MBCT-T for Preoperative Pain Catastrophizing and Pain Outcomes After Spine Surgery

A Pilot Proof of Concept, Single-Center Study of the Effects of Telephone-Delivered Mindfulness-based Cognitive Therapy (MBCT-T) on Preoperative Pain Catastrophizing and Pain Outcomes After Spine Surgery

This is a two phase study. In phase 1, a focus group (N=5) will be conducted to adapt MBCT-T for use in the study population. In phase 2, a single-arm trial will be conducted examining four, weekly sessions of preoperative MBCT-T in subjects with high pain catastrophizing scheduled for spine surgery (N=20). Subjects will then be followed for two weeks postoperatively.

Inclusion Criteria:

• Scheduled for one or two level lumbar spine surgery requiring an inpatient stay as well as patients having ambulatory 1 or 2 level lumbar spine surgeries
• PCS score ≥ 20
• Able to provide voluntary informed consent
• Telephone access
• Internet access

Exclusion Criteria:

• Non-English speaking
• Cognitively impaired, by history
• Bipolar disorder
• Borderline personality disorder
• Active post-traumatic stress disorder
• Schizoaffective disorder or any other disorder characterized by delusions or hallucinations
• History of self-harm or suicidality in past three months