Correlations between brain changes and pain management after cognitive and meditative therapies: A systematic review of neuroimaging studies

Complementary Therapies in Medicine
Simone S NascimentoJosimari M DeSantana

Abstract

There are different ways of dealing with pain and cognitive and meditative therapies (CMT) are alternative ways to regulate the emotions associated with pain. Current studies apply neuroimaging techniques trying to elucidate the neural mechanisms of cognitive strategies for pain. This systematic review aimed to summarize the evidence on brain activity changes after CMT, which include cognitive behavioral therapy, mindfulness and/or meditation, for pain management as well as to evaluate clinical pain outcomes. Electronic databases - Pubmed, EMBASE, PsycINFO, Science Direct, Scopus - were searched to find randomized controlled trials (RCTs) examining neuroimaging data of CMT for chronic pain patients or healthy individuals with experimental pain. Two reviewers independently selected the relevant trials, rated for quality assessment and extracted all data using a standardized form. Primary outcome was brain activity changes (activation, deactivation or functional connectivity). Secondary outcomes were pain intensity, self-management, pain coping, quality of life, anxiety and depression. Nine RCTs were included involving 280 adults (18-59 years), 139 chronic pain patients vs. 148 healthy subjects. Three main kinds of intervention w...Continue Reading

Citations

Jul 12, 2019·Current Pain and Headache Reports·Ivan UritsOmar Viswanath
Sep 15, 2020·Frontiers in Human Neuroscience·Justin P YuanOlga Tymofiyeva
Jan 9, 2021·Journal of Religion and Health·Amine Lopes BenevidesKatia Nunes Sá
Apr 6, 2021·Neuromodulation : Journal of the International Neuromodulation Society·Gene TekmysterMehul J Desai
May 8, 2021·The International Journal of Clinical and Experimental Hypnosis·Giuseppe De Benedittis
Jun 19, 2021·Neuroscience of Consciousness·Oren KolodnyShimon Edelman
Aug 24, 2021·The Journal of Pain : Official Journal of the American Pain Society·Jennifer N BaumgartnerLaura K Case

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