The Role of Heart Rate Variability in Mindfulness-Based Pain Relief.

The Journal of Pain : Official Journal of the American Pain Society
Adrienne L Adler-NealFadel Zeidan

Abstract

Mindfulness meditation is a self-regulatory practice premised on sustaining nonreactive awareness of arising sensory events that reliably reduces pain. Yet, the specific analgesic mechanisms supporting mindfulness have not been comprehensively disentangled from the potential nonspecific factors supporting this technique. Increased parasympathetic nervous system (PNS) activity is associated with pain relief corresponding to a number of cognitive manipulations. However, the relationship between the PNS and mindfulness-based pain attenuation remains unknown. The primary objective of the present study was to determine the role of high-frequency heart rate variability (HF HRV), a marker of PNS activity, during mindfulness-based pain relief as compared to a validated, sham-mindfulness meditation technique that served as a breathing-based control. Sixty-two healthy volunteers (31 females; 31 males) were randomized to a 4-session (25 min/session) mindfulness or sham-mindfulness training regimen. Before and after each group's respective training, participants were administered noxious (49°C) and innocuous (35°C) heat to the right calf. HF HRV and respiration rate were recorded during thermal stimulation and pain intensity and unpleasant...Continue Reading

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Citations

Aug 18, 2020·Current Pain and Headache Reports·Alex Jinich-DiamantFadel Zeidan
Mar 10, 2020·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Shuxiang TianGuizhi Xu
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Jan 15, 2020·Expert Review of Neurotherapeutics·Rebecca Erwin WellsZev Schuman-Olivier
May 8, 2021·The International Journal of Clinical and Experimental Hypnosis·Giuseppe De Benedittis
Aug 7, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Friederike KoehlerMarco Warth

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