This study evaluates the influence of stress on inflammation and the symptomatology of
the patient with back pain. Mindfulness Based Stress Reduction (MBSR) will be used in
half of participants, a validated psychopedagogical intervention for stress reduction,
and the participants assigned to the control group will follow the usual treatment,
according to their diagnosis.

Stress Reduction Program Based on Mindfulness for Patients With Discopathies

Back Pain

The Mindfulness based stress reduction (MBSR) is a psycho-educational program of stress
reduction based on mindfulness. It consists of a program of 30 hours of duration divided
into 9 sessions with a weekly frequency of 2.5 h and an intensive session between the
week 6 and 7 of the program with a duration of 7.5 hours. Each week, the theoretical
contents that are necessary to understand the attention development practices will be
covered. In addition, basic concepts of the psychobiology and psychology of stress and
pain will be explained. The subjects will have a homework load of approximately 45
minutes per day during the intervention program.

Mindfulness Based Stress Reduction (MBSR)

Measured with the variation of cortisol in blood. These samples are obtained from a blood
test that will be done to the participants before and after starting the experimental and
control programs.

((TNF) -α and interleukin (IL) -1β, IL-6 and IL17), as an approximate biomarker of
inflammation. Bio-chemical markers of the discopathy: Cytokines ((TNF) -α, interleukin
(IL) -1β, IL-6 and IL-17). These samples are obtained from a blood test that will be done
to the participants before and after starting the experimental and control programs.

Sleep and breathing analysis: The performance of the sleep and breathing registration
tests will be carried out in the patient's home. The sleep study will be done with a
validated respiratory polygraphy (BTI-APNiA®). The sleep analysis will be controlled by a
sleep technician and supervised by a sleep medicine specialist. The sleep analysis will
be done to the participants before and after starting the experimental and control
programs.

39 items scale that offers a total score of a person's level of mindfulness.

Evaluates the person's ability to be kind and understanding with themselves. The scale
consists of 26 items scored on a 5-point likert scale.

Evaluates the level of perceived stress during the last month. It consists of 14 items
scored on a Likert scale from 0 to 4.

Scale designed to assess negative mood by means of three subscales: stress, anxiety and
depression. The scale has 21 items scored on a Likert scale from 0 to 3.

Scale that assesses the intensity of pain and disability caused by pain. It is a widely
used measure for the evaluation of chronic musculoskeletal pain and back pain. The scale
consists of 7 items scored on a Likert scale from 0 to 10.

It measures both the intensity of pain (sensory dimension) and the interference of pain
in the patient's life (reactive dimension) in patients with chronic pain caused by
osteoarthritis, back pain and cancer.

Instrument designed to assess the acceptance of pain. The scale consists of 20 items
scored on a Likert scale from 0 to 6.

Evaluates the tendency to magnify the threat of a painful stimulus and the feeling of
helplessness in the presence of pain, as well as the inability to prevent or inhibit
thoughts related to pain (both before, during, and after the painful event). The scale
consists of 13 items scored on a Likert scale from 0 to 4.

The objective of this scale is to assess the severity of fatigue and the impact of
fatigue caused by pain in the daily functioning of people. The scale consists of 9 items
scored on a scale likert type from 0 to 10.

Evaluates to what extent a person with pain believes they are capable of performing their
daily activities regardless of their pain. The scale consists of 10 items scored on a
scale likert type from 0 to 6.

Evaluates the patient's attitude to seven dimensions of the experience of chronic pain:
control of pain, disability associated with pain, medical cues of pain, request for help
from others when in pain, medication for pain, the influence of emotions on pain and pain
as an indicator of physical damage. The scale consists of 30 items scored on a Likert
scale from 0 to 4.

Instrument designed to evaluate the pain coping strategies used by patients with chronic
pain. The scale consists of 34 items scored on a Likert scale from 1 to 4.

It is one of the eight subscales of the SF-36 questionnaire (Ware, Kosinski & Keller,
1994) designed as a generic measure of health status for population studies.

Evaluates the impact of chronic pain on sleep quality. The scale consists of 8 items
scored on a visual analog scale from 0 to 100.

5-item brief scale designed to measure a person's overall cognitive judgments about their
satisfaction with life.

5 item scale designed to evaluate the subjective psychological well-being of the person.

Program of 30 hours of duration divided into 9 sessions with a weekly frequency of 2.5 h
and an intensive session between week 6 and 7 of the program with a duration of 7.5
hours.

Participants assigned to the control group will follow the usual treatment, according to
their diagnosis.

Stress Reduction Program Based on Mindfulness for Patients With Discopathies

About this trial

Study ID

Status

Type

Phase

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status