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The Korean Journal of Health Psychology

  • KOREAN
  • P-ISSN1229-070X
  • E-ISSN2713-9581
  • KCI

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Vol.23 No.3

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The Effects of Korean Mindfulness-Based Stress Reduction Program on Pain Intensity, Pain Catastrophizing, and Depression in Elders: Focus on Elderly Women

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2018, v.23 no.3, pp.611-629
https://doi.org/10.17315/kjhp.2018.23.3.002


& (2018). The Effects of Korean Mindfulness-Based Stress Reduction Program on Pain Intensity, Pain Catastrophizing, and Depression in Elders: Focus on Elderly Women. The Korean Journal of Health Psychology, 23(3), 611-629, https://doi.org/10.17315/kjhp.2018.23.3.002

Abstract

Among various changes due to aging, especially physical health and pain are a very important issues for the elderly. It is generally known that elderly people suffering from chronic pain become more depressed and start experiencing a lower quality of life. The purpose of this study was to examine the effect of K-MBSR, a Korean mindfulness-based Stress Reduction program on pain and depression in the elderly. For this purpose, data were collected from the experimental group participating in the 8th session of the K-MBSR program, and from the control group participating in the 8th general elder school program at a similar time. Data on mindfulness, Korean pain catastrophizing scale, pain intensity, and elderly depression(K-GDS) were collected in the form of self-report questionnaires before, after, and after the programs (4 months after each program). Based on the program attendance and missing values ​​of each group, the data of the final 43 subjects (22 in the experimental groups and 21 control subjects) were used to perform a mixed-ANOVA. Statistically significant difference was observed between groups at the post- in mindfulness, pain intensity, pain catastrophizing, and elderly depression. Especially, the statistically significant difference was seen in pain catastrophizing, and pain intensity. The results imply that K-MBSR program can be used as an effective intervention to reduce the intensity of pain, pain catastrophizing, elderly depression. The discussion and limitations of this study are also discussed.

keywords
K-MBSR, Mindfulness, Pain intensity, Pain catastrophizing, elder, K-MBSR, 마음챙김, 통증강도, 통증파국화, 노인우울

Reference

1.

김경희, 정혜경, 최미혜, 권혜진 (2000). 만성통증을 지닌 노인의 자기효능과 삶의 질에 관한 연구. 기본간호학회지, 7(2), 332-344.

2.

김근면, 장성옥, 이용미 (2008). 노인의 통증신념 유형에 따른 통증대처 전략 영향요인. 기본간호학회지, 15(3), 360-370.

3.

김정은, 김정호, 김미리혜 (2015). 마음챙김 명상이 고등학교 교사의 만성두통, 스트레스 및 정서에 미치는 효과. 한국심리학회지: 건강, 20(1), 35-52.

4.

노은정, 강도형 (2012). 만성통증의 정신의학적 측면. 대한통증학회 (편). 통증의학 4th (pp. 1–8). 서울: 신원의학서적.

5.

대한통증학회 (2016). 지긋지긋한 ‘통증’ 탈출 대작전 통증제로. 대한통증학회. http://m.painfree.or.kr/pain_ebook/pain.html에서 2018, 3, 10 자료 얻음.

6.

덕선우 (2008). 노인보건정책의 발전과정 및 연구동향에 대한 일고찰. 한국노년학, 28(4), 773-784.

7.

류지숙 (2012). 바디스캔 및 호흡명상 프로그램이 신체화장애 여성의 통증감소에 미치는 효과: 단일사례연구. 명상심리상담, 8, 7-66.

8.

박성현 (2006). 마음챙김 척도 개발. 서울불교대학원대학교 박사학위 청구논문.

9.

이영인, 조비룡, 권순만, 최진영 (2008). 일개 지역 노인에서 통증과 스트레스와의 관계(일개 지역 노인대학 수강생을 대상으로). 대한가정의학회지, 29(6), 418-423.

10.

이주연, 문영숙 (2015). 만성통증과 사회적지지가 노인의 우울과 자살의도에 미치는 영향. 디지털융복합연구, 113(10), 445-458.

11.

이태선, 김정호, 김미리혜 (2010). 마음챙김 명상이 여고생의 근골격계 통증에 미치는 효과. 한국심리학회지: 건강, 15(2), 281-294.

12.

장영수 (2015). 만성통증 환자를 위한 마음챙김-수용 증진 프로그램 개발. 미출판 박사학위 청구논문, 서울불교대학원대학교.

13.

장현갑, 김정모, 배재홍 (2007). 한국형 마음챙김 명상에 기반한 스트레스 감소 프로그램(K-MBSR)이 대학생과 외래환자의 삶의 질과 심리적, 신체적 증후에 미치는 효과에 관한 연구. 한국심리학회지: 건강, 12(4), 833-850.

14.

정의균, 곽연희, 송재석 (2015). 만성 통증이 한국의 의료 이용 행태에 미치는 영향. 한국콘텐츠학회논문지, 15(2), 363-369.

15.

조맹제, 배재남, 서국희, 함봉진, 김장규, 이동우, 강민희 (1999). DSM-Ⅲ-R 주요우울증에 대한 한국어판 Geriatric Depression Scale(GDS)의 진단적 타당성 연구. 대한신경정신의학회, 38(1), 48-63.

16.

차보경 (2012). 노인의 만성 통증 적응 유형에 따른 지각된 스트레스, 통증 자기효능 및 우울. 노인간호학회지, 14(3), 242-252.

17.

Braden, B. B., Smith, R., Glaspy, T. K., Deatherage, B. R., Baxter, L. C., & Pipe, T. B. (2016). Brain and behavior changes associated with an abbreviated 4-week mindfulness-based stress reduction course in back pain patients. Brain and Behavior, 6(3), 1-13.

18.

Chiesa, A., & Serretti, A. (2011). Mindfulness-based interventions for chronic pain: A systematic review of the evidence. Journal of Alternative & Complementary Medicine, 17(1), 83-93.

19.

Cho, S., Kim, H-Y., & Lee, J-H. (2013). Validation of the Korean version of the pain catastrophizing scale in patients with chronic non-cancer pain. Quality of Life Research, 22(7), 1797-1772.

20.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Lawrence Earlbaum Associates.

21.

de Boer, M. J., Steinhagen, H. E., Versteegen, G. J., Struys, M. M. R. F., & Sanderman, R. (2014). Mindfulness, acceptance and catastrophizing in chronic pain. PLoS ONE, 9(1), 1-6.

22.

Germer, C. K., Siegel, R. D., & Fulton, P. R. (2012). 마음챙김과 심리치료. (김재성 역). 서울: 학지사. (원전은 2005년에 출판).

23.

Ginzburg, K., Tsur, N., Karmin, C., Speizman, T., Tourgeman, R., & Defrin, R. (2015). Body awareness and pain habituation: the role of orientation towards somatic signals. Journal of Behavioral Medicine, 38(6), 876-885.

24.

Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness training as an intervention for fibromyalgia: Evidence of post intervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics, 76(4), 226–233.

25.

Huynh, H., & Feldt, L. S. (1976). "Estimation of the Box correction for degrees of freedom from sample data in randomised block and split-plot designs." Journal of Educational Statistics, 1, 69-82.

26.

Kabat-Zinn, J. (2005). 마음챙김 명상과 자기치유[Full Catastophe Living]. (장현갑, 김교헌, 김정호 역). 서울: 학지사. (원전은 1990에 출판).

27.

Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behavioral Medicine, 8(2), 163-190.

28.

Kabat-Zinn, J., Lipworth, L., Burney, R., & Sellers, W. (1986). Four-year follow-up of a meditation-based program for the self-regulation of chronic pain: Treatment outcomes and compliance. Clinical Journal of Pain, 2(3), 159-173.

29.

Kingston, J., Chadwick, P., Meron, D., & Skinner, T. C. (2007). A pilot randomized control trial investigating the effect of mindfulness practice on pain tolerance, psychological well-being, and physiological activity. Journal of Psychosomatic Research, 62(3), 297-300.

30.

McCracken, L. M., Gauntlett-Gilbert, J., & Vowles, K. E. (2007). The role of mindfulness in a contextual cognitive-behavioral analysis of chronic pain-related suffering and disability. Pain, 131(1), 63-69.

31.

Morone, N. E., Rollman, B. L., Moore, C. G., Qin, L., & Weiner, D. K. (2009). A mind–body program for older adults with chronic low back pain: Results of a pilot study. Pain Medicine, 10(8), 1395-1407.

32.

Patel, K. V., Dansie, E. J., Turk, D. C., & Guralnik, J. M. (2013). Prevalence and impact of pain among older adults in the United States: Findings from the 2011 National Health and Aging Trends Study. Pain, 154(12), 2649-2657.

33.

Plews-Ogan, M., Owens, J. E., Goodman, M., Schorling, J., & Wolfe, P. (2005). A pilot study evaluating mindfulness based stress reduction and massage for the management of chronic pain. Journal of General Internal Medicine, 20(12), 1136–1138.

34.

Randolph, P. D., Greak, B. L., Caldera, Y. M., & Tacone, A. M. (1999). The long-term combined effects of medical treatment and a mindfulness-based behavioral program for the multidisciplinary management of chronic pain in west Texas. Pain Digest, 9(2), 103-112.

35.

Reiner, K., Tibi, L., & Lipsitz, J. D. (2013). Do Mindfulness-Based Interventions Reduce Pain Intensity? A Critical Review of the Literature. Pain Medicine, 14(2), 230-242.

36.

Sagula, D., & Rice, K. G. (2004). The effectiveness of mindfulness training on the grieving process and emotional well-being of chronic pain patients. Journal of Clinical Psychology in Medical Settings, 11(4), 333-342.

37.

Skevington, S. M. (1995). Psychology of Pain. England: Wiley.

38.

Sullivan, M. J. L., Thorn, B. E., Haythornthwaite, J. A., Keefe, F. J., Martin, M., Bradley, L. A., & Lefebvre, J. C. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain, 17(1), 52–64.

39.

Turk, D. C., & Meichenbaum, D. (1994). A cognitive-behavioral approach to pain management. In P. D. Wall & R. Melzack (Eds.), Textbook of Pain (3rd ed., pp. 1337-1348). Edinburgh: Churchill Livingstone.

40.

Turk, D. C., & Rudy, T. E. (1986). Assessment of cognitive factors in chronic pain: A worthwhile enterprise? Journal of Consulting and Clinical Psychology, 54(6), 760-768.

41.

Zeidan, F., Martucci, K., Kraft, R., Gordon, N., McHaffie, J. G., & Coghill, R. C. (2011). Brain mechanisms supporting the modulation of pain by mindfulness meditation. The Journal of Neuroscience, 31(14), 5540-5548.

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