tailieunhanh - An Outpatient Program In Behavioral Medicine For Chronic Pain Patients Based On The Practice Of Mindfulnes Meditation: Theoretical Considerations And Preliminaty Results

Overall, this review provides a glimpse of the ayurvedic approach to cancer diagnosis and treatment. This review also attempts to reveal how these approaches can be employed in today’s world. Cancers of the colon, lung, breast, and prostate are most prevalent in the Western world. The mortality and morbidity in India owing to all of these cancers is very low. For example, the incidence of prostate cancer is 50-fold less in India compared with the United States. 1 The cause of the lower incidence, mortality, and morbidity could be lifestyle and diet related; the question of whether it is due to ayurvedic principles leading to a better diet and lifestyle is difficult to. | I An Outpatient Program in Behavioral Medicine for Chronic Pain Patients Based on the Practice of Mindfulness Meditation Theoretical Considerations and Preliminary Results I Jon Kabat-Zinn . Director Stress Reduction and Relaxation Program Ambulatory Services University of Massachusetts Hospital Instructor in Medicine Department of Medicine 1 University of Massachusetts Medical School Worcester Massachusetts Abstract The practice of mindfulness meditation was used in a 10-week Stress Reduction and Relaxation Program to train chronic pain patients in self-regulation. The meditation facilitates an attentional stance towards proprioception known as I detached observation. This appears to cause an uncoupling of I the sensory dimension of the pain experience from the affective evaluative alarm reaction and reduce the experience of suffering via cognitive reappraisal. Data are presented on 51 chronic pain patients who had not improved with traditional medical care. The dominant pain categories were low back neck and shoulder and headache. Facial pain angina pectoris noncoronary I chest pain and GI pain were also represented. At 10 weeks 65 of the patients showed a reduction of 5 33 in the mean total J Pain Rating Index Melzack and 50 showed a reduction of ĨA0 . similar decreases were recorded on other pain indices and in the number of medical symptoms reported. Large and significant reductions in mood disturbance and psychiatric symp- tomatology accompanied these changes and were relatively 1 stable on follow-up. These improvements were independent of the pain category. We conclude that this form of meditation can be used as the basis for an effective behavioral program in self-regulation for chronic pain patients. Key features of the program structure and the limitations of the present uncontrolled study are discussed. Introduction This paper presents the theoretical underpinnings and reports on the structure and outcome of an outpatient service in an academic .