{"id":18514,"date":"2015-11-14T23:53:54","date_gmt":"2015-11-15T04:53:54","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=18514"},"modified":"2015-11-14T23:53:54","modified_gmt":"2015-11-15T04:53:54","slug":"mindfulness-meditation-trumps-placebo-in-pain-reduction","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2015\/11\/mindfulness-meditation-trumps-placebo-in-pain-reduction\/","title":{"rendered":"Mindfulness meditation trumps placebo in pain reduction"},"content":{"rendered":"<p>From the Wake Forest Baptist Medical Center media release:<\/p>\n<blockquote><p><a href=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/senior_meditation.jpg\"><img loading=\"lazy\" class=\"alignright size-full wp-image-10467\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/senior_meditation.jpg\" alt=\"senior meditating\" width=\"285\" height=\"190\" \/><\/a>Scientists at Wake Forest Baptist Medical Center have found new evidence that <strong>mindfulness meditation reduces pain more effectively than placebo<\/strong>.<\/p>\n<p>This is significant because placebo-controlled trials are the recognized standard for demonstrating the efficacy of clinical and pharmacological treatments.<\/p>\n<p>The research, published in the Nov.11 issue of the <em>Journal of Neuroscience<\/em>, showed that study participants who practiced mindfulness meditation reported greater pain relief than placebo. Significantly, <strong>brain scans showed that mindfulness meditation produced very different patterns of activity than those produced by placebo<\/strong> to reduce pain.<\/p>\n<p>&#8220;We were completely surprised by the findings,&#8221; said Fadel Zeidan, Ph.D., assistant professor of neurobiology and anatomy at Wake Forest Baptist and lead investigator of the study. &#8220;While we thought that there would be some overlap in brain regions between meditation and placebo, <strong>the findings from this study provide novel and objective evidence that mindfulness meditation reduces pain in a unique fashion<\/strong>.&#8221;<\/p>\n<p>The study used a two-pronged approach &#8212; pain ratings and brain imaging &#8212; to determine whether mindfulness meditation is merely a placebo effect. <strong>Seventy-five healthy, pain-free participants were randomly assigned to one of four groups: mindfulness meditation, placebo meditation (&#8220;sham&#8221; meditation), placebo analgesic cream (petroleum jelly) or control<\/strong>.<\/p>\n<p>Pain was induced by using a thermal probe to heat a small area of the participants&#8217; skin to 49 degrees Centigrade (120.2 degrees Fahrenheit), a level of heat most people find very painful. Study participants then rated pain intensity (physical sensation) and pain unpleasantness (emotional response). <strong>The participants&#8217; brains were scanned with arterial spin labeling magnetic resonance imaging (ASL MRI) before and after their respective four-day group interventions<\/strong>.<\/p>\n<p>The mindfulness meditation group reported that <strong>pain intensity was reduced by 27 percent and by 44 percent for the emotional aspect of pain<\/strong>. In contrast, the placebo cream reduced the sensation of pain by 11 percent and emotional aspect of pain by 13 percent.<\/p>\n<p>&#8220;The MRI scans showed for the first time that mindfulness meditation produced patterns of brain activity that are different than those produced by the placebo cream,&#8221; Zeidan said.<\/p>\n<p>Mindfulness meditation reduced pain by activating brain regions (orbitofrontal and anterior cingulate cortex) associated with the self-control of pain while the placebo cream lowered pain by reducing brain activity in pain-processing areas (secondary somatosensory cortex).<\/p>\n<p>Another brain region, the thalamus, was deactivated during mindfulness meditation, but was activated during all other conditions. This brain region serves as a gateway that determines if sensory information is allowed to reach higher brain centers. <strong>By deactivating this area, mindfulness meditation may have caused signals about pain to simply fade away<\/strong>, Zeidan said.<\/p>\n<p>Mindfulness meditation also was significantly better at reducing pain intensity and pain unpleasantness than the placebo meditation. The placebo-meditation group had relatively small decreases in pain intensity (9 percent) and pain unpleasantness (24 percent). The study findings suggest that placebo meditation may have reduced pain through a relaxation effect that was associated with slower breathing.<\/p>\n<p>&#8220;This study is the <strong>first to show that mindfulness meditation is mechanistically distinct and produces pain relief above and beyond the analgesic effects<\/strong> seen with either placebo cream or sham meditation,&#8221; Zeidan said.<\/p>\n<p>&#8220;Based on our findings, we believe that as little as four 20-minute daily sessions of mindfulness meditation could enhance pain treatment in a clinical setting. <strong>However, given that the present study examined healthy, pain-free volunteers, we cannot generalize our findings to chronic pain patients at this time<\/strong>.&#8221;<\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Wake Forest Baptist Medical Center media release: Scientists at Wake Forest Baptist Medical Center have found new evidence that mindfulness meditation reduces pain more effectively than placebo. This&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2015\/11\/mindfulness-meditation-trumps-placebo-in-pain-reduction\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[321,345,349,339,358,351],"tags":[],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18514"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=18514"}],"version-history":[{"count":1,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18514\/revisions"}],"predecessor-version":[{"id":18518,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/18514\/revisions\/18518"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=18514"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=18514"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=18514"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}