{"paper_id":"687a6b80-9e1f-4b55-b98d-2cea9d2a876d","body_text":"Abstract\nObjectives\nPrevious studies have examined simplified unidirectional associations between mindfulness, pain, and its functional interference, overlooking individual variations and complex interactions. The present study aimed to address this limitation by investigating the reciprocal lagged effects of mindfulness meditation and endometriosis-related pain while evaluating the impact of a brief mindfulness-based intervention (bMBI) on pain interference with activities (PI).\nMethod\nExploratory analyses were conducted of a pilot randomized controlled trial (n = 63). A random intercept cross-lagged panel model was used to assess the reciprocal influence between the minutes of meditation and pain intensity. Effects of the bMBI on PI were evaluated using a latent growth curve model. Analyses were performed over the initial, middle, and last 5 days of the bMBI.\nResults\nMinutes of meditation practice were positively associated with pain intensity during the initial period. Increased meditation practice above the average in the middle intervention days led women to perceive more pain, which produced a reduction in meditation practice. This pattern was reversed in the last intervention period, where the increase in the average meditation practice reduced pain. Also, the increase in pain motivated an increase in meditation in one cross-lag. However, the bMBI was unable to improve PI.\nConclusions\nWomen suffering from endometriosis-related pain show a bMBI trajectory involving predominant increased pain perception and associated meditation and activities avoidance in the early learning stage. Mindfulness skills became more effective in dealing with endometriosis pain and related meditation avoidance from the fourth week. The absence of improvement in PI indicates the necessity of alternative strategies to achieve this outcome.\nPreregistration\nBrazilian Registry of Clinical Trials U1111-1233–4802.\nSimilar content being viewed by others\nData Availability\nData are available at https://doi.org/10.5281/zenodo.8247842.\nReferences\nBurney, R. O., & Giudice, L. C. (2012). Pathogenesis and pathophysiology of endometriosis. Fertility and Sterility, 98(3), 511–519. https://doi.org/10.1016/j.fertnstert.2012.06.029\nBurns, J. W., Jensen, M. P., Gerhart, J., Thorn, B. E., Lillis, T. A., Carmody, J., & Keefe, F. (2023). Cognitive therapy, mindfulness-based stress reduction, and behavior therapy for people with chronic low back pain: A comparative mechanisms study. Journal of Consulting and Clinical Psychology, 91(3), 171–187. https://doi.org/10.1037/ccp0000801\nCashin, A. G., Lee, H., Traeger, A. C., Moseley, G. L., Hübscher, M., Kamper, S. J., Skinner, I. W., & McAuley, J. H. (2022). 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Psychosomatic Medicine, 83(6), 566–578. https://doi.org/10.1097/PSY.0000000000000938\nAuthor information\nAuthors and Affiliations\nContributions\nWe state that all listed authors contributed to the preparation of the manuscript as follows:\nMarcelo de França Moreira: conceptualization, investigation, methodology, formal analysis, writing—original draft preparation, supervision.\nOlga Lucia Gamboa: conceptualization, writing—original draft preparation, supervision.\nMarco Aurelio Pinho Oliveira: conceptualization, methodology, writing—original draft preparation, supervision.\nAll authors discussed the results and commented on the manuscript.\nCorresponding author\nEthics declarations\nEthics Statement\nThis study was approved for human participants by the Rio de Janeiro State University Ethics Committee.\nInformed Consent\nAll participants gave their informed written consent before participating in the study.\nConflict of Interest\nThe authors declare no competing interests.\nUse of Artificial Intelligence Statement\nAI was not used in the writing of this manuscript.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nSupplementary Information\nBelow is the link to the electronic supplementary material.\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nde França Moreira, M., Gamboa, O.L. & Oliveira, M.A.P. Daily Interaction Between Meditation and Endometriosis Pain and the Mindfulness Effect on Pain Interference in Activities Throughout a Brief Mindfulness-Based Intervention. Mindfulness 15, 1501–1515 (2024). https://doi.org/10.1007/s12671-024-02381-y\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s12671-024-02381-y","source_license":"CC0","license_restricted":false}