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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

BACKGROUND: Mindfulness‐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 chro...

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Autores principales: Ellerbroek, Hannah, Hanssen, Imke, Lathouwers, Karen, Cillessen, Linda, Dekkers, Sander, Veldman, Stijn E., van den Heuvel, Sandra A. S., Speckens, Anne E. M., Schellekens, Arnt F. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338789/
https://www.ncbi.nlm.nih.gov/pubmed/37226589
http://dx.doi.org/10.1002/brb3.3005
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author Ellerbroek, Hannah
Hanssen, Imke
Lathouwers, Karen
Cillessen, Linda
Dekkers, Sander
Veldman, Stijn E.
van den Heuvel, Sandra A. S.
Speckens, Anne E. M.
Schellekens, Arnt F. A.
author_facet Ellerbroek, Hannah
Hanssen, Imke
Lathouwers, Karen
Cillessen, Linda
Dekkers, Sander
Veldman, Stijn E.
van den Heuvel, Sandra A. S.
Speckens, Anne E. M.
Schellekens, Arnt F. A.
author_sort Ellerbroek, Hannah
collection PubMed
description BACKGROUND: Mindfulness‐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. METHODS: In 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. RESULTS: Of 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. CONCLUSIONS: MBCT 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.
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spelling pubmed-103387892023-07-14 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 Ellerbroek, Hannah Hanssen, Imke Lathouwers, Karen Cillessen, Linda Dekkers, Sander Veldman, Stijn E. van den Heuvel, Sandra A. S. Speckens, Anne E. M. Schellekens, Arnt F. A. Brain Behav Original Articles BACKGROUND: Mindfulness‐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. METHODS: In 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. RESULTS: Of 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. CONCLUSIONS: MBCT 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. John Wiley and Sons Inc. 2023-05-24 /pmc/articles/PMC10338789/ /pubmed/37226589 http://dx.doi.org/10.1002/brb3.3005 Text en © 2023 The Authors. Brain and Behavior published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Ellerbroek, Hannah
Hanssen, Imke
Lathouwers, Karen
Cillessen, Linda
Dekkers, Sander
Veldman, Stijn E.
van den Heuvel, Sandra A. S.
Speckens, Anne E. M.
Schellekens, Arnt F. A.
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10338789/
https://www.ncbi.nlm.nih.gov/pubmed/37226589
http://dx.doi.org/10.1002/brb3.3005
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