This trial aims to determine the effects and mechanisms (mediators and moderators) of brief training in mindfulness meditation versus clinical hypnosis on acute, experimental pain.
Participants (N=200 with complete data) will be healthy undergraduate students or community-based individuals. An experimental, randomised trial will be implemented, with participants randomly assigned to either five daily, 20-minute mindfulness meditation sessions or clinical hypnosis sessions. Repeated measures and experimental pain manipulation will be implemented. Aim 1 is to examine the effects of these two treatments on experimental pain outcomes. Aim 2 is to examine the moderators of these effects. Aim 3 is to determine the mediators underlying improved experimental pain outcomes. Results will refine theory and will inform the future streamlining of treatments to target those mechanisms shown to be of most critical importance.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
105
Participants in the mindfulness meditation condition will practice a breath and body focused meditation.
Participants in clinical hypnosis will be guided in a hypnosis practice with suggestions tailored towards shifting pain appraisals.
The University of Queensland
Brisbane, Queensland, Australia
Pain unpleasantness
Numerical rating scale in response to exposure to a cold pressor task.
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Pain intensity
Numerical rating scale in response to exposure to a cold pressor task.
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Pain tolerance
How long (in seconds) participants tolerate the cold pressor task with the time starting at the point of immersion and stopping when the hand, wrist and forearm were withdrawn from the refrigerated water.
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Physiological response to pain stimulus
Heart rate data
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Attention Network Task
A computer based task that has been developed to allow assessment of the functioning of the three major attentional networks; alerting, orienting, and executive attention.
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Mind Wandering Task
A computer based task that has been developed to allow assessment of three types of mind wandering.
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Mindfulness
Five Facet Mindfulness Questionnaire-Short Form
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Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Pain catastrophizing
Pain Catastrophizing Scale
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Pain appraisals
Pain Appraisal Inventory
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Pain-Related Cognitive Processes
Pain-Related Cognitive Process Questionnaire34
Time frame: Change from Experimental Session 1 (Day 1) to Experimental Session 5 (Day 5)
Mechanism: Hypnotizability
Stanford Clinical Hypnotizability Scale
Time frame: Baseline score at Experimental Session 1 (Day 1)
Mechanism: Pre-treatment expectancies
Treatment Expectations Questionnaire
Time frame: Baseline score at Experimental Session 1 (Day 1)