The Role Of Mindfulness In Relation To Chronic Pain And Psychological Health In Knee Osteoarthritis
Bibliographic record
Abstract
PURPOSE: Previous studies suggest that higher levels of mindfulness associate with less pain and depression. However, the role of mindfulness has not been studied in osteoarthritis (OA). We evaluate the relationships between mindfulness and pain, psychological symptoms, and quality of life in knee OA. METHODS: We performed a secondary analysis of baseline data from our randomized trial in participants with symptomatic knee OA. Mindfulness and its facets: Observing, Describing, Acting-with-Awareness, Non-judging, and Non-reacting, were assessed using the Five Facet Mindfulness Questionnaire (FFMQ).We also measured the Western Ontario and McMaster Osteoarthritis Index, Short Form-36, Beck Depression Index, Perceived Stress Scale, Self-Efficacy, and 6-minute walk. Pearson’s correlations were utilized to assess the association between mindfulness and health outcomes. We further tested the interaction of mindfulness on outcomes. RESULTS: Eighty patients were enrolled (age: 60.3±10.3 years; 61% female, 53% K/L>2; BMI: 33.0 ± 7.1 kg/m2). Total mindfulness was associated significantly with mental (r=.45, P<.001) and physical (r=.23, P=.04) quality of life, self-efficacy (r=0.28, P=.01), depression (r= -.47, P<.001) and stress (r= -.51, P<.001). Three (Describing, Acting-with-Awareness, and Non-judging) of 5 mindfulness facets were most frequently associated with psychological health. Significant association was not found between mindfulness and pain (P=.30), physical function (P=.75), or the 6-minute walk (P=.69), however, we found that mindfulness moderated the effects of pain on stress (B=.002, P=.02). CONCLUSIONS: Mindfulness is associated with depression, stress, self-efficacy, and quality of life among knee OA patients. Mindfulness also buffers the influence of pain on stress, supporting the notion that mindfulness alters the way one copes with pain. Future studies examining the impact of mind-body therapy, designed to increase mindfulness, for patients with OA are particularly warranted.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".