronic pain and OUD were offered MBCT. Semistructured interviews were conducted to explore experienced barriers and facilitators to MBCT. Patients who participated in MBCT were also interviewed on their perceived process of change.

resultsOf 21 patients invited to participate in MBCT, 12 initially expressed interest but only four eventually participated in MBCT. The timing of the intervention, group format, somatic complaints, and practical difficulties were identified as the main barriers to participation. Facilitating factors included having a positive attribution toward MBCT, an intrinsic motivation to change, and practical support. The four MBCT participants mentioned several important mechanisms of change, including reduction of opioid craving and improved coping with pain.

conclusionsMBCT offered in the current study was not feasible for the majority of patients with pain and OUD. Changing the timing of MBCT by providing it at an earlier stage of the treatment and offering MBCT in an online format may facilitate participation.

Indexed as

Chronic PainCognitive Behavioral TherapyMindfulnessOpioid-Related DisordersAnalgesics, OpioidFeasibility StudiesHumansPilot ProjectsTreatment OutcomeAnalgesics, Opioidaddictionmindfulnesspainpsychiatric disorderspsychiatry

Identifiers

PMID37226589
PMCPMC10338789
OpenAlexW4378172000

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.