Mindfulness: A MORE Effective Approach to Pain and Addiction

<!DOCTYPE html> <html lang="en" dir="ltr" prefix="og: https://ogp.me/ns#"> <head> <meta charset="utf-8" /> <meta name="description" content="NIH HEAL Initiative researchers are looking at the benefits of Mindfulness Oriented Recovery Enhancement for those using methadone as a form of treatment." /> <link rel="canonical" href="https://heal.nih.gov/news/stories/Mindfulness-Pain-OUD-Recovery" /> <link rel="image_src" href="/files/heal-logo-social.png" /> <meta property="og:site_name" content="NIH HEAL Initiative" /> <meta property="og:type" content="website" /> <meta property="og:url" content="https://heal.nih.gov/news/stories/Mindfulness-Pain-OUD-Recovery" /> <meta property="og:title" content="Mindfulness: A MORE Effective Approach to Pain and Addiction" /> <meta property="og:description" content="Mindfulness Oriented Recovery Enhancement may benefit those using methadone as a form of treatment." /> <meta property="og:image" content="https://heal.nih.gov/files/heal-logo-social.png" /> <meta property="og:image:url" content="https://heal.nih.gov/files/heal-logo-social.png" /> <meta property="og:image:secure_url" content="https://heal.nih.gov/files/heal-logo-social.png" /> <meta property="og:updated_time" content="Tue, 12/12/2023 - 2:12pm" /> <meta property="article:published_time" content="Mon, 07/27/2020 - 10:33am" /> <meta property="article:modified_time" content="Tue, 12/12/2023 - 2:12pm" /> <meta name="twitter:card" content="summary_large_image" /> <meta name="twitter:title" content="Mindfulness: A MORE Effective Approach to Pain and Addiction" /> <meta name="twitter:description" content="Mindfulness Oriented Recovery Enhancement may benefit those using methadone as a form of treatment." /> <meta name="twitter:creator" content="@NIH" /> <meta name="twitter:image" content="https://heal.nih.gov/files/heal-logo-social.png" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1.0" /> <link rel="icon" href="/files/favicon.ico" type="image/vnd.microsoft.icon" /> <script>window.a2a_config=window.a2a_config||{};a2a_config.callbacks=[];a2a_config.overlays=[];a2a_config.templates={};</script> <title>Mindfulness: A MORE Effective Approach to Pain and Addiction | NIH HEAL Initiative</title> <link rel="stylesheet" media="all" href="/files/css/css_qtvLbe92109OeqomgriBKlugtcMpaTw3BnTDXMZ6wXo.css?delta=0&language=en&theme=particle&include=eJxFy1EOgzAMA9ALlfZIKBAzqqVNlaZju_3EBNpPZD85xOxK9ZPoCnEzrR5YjypKPEuuz1logcDSrdOp06WT7ygIePupiW00knjVUMCZkqIs4LipFXKHhUZGD6O29_vhL3HUNhbJfQefQ8-rIK1qCP3THSUt1BFeGUdPvxuL8hB8ATzaUAY" /> <link rel="stylesheet" media="all" href="/files/css/css_Kzcx5y8_UgmvOm2su6202zfZz3qqdNhdBCeZjOratTU.css?delta=1&language=en&theme=particle&include=eJxFy1EOgzAMA9ALlfZIKBAzqqVNlaZju_3EBNpPZD85xOxK9ZPoCnEzrR5YjypKPEuuz1logcDSrdOp06WT7ygIePupiW00knjVUMCZkqIs4LipFXKHhUZGD6O29_vhL3HUNhbJfQefQ8-rIK1qCP3THSUt1BFeGUdPvxuL8hB8ATzaUAY" /> <link rel="preconnect" href="https://fonts.gstatic.com/" crossorigin="anonymous"> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.5.1/css/solid.min.css"> <link rel="stylesheet" href="https://cdnjs.cloudflare.com/ajax/libs/font-awesome/6.5.1/css/brands.min.css"> <link href="https://fonts.googleapis.com/css?family=Montserrat:400,600,700&display=swap" rel="stylesheet">  <script async src="https://www.googletagmanager.com/gtag/js?id=UA-147034615-1"></script> <meta name="msvalidate.01" content="C17405549FB53FD60915A09433C78FF3" /> <meta http-equiv="X-UA-Compatible" content="IE=EmulateIE8"> <meta name="viewport" content="width=device-width, initial-scale=1, maximum-scale=1"> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'UA-147034615-1'); </script>  <script>(function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window,document,'script','dataLayer','GTM-W8TVZ6J');</script>   <script language="javascript" id="_fed_an_ua_tag" src="https://dap.digitalgov.gov/Universal-Federated-Analytics-Min.js?agency=HHS&subagency=NIH&exts=doc,docx,xls,xlsx,xlsm,ppt,pptx,exe,zip,pdf,js,txt,csv,dxf,wmv,jpg,wma,mov,avi,mp3,mp4,csv"></script>  </head> <body class="fout-fix" data-spy="scroll" data-target="#scrollnav"> <a href="#main-content" class="visually-hidden focusable"> Skip to main content </a>  <noscript><iframe src="https://www.googletagmanager.com/ns.html?id=GTM-W8TVZ6J" height="0" width="0" style="display:none;visibility:hidden"></iframe></noscript>  <div class="dialog-off-canvas-main-canvas" data-off-canvas-main-canvas> <div class="mobile-overlay" id="overlay" aria-hidden="true"></div> <div id="header-container" class="header-container"> <div class="ribbon fluid-container"> <div class="container"> <div class="row"> <div class="col-sm-12"> <div class="ribbon-links"> <a href="http://www.hhs.gov/" class=""> <img src="/assets/hhs-logo.png" alt="U.S. Department of Health & Human Services website"/> U.S. Department of Health & Human Services </a> <img src="/assets/delimiter-arrow.png" alt="" role="presentation"/> <a href="https://www.nih.gov/">National Institutes of Health</a> </div> </div> </div> </div> </div> </div> </div> <div class="layout-container"> <header class="container navbar navbar-light navbar"> <div class="navbar-header-btns"> <button class="menu-btn" type="button" class="" aria-expanded="false">Menu</button> <button class='searchBtnMobile' aria-label="search-toggle"></button> </div> <a href="/" class="navbar-logo gtm-header-home" title="Navbar Logo Title"><img src="../../../assets/NIH_HEAL_Color.svg" alt="Navbar Logo Alt"></a> <form class="search-menu form-inline d-lg-block" action="https://search.usa.gov/search" accept-charset="UTF-8" method="get"> <input name="utf8" type="hidden" value="✓"> <input type="hidden" name="affiliate" id="affiliate" value="heal"> <div class="input-group"> <input class="search-input form-control" type="search" placeholder="Search" aria-label="Search heal.nih.gov" name="query"> <div class="input-group-append"> <button type="submit" class="btn btn gtm-header-search btn-tertiary">Search</button> </div> </div> </form> <nav role="navigation" aria-labelledby="block-particle-mainnavigation-menu" class="container navbar navbar-expand-lg navbar-light primary-navigation"> <h2 class="visually-hidden" id="block-particle-mainnavigation-menu">Main navigation</h2> <ul class="no-bullets menu-level-0"> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/about" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/43151">About</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="no-bullets menu-level-1"> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/why-heal" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/43131">Why HEAL?</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/opioid-crisis" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/43136">The Opioid Crisis</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/impact" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/42501">Making a Difference</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/nih-heal-initiative-leadership" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/43146">NIH HEAL Initiative Leadership</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/nih-heal-initiative-annual-report-budget" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/43141">Annual Report and Budget</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/about/strategic-plan" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/46921">Strategic Planning</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/research" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/16">Research</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-1 no-bullets"> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/research-to-practice" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/61">Translation of Research to Practice for the Treatment of Opioid Addiction</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="no-bullets menu-level-2"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/brim" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/106">Behavioral Research to Improve Medication-Based Treatment</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/continuum-care-hospitalized-patients-opioid-use-disorder" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42151">The Continuum of Care in Hospitalized Patients with Opioid Use Disorder and Infectious Complications of Drug Use</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/enhancing-clinical-trials-network" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/96">Enhancing the National Drug Abuse Treatment Clinical Trials Network to Address Opioids</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/harm-reduction-approaches-reduce-overdose-deaths" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/41416">Harm Reduction Research Network</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/healing-communities" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/91">HEALing Communities Study</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/delivery-healthcare-services-polysubstance-use" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42146">Improving Delivery of Healthcare Services for Polysubstance Use</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/jcoin" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/101">Justice Community Opioid Innovation Network</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/native-collective-research-effort-enhance-wellness-overdose-substance-mental-health-pain" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42586">Native Collective Research Effort to Enhance Wellness (N CREW) Program: Addressing Overdose, Substance Use, Mental Health, and Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/optimizing-addiction-services" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44086">Optimizing the Quality, Reach, and Impact of Addiction Services</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/research-to-practice/research-recovery-network" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/39646">Recovery Research Networks</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/new-strategies" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/66">New Strategies to Prevent and Treat Opioid Addiction</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/care-polysubstance-use-primary-care" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42126">Collaborative Care for Polysubstance use in Primary Care Settings (Co-Care)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/optimizing-care" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/111">Optimizing Care for People with Opioid Use Disorder and Mental Health Conditions</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/duration-retention-discontinuation" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/126">Optimizing the Duration, Retention, and Discontinuation of Medication Treatment for Opioid Use Disorder</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/preventing-opioid-use-disorder" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/116">Preventing Opioid Use Disorder</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/prevent-progression" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/131">Prevention of Progression to Moderate or Severe Opioid Use Disorder</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/new-strategies/sleep-dysfunction" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/121">Sleep Dysfunction as a Core Feature of Opioid Use Disorder and Recovery</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/infants-and-children" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/71">Enhanced Outcomes for Infants and Children Exposed to Opioids</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/infants-and-children/act-now" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/136">Advancing Clinical Trials in Neonatal Opioid Withdrawal (ACT NOW)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/infants-and-children/opioid-exposure-during-pregnancy" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44096">The Biology of Opioid Exposure During Pregnancy and Effects on Early Neuro-Behavioral Development</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/infants-and-children/healthy-brain" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/141">HEALthy Brain and Child Development Study (HBCD)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/infants-and-children/virtual-assessments-developmental-trajectories" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44101">Virtual Assessments to Understand Developmental Trajectories of Substance Use Exposure</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/therapeutic-options" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/76">Novel Therapeutic Options for Opioid Use Disorder and Overdose</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/therapeutic-options/immunotherapies" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/151">Development of Novel Immunotherapeutics for Opioid Addiction</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/therapeutic-options/focusing-development" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/146">Focusing Medication Development to Prevent and Treat Opioid Use Disorders and Overdose</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/therapeutic-options/oral-complications-buprenorphine" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44106">Oral Complications Arising From Pharmacotherapies to Treat Opioid Use Disorders</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/therapeutic-options/rapid-assessment-emerging-opioid-threats" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44111">Rapidly Assessing the Public Health Impact of Emerging Opioid Threats</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/clinical-research" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/81">Clinical Research in Pain Management</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/health-equity-pain-management" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42106">Advancing Health Equity in Pain Management</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/pain-signatures" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/186">Acute to Chronic Pain Signatures Program</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/back-pain" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/161">Back Pain Consortium Research Program</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/biomarkers" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/191">Discovery and Validation of Biomarkers, Endpoints and Signatures for Pain Conditions</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/eppic-net" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/176">Early Phase Pain Investigation Clinical Network (EPPIC-Net)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/hemodialysis" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/181">Integrated Approach to Pain and Opioid Use in Hemodialysis Patients</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/pain-management-research" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/166">Pain Management Effectiveness Research Network</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/prism" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/171">Pragmatic and Implementation Studies for the Management of Pain to Reduce Opioid Prescribing (PRISM)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/chronic-pain-rural-populations" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44091">Prevention and Management of Chronic Pain in Rural Populations</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/clinical-research/integrative-management-chronic-pain" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/39621">Reducing Opioid-Related Harms to Treat Chronic Pain (IMPOWR and MIRHIQL)</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/preclinical-translational" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/86">Preclinical and Translational Research in Pain Management</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/optimization-non-addictive-therapies" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/206">Development and Optimization of Non-Addictive Therapies to Treat Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/novel-targets" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/216">Discovery and Validation of Novel Targets for Safe and Effective Treatment of Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/integrated-research" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/44116">Integrated Basic and Clinical Team-Based Research in Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/screening-platform" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/211">Preclinical Screening Platform for Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/restoring-joint-health-function-reduce-pain" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42136">Restoring Joint Health and Function to Reduce Pain Consortium (RE-JOIN)</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/discoveries-into-devices" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/201">Translating Discoveries into Effective Devices to Treat Pain</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/preclinical-translational/novel-drugs-screening-platforms" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/196">Translational Research to Advance Testing of Novel Drugs and Human Cell-Based Screening Platforms to Treat Pain and Opioid Use Disorder</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-1"> <a href="/research/cross-cutting-research" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/40331">Cross-Cutting Research</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-2 no-bullets"> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/cross-cutting-research/real-time-opioid-pain-management-data" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42116">Leveraging Existing and Real-Time Opioid and Pain Management Data </a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/cross-cutting-research/small-business-programs" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42111">Small Business Programs </a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/cross-cutting-research/stigma-pain-management-opioid-disorder" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/40256">Stigma in Pain Management and Opioid Use Disorder</a> </li> <li class="menu-item no-bullets nav-list-item-2"> <a href="/research/cross-cutting-research/translating-data-action-prevent-overdose" class="menu-link gtm-topnav-third" tabindex="0" data-drupal-link-system-path="node/42121">HEAL Data2Action (HD2A)</a> </li> </ul> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/research/training-next-generation-researchers" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/46831">Training the Next Generation of Researchers in HEAL</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/data" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/44206">Data</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="no-bullets menu-level-1"> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/heal-data-ecosystem" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/38836">About the HEAL Data Ecosystem</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/complying-heal-data-sharing-policy" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/39216">Complying With the HEAL Data Sharing Policy</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/common-data-elements" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/39116">Common Data Elements (CDEs) Program</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/common-data-elements-repository" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/42871">Common Data Elements (CDEs) Repository</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/ecosystem-events-outreach" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/40321">HEAL Data Ecosystem Events and Outreach</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/public-access-data" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/51">HEAL Public Access and Data Sharing</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/data/data-ecosystem-collective-board" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/40951">HEAL Data Ecosystem Collective Board</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/funding" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/221">Funding</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-1 no-bullets"> <li class="menu-item no-bullets nav-list-item-1"> <a href="/funding/awarded" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/881">Funded Projects</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/funding/open" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/871">Open Funding Opportunities</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/funding/closed" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/876">Closed Funding Opportunities</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/funding/research-concepts" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/40206">Research Concepts</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/news" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/226">News & Events</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-1 no-bullets"> <li class="menu-item no-bullets nav-list-item-1"> <a href="/news/news" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/33666">News</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/news/events" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/33671">Events</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/news/events/headliners" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/42551">Headliners Webinar Series</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/news/stories" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/33676">Research Spotlights</a> </li> <li class="menu-item no-bullets nav-list-item-1"> <a href="/videos" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/36351">Videos</a> </li> </ul> </li> <li class="menu-item menu-item--expanded no-bullets nav-list-item-0"> <a href="/resources" class="menu-link gtm-topnav-link" tabindex="0" data-drupal-link-system-path="node/231">Resources</a> <button class="expand-btn" aria-label="expand-button"></button> <ul class="menu-level-1 no-bullets"> <li class="menu-item no-bullets nav-list-item-1"> <a href="/resources/engagement" class="menu-link gtm-topnav-drop" tabindex="0" data-drupal-link-system-path="node/43166">Patient and Community Engagement</a> </li> </ul> </li> </ul> </nav> </header> <div data-drupal-messages-fallback class="hidden"></div> <header role="banner"> <div class="background-jumbotron masthead-jumbotron text-clip jumbotron jumbotron-fluid pattern" > <div class="container-fluid"> <h1><span>Mindfulness: A MORE Effective Approach to Pain and Addiction </span> </h1> <div class="row justify-content-center subtitle"> <div class="col-xl-8 col-lg-8 col-sm-12 col-xs-12"> <p>Project aims to improve pain relief while supporting treatment for opioid use disorder and long-term recovery</p> </div> </div> </div> </div> </header> <main role="main"> <div class="container"> <a id="main-content" tabindex="-1"></a> <div class="row"> <div class="col-sm-12 breadcrumb-col col-md-7"> <div id="block-particle-breadcrumbs"> <nav aria-label="breadcrumb" role="navigation"> <ol class="breadcrumb"> <li class="breadcrumb-item gtm-breadcrumb"><a href="/" class="gtm-breadcrumb">Home</a></li> <li class="breadcrumb-item gtm-breadcrumb"><a href="/news" class="gtm-breadcrumb">News & Events</a></li> <li class="breadcrumb-item gtm-breadcrumb"><a href="/news/stories" class="gtm-breadcrumb">Research Spotlights</a></li> <li class="breadcrumb-item active is-active gtm-breadcrumb" aria-current="page">Mindfulness: A MORE Effective Approach to Pain and Addiction </li> </ol> </nav> </div> </div> <div class="col-sm-12 col-md-5"> <div id="block-addtoanybuttons"> <div class="pattern"> <div class="display-pattern social-container d-flex row"> <div class-="social-share"> <span class="label social-label text-uppercase font-weight-bold pr-3">Share this article</span> <span class="a2a_kit a2a_kit_size_25 " data-a2a-url="https://heal.nih.gov/news/stories/Mindfulness-Pain-OUD-Recovery" data-a2a-title="Mindfulness: A MORE Effective Approach to Pain and Addiction "><a class="a2a_button_facebook btn social-share-button" aria-label="social-facebook"></a><a class="a2a_button_x btn social-share-button" aria-label="social-twitter"></a><a class="a2a_button_linkedin btn social-share-button" aria-label="social-linkedin"></a><a class="a2a_button_email btn social-share-button" aria-label="social-email"></a></span></div> </div> </div> </div> </div> </div> </div> <div class="layout-content"> <div> <div id="block-particle-content"> <div> <div class="paragraph paragraph--type--basic-content paragraph--view-mode--default"> <div class="container overflow-auto"> <div class='basic-content content-align-left full pattern'> <div class='col-xl-12 ' style=''> <div class=""> <div> <figure class='img-fluid figure align-right w-60'> <div> <div class="visually-hidden field-label">Image</div> <img loading="lazy" src="/files/MORE%20Mindfulness%20Graphic.jpg" width="2821" height="1639" alt="MORE Mindfulness Graphic" class="img-fluid" /> </div> <figcaption class="figure-caption"> <p>Try it yourself: Savoring exercise.<br /> <em>Credit: Eric Garland, Ph.D., LCSW, University of Utah; and the NIH HEAL Initiative</em></p> </figcaption> </figure> </div> <div> <p>Confronted with patients with both chronic pain conditions and opioid use disorder (OUD), clinical psychologist <a href="https://www.researchwithrutgers.com/en/persons/nina-cooperman-2">Nina Cooperman</a>, Psy.D., wanted a holistic approach.</p> <p>Patients were also seeking comprehensive therapies that care for their whole being. They noticed that pain brought out emotional states that, in turn, affected their bodies, aggravating their pain, or increasing their desire for opioids. Some realized that pain medications alone were not addressing the root of their problem.</p> <p>For nearly 20 years, Cooperman, associate professor of psychiatry in the Division of Addiction Psychiatry at the Rutgers Robert Wood Johnson Medical School, has focused on new ways to address substance misuse and addiction. Now, as a HEAL investigator she was interested in developing a mindfulness program to meet the needs of people with pain and with OUD. </p> <p>Mindfulness Oriented Recovery Enhancement had been effective in “aiding people’s recovery from alcohol dependence, opioid misuse, and nicotine addiction; relieving pain and symptoms of post-traumatic stress disorder; and reducing video game addiction and unhealthy eating behaviors,” Cooperman said.</p> <p>So, the researchers wondered if it could also work for people with pain and OUD.</p> <p>Cooperman leads the <a href="https://reporter.nih.gov/project-details/9981089">Mindfulness Oriented Recovery Enhancement (MORE) as an Adjunct to Methadone Treatment for Opioid Use and Chronic Pain Management</a> project, which tackles both of the NIH HEAL Initiative’s goals -- enhancing pain management and improving treatments for opioid misuse and addiction.</p> <p><a href="https://faculty.utah.edu/u0889676-Eric_L_Garland/hm/index.hml">Eric Garland</a>, Ph.D., LCSW, of the University of Utah, a co-investigator for the HEAL project, <a href="https://drericgarland.com/about-m-o-r-e/">developed MORE</a> as a way to combine the strengths of three different therapeutic techniques:</p> <ul> <li><strong>Mindfulness</strong> is a mental state achieved by focusing one’s awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations. Mindfulness skills can help people to break away from unhealthy ways of thinking and behaving.</li> <li><strong>Reappraisal skills</strong> can help people shift their thinking and develop new, more helpful perspectives, beliefs, and actions to deal with stressful events that might trigger relapse. Instead of trying to escape from uncomfortable feelings or stress with unhealthy coping behaviors, people can build resilience by restructuring negative thoughts.</li> <li><strong>Savoring skills</strong> provide a positive sense of reward needed to drive and sustain behavioral change. This aims to strengthen people’s ability to take pleasure in naturally rewarding events and experiences. </li> </ul> <p><a>Other therapeutic models incorporate mindfulness and reappraisal, but this approach also includes an emphasis on savoring skills: guiding people to experience and value healthy rewards by increasing their enjoyment of the simple things. Now, Cooperman wondered, could this model help with people coping with chronic pain and receiving treatment for OUD <em>at the same time?</em> </a></p> </div> </div> </div> </div> </div> </div> <div class="paragraph paragraph--type--basic-content paragraph--view-mode--default"> <div class="container overflow-auto"> <div class='basic-content content-align-left full pattern'> <div class='col-xl-12 ' style=''> <div class=""> <div> <figure class='img-fluid figure align-right w-'> <h3>#NIHHEAL: NCCIH Director Dr. Helene Langevin Discusses Non-Drug Treatments for Pain and OUD</h3> <iframe src="https://heal.nih.gov/media/oembed?url=https%3A//www.youtube.com/watch%3Fv%3DAK8BcBazbwE&max_width=540&max_height=305&hash=O-m56gqY7tfmRRLXvs5DDMZGVlETqtJeHD79qzLqGxM" width="540" height="304" class="media-oembed-content" loading="eager" title="#NIHHEAL: NCCIH Director Dr. Helene Langevin Discusses Non-Drug Treatments for Pain and OUD"></iframe> <div> <span class="video-caption">Helene Langevin, M.D., Director of National Center for Complimentary and Integrative Health, NIH</span> </div> </figure> </div> <div> <h2>Addressing the challenges of OUD treatment and pain management</h2> <p>Chronic pain affects more than half of people being treated with methadone for OUD. Having untreated pain increases the risk people with OUD will stop addiction treatment or relapse. Cooperman wanted to know whether mindfulness, reappraisal, and savoring skills could help people with chronic pain who are also receiving OUD treatment learn to better cope with pain, tolerate cravings without using opioids, and improve quality of life.</p> <p>Projects like this one test nonpharmacological interventions that are used for both pain and OUD, explained Helene Langevin, MD., director of the <a href="https://www.nccih.nih.gov/grants/nccihs-role-in-the-nih-heal-initiative">National Center for Complementary and Integrative Health</a>, which funds the research under the NIH HEAL Initiative’s <a href="https://heal.nih.gov/research/research-to-practice/brim">Behavioral Research to Improve Medication-Based Treatment (BRIM) </a>program.</p> <p>"These interventions [...] are not used instead of conventional treatments. But they really need to be used in an integrated way. There are situations, obviously, where drugs are extremely important and need to be used. It's just that it should not be our only tool in the toolbox," Langevin said.</p> <p>Many clinical guidelines for the management of chronic pain increasingly recommend nonpharmacological interventions as a first line of treatment, but they're not always being implemented, Langevin said.</p> <p>“These are clinical trials that are performed in health care settings, directly in health care systems to test the utilization of these treatments to see if they work in the real world,” said Langevin.</p> <p>Cooperman first fine-tuned the approach to test its effectiveness in <a href="https://pubmed.ncbi.nlm.nih.gov/31404850/">a pilot study</a>. The study took place in two clinics with 30 people who were on medication for OUD and also had chronic pain.</p> <p><a>All pilot participants</a><a> received methadone treatment. Half of the participants received individual and group therapy, as usual, and the other half received individual and group therapy plus they participated in eight 2-hour MORE sessions. </a>A clinician led the group in mindfulness techniques to increase awareness of and control over cravings, provided guidance in noticing and releasing negative reactions to emotional and physical pain, fostered reappraisal skills to help regulate emotions, and led savoring exercises.</p> <p>Classic mindfulness focuses on accepting what is without judgment, but in this approach, they try to increase healthy rewards and increase people’s enjoyment in the simple things, Cooperman explained. “For example, we asked people to notice and appreciate the beauty of a flower. Or we gave out samples of chocolate and invited people to notice and savor its smell, taste, and each step of the eating experience.”</p> <p>Between sessions, participants responded to twice-daily text messages asking about opioid cravings and pain levels. Participants also had 15 minutes of daily homework during which they used an audio recording to guide mindfulness, reappraisal, and savoring activities.</p> <p>Cooperman was amazed by the pilot participants’ enthusiasm for the group sessions.</p> <p>“I’ve worked with many other groups, and it’s often difficult to get people to engage and return,” Cooperman said. “With the MORE program, the response has been overwhelmingly positive. One hundred percent of participants attended at least half of the sessions, and 40 percent didn’t miss a single one.”</p> <h2>A larger study is on the launch pad</h2> <p>Based on the results of the pilot study, Cooperman and her team are ready to start a larger study with 154 participants at three clinics. The team will assess participants eight weeks after the sessions end to see whether the effects last.</p> <p>Cooperman hopes to launch the study during the summer or fall of 2020 but is prepared to modify the study in light of the coronavirus pandemic.</p> <p>“We’re watching the situation, but we’re prepared to conduct group sessions remotely, if necessary,” she said. “We’ll equip people with tablet devices so they can participate online.”</p> <h2>Mindfulness can help everyone</h2> <p>Cooperman pointed out that mindfulness programs program can improve life for anyone, not just OUD patients. It’s a healthy tool that anyone can use wherever they are, whenever they need it.</p> <p>“When I was working in a hospital with people who had serious medical problems, they often said that mindfulness practices were the most valuable tool they learned to cope with the stress and acute pain,” Cooperman said. “What’s more, we’re learning that MORE not only helps our clients who are in recovery or have issues with OUD, but our clinic staff also report that the program also helps them.”</p> </div> </div> </div> </div> </div> </div> <div class="paragraph paragraph--type--rps-rfa paragraph--view-mode--default"> <div class="container"> <div class="views-element-container form-group"><div class="border border-royal-heath padding-10 js-view-dom-id-482b38deb26fdeeee4ca281ea92d8a1a381eadbd4e5442e9fa1f2d67398ef1d0"> <div class="views-row"><span class="views-field views-field-field-research-program"><span class="views-label views-label-field-research-program">Research Program: </span><div class="field-content"><a href="/research/research-to-practice/brim" hreflang="en">Behavioral Research to Improve Medication-Based Treatment</a></div></span><span class="views-field views-field-field-research-focus-area"><span class="views-label views-label-field-research-focus-area">Research Focus Area: </span><div class="field-content"><a href="/research/research-to-practice" hreflang="en">Translation of Research to Practice for the Treatment of Opioid Addiction</a></div></span></div> </div> </div> </div> </div> <div class="paragraph paragraph--type--cards paragraph--view-mode--default"> <div class="container"> <div class="row card-grid pattern"> <div class='col-lg-4 col-md-6 col-sm-12'> <div class='border-none card'> <div class='card-img-top'> <div> <div class="visually-hidden field-label">Image</div> <img loading="lazy" src="/files/nih-report.png" width="900" height="454" alt="Magnifying glass viewing word cloud" class="img-fluid" /> </div> </div> <div class='card-body'> <h3 class='card-title'> Read About This Project on NIH RePORT </h3> <div class='card-text'> <p>Learn more about Cooperman’s project, <a href="https://reporter.nih.gov/project-details/9981089">Mindfulness Oriented Recovery Enhancement as an Adjunct to Methadone Treatment for Opioid Use and Chronic Pain Management</a>.</p> </div> <a class="btn btn-primary gtm-card-button bottom-button mt-2" href=https://reporter.nih.gov/project-details/9981089> Learn More </a> </div> </div> </div> <div class='col-lg-4 col-md-6 col-sm-12'> <div class='border-none card'> <div class='card-img-top'> <div> <div class="visually-hidden field-label">Image</div> <img loading="lazy" src="/files/rfa-research-to-practice-card.png" width="900" height="454" alt="Doctor and older woman" class="img-fluid" /> </div> </div> <div class='card-body'> <h3 class='card-title'> Find More Projects in This Research Focus Area </h3> <div class='card-text'> <p>Explore programs and funded projects within the Translation of Research to Practice for the Treatment of Opioid Addiction research focus area.</p> </div> <a class="btn btn-primary gtm-card-button bottom-button mt-2" href=https://heal.nih.gov/research/research-to-practice> Learn More </a> </div> </div> </div> <div class='col-lg-4 col-md-6 col-sm-12'> <div class='border-none card'> <div class='card-img-top'> <div> <div class="visually-hidden field-label">Image</div> <img loading="lazy" src="/files/NCCIH%20logo.jpg" width="813" height="457" alt="NCCIH logo " class="img-fluid" /> </div> </div> <div class='card-body'> <h3 class='card-title'> National Center for Complementary and Integrative Health (NCCIH) </h3> <div class='card-text'> <p>Learn more about NCCIH’s role in the NIH HEAL Initiative.</p> </div> <a class="btn btn-primary gtm-card-button bottom-button mt-2" href=https://www.nccih.nih.gov/grants/nccihs-role-in-the-nih-heal-initiative> Learn More </a> </div> </div> </div> </div> </div> </div> </div> </div> </div> </div> </main> <div class="container"> <p class="last-updated">Published: July 27, 2020</p> </div> </div> </div> <footer class="fluid-container p-3 footer" role="contentinfo"> <div class="container"> <div class="row"> <div class="col-12 col-md-3"> <div class="footer-logo"><a href="/"><img alt="NIH HEAL Initiative" src="/assets/HEAL_Initaitive_White.svg" /></a></div> <h2>Contact Us</h2> <p>Please send email to <a href="/cdn-cgi/l/email-protection#420a07030e33372731362b2d2c022d266c2c2b2a6c252d34"><span class="__cf_email__" data-cfemail="d9919c9895a8acbcaaadb0b6b799b6bdf7b7b0b1f7beb6af">[email protected]</span></a></p> </div> <div class="col-6 col-md-3"> <h2><a class="gtm-footer-link" href="/about">About</a></h2> <ul class="list-unstyled"> <li><a class="gtm-footer-link" href="/about/research-plan">Research Plan</a></li> <li><a class="gtm-footer-link" href="/about/nih-heal-initiative-leadership">Leadership</a></li> </ul> <h2><a class="gtm-footer-link" href="/funding">Funding</a></h2> <ul class="list-unstyled"> <li><a class="gtm-footer-link" href="/funding/awarded">Funded Projects</a></li> <li><a class="gtm-footer-link" href="/funding/open">Open Opportunities</a></li> <li><a class="gtm-footer-link" href="/funding/closed">Closed Opportunities</a></li> </ul> <h2><a class="gtm-footer-link" href="/data">Data</a></h2> <h2><a class="gtm-footer-link" href="/news">News</a></h2> <h2><a class="gtm-footer-link" href="/resources">Resources</a></h2> </div> <div class="col-6 col-md-3"> <h2><a class="gtm-footer-link" href="/research">Research</a></h2> <ul class="list-unstyled research-list"> <li><a class="gtm-footer-link" href="/research/research-to-practice">Translation of Research to Practice for the Treatment of Opioid Addiction</a></li> <li><a class="gtm-footer-link" href="/research/new-strategies">New Strategies to Prevent and Treat Opioid Addiction</a></li> <li><a class="gtm-footer-link" href="/research/infants-and-children">Enhanced Outcomes for Infants and Children Exposed to Opioids</a></li> <li><a class="gtm-footer-link" href="/research/medication-options">Novel Therapeutic Options for Opioid Use Disorder and Overdose</a></li> <li><a class="gtm-footer-link" href="/research/clinical-research">Clinical Research in Pain Management</a></li> <li><a class="gtm-footer-link" href="/research/preclinical-translational">Preclinical and Translational Research in Pain Management</a></li> <li><a href="/research/cross-cutting-research">Cross-Cutting Research</a></li> <li><a href="/research/training-next-generation-researchers">Training the Next Generation of Researchers in HEAL</a></li> </ul> </div> <div class="col-12 col-md-3"> <h2>Stay Connected</h2> <p><a href="https://public.govdelivery.com/accounts/USNIHNIDA/signup/43013" target="_blank" class="signup">Sign up for news and updates.</a></p> <div class="footer-social-media"> <h2>Follow NIH</h2> <a aria-label="Follow us on X" class="gtm-social-twitter" href="https://twitter.com/nih" target="_blank"> <span aria-label="Twitter Icon" class="x-icon"> </span> </a> <a aria-label="Follow us on Instagram" class="gtm-social-instagram" href="https://www.instagram.com/nihgov" target="_blank"> <span aria-label="Instagram Icon" class="ig-icon"> </span> </a> <a aria-label="Follow us on Facebook" class="gtm-social-facebook" href="https://www.facebook.com/nih.gov/" target="_blank"> <span aria-label="Facebook Icon" class="fb-icon"> </span> </a> <a aria-label="Visit the HEAL YouTube" class="gtm-social-youtube" href="https://www.youtube.com/playlist?list=PLd_5BzGlfpgpkK12ToGD9VtxF8ClhEusZ" target="_blank"> <span aria-label="YouTube Icon" class="yt-icon"> </span> </a> </div> </div> <hr class="col-12" /> <div class="col-md-12 gov-links"> <ul class="list-inline"> <li class="list-inline-item"><a class="gtm-footer-link" href="https://www.nih.gov/">NIH Home</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://salud.nih.gov/">En Español</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://www.nih.gov/web-policies-notices">Web Policies and Notices</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://www.hhs.gov/vulnerability-disclosure-policy/index.html">HHS Vulnerability Disclosure</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://www.nih.gov/institutes-nih/nih-office-director/office-communications-public-liaison/freedom-information-act-office">Freedom of Information Act</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://www.edi.nih.gov/no-fear-act">No Fear Act</a></li> <li class="list-inline-item"><a class="gtm-footer-link" href="https://oig.hhs.gov/">Office of Inspector General</a></li> </ul> <p><a class="gtm-footer-link" href="https://www.hhs.gov/">U.S. Department of Health and Human Services</a></p> </div> <div class="col-md-9 mx-auto gov-links"> <p>Helping to End Addiction Long-term<sup>®</sup> and NIH HEAL Initiative<sup>®</sup> are registered service marks of the Department of Health and Human Services.</p> </div> </div> </footer> <script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script><script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","pathPrefix":"","currentPath":"node\/36391","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"data":{"extlink":{"extTarget":true,"extTargetAppendNewWindowLabel":"(opens in a new window)","extTargetNoOverride":false,"extNofollow":false,"extTitleNoOverride":false,"extNoreferrer":false,"extFollowNoOverride":false,"extClass":"ext","extLabel":"(link is external)","extImgClass":false,"extSubdomains":true,"extExclude":"(\\.gov.*?)","extInclude":"","extCssExclude":".footer-social-media, .social-share-button, .twitter-share-button","extCssInclude":"","extCssExplicit":"","extAlert":false,"extAlertText":"This link will take you to an external web site. We are not responsible for their content.","extHideIcons":false,"mailtoClass":"0","telClass":"","mailtoLabel":"(link sends email)","telLabel":"(link is a phone number)","extUseFontAwesome":false,"extIconPlacement":"append","extPreventOrphan":false,"extFaLinkClasses":"fa fa-external-link","extFaMailtoClasses":"fa fa-envelope-o","extAdditionalLinkClasses":"","extAdditionalMailtoClasses":"","extAdditionalTelClasses":"","extFaTelClasses":"fa fa-phone","whitelistedDomains":null,"extExcludeNoreferrer":""}},"user":{"uid":0,"permissionsHash":"af5eece730f2d5aa6b0d43e1d564e85bd63161885787ef00214b14f2707a18ff"}}</script> <script src="/files/js/js_7TYmswt-MVGfgX21wEODlw-O8sSJTfkxx8uFPwFO1ws.js?scope=footer&delta=0&language=en&theme=particle&include=eJxLTEkpyU_Mq9RPhDL00ory80p0UitKcjLzsvVTikoLEnP0oFydgsSikszknFT95PyiVASvuCAfKJ-eUQIA2uQfIw"></script> <script src="https://static.addtoany.com/menu/page.js" defer></script> <script src="/files/js/js_3AgteIobkZLnQhk0CGfG1ellxZX-g1R55GVdRsRk2Kc.js?scope=footer&delta=2&language=en&theme=particle&include=eJxLTEkpyU_Mq9RPhDL00ory80p0UitKcjLzsvVTikoLEnP0oFydgsSikszknFT95PyiVASvuCAfKJ-eUQIA2uQfIw"></script> </body> </html>

CINXE.COM

Mindfulness: A MORE Effective Approach to Pain and Addiction | NIH HEAL Initiative