{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T15:11:35Z","timestamp":1790435495362,"version":"4.1.0"},"reference-count":91,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T00:00:00Z","timestamp":1729728000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/publicdomain\/zero\/1.0\/"}],"funder":[{"name":"National Institute Of Arthritis And Musculoskeletal And Skin Diseases of the National Institutes of Health","award":["U19AR076737"],"award-info":[{"award-number":["U19AR076737"]}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objective<\/jats:title>\n<jats:p>People commonly cope with chronic low back pain (cLBP) by ignoring and distraction. Can mindful interoceptive exposure to the pain sensation itself and its phenomenological components be an alternative approach?<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Single-arm feasibility study in patients with cLBP using a 2-minute attention exercise guided by a smartphone app several times per day over 8 weeks. We assessed feasibility, pre\/post pain, function, and psychological parameters using mixed methods: standard questionnaires, ecological momentary assessment, and exit interviews that included micro-phenomenology technique and subsequent reflexive thematic qualitative analysis.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>We enrolled 31 participants, mostly female, mean age 48, the majority had pain for &gt;5 years; 29 completed. Mean pain intensity [0\u201310] improved from 4.8 \u00b11.7 to 3.1 \u00b11.9 (<jats:italic>p<\/jats:italic> &lt; .0001); mean PEG scores (intensity and interference with daily life; range 0\u201330) improved from 13.7 \u00b16.2 to 8.4 \u00b16.6 (<jats:italic>p<\/jats:italic> &lt; .0001); pain impact (9 items incl physical function) 22.3 \u00b18.7 to 19.7 \u00b18.1 (<jats:italic>p<\/jats:italic> = .0010). Twenty-one of 29 improved PEG score \u226530%. There were significant improvements in PCS Rumination and MAIA Not-Worrying. Participants became aware of their usual habit of avoidance and the challenge of and resistance to focusing on pain. They were surprised how pain sensations varied over time, and that pain intensity and the threat value of pain could diminish by focusing on it. They described a variety of 3D pain shapes (e.g., football, pool ball, rod, nail, brick, stars) with a range of colors, transparency, temperature, and density that for some changed with mindful attention. Most struggled to find appropriate words for sensory awareness and attention regulation and found that the threat value of their pain diminished.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Mindful interoceptive exposure to the sensations of their cLBP using a 2-minute attention exercise with a phone app\u2014rather than ignoring and distracting from it\u2014may be a beneficial intervention for cLBP.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec005\">\n<jats:title>Trial registration<\/jats:title>\n<jats:p>ClinicalTrials.gov <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/clinicaltrials.gov\/ct2\/show\/#NCT06186193\" xlink:type=\"simple\">#NCT06186193<\/jats:ext-link>.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0307690","type":"journal-article","created":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T17:41:11Z","timestamp":1729791671000},"page":"e0307690","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":15,"title":["Mind your pain: A single-arm feasibility study to assess a smartphone-based interoceptive attention training for patients with chronic low back pain"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0932-9844","authenticated-orcid":true,"given":"Wolf E.","family":"Mehling","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8799-716X","authenticated-orcid":true,"given":"Irina A.","family":"Strigo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Goldman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Hartogensis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6637-9533","authenticated-orcid":true,"given":"Shelley R.","family":"Adler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Lotz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frederick M.","family":"Hecht","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2024,10,24]]},"reference":[{"issue":"6","key":"pone.0307690.ref001","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1093\/pm\/pnac193","article-title":"Racial and Ethnic Disparities in the Incidence of High-Impact Chronic Pain Among Primary Care Patients with Acute Low Back Pain: A Cohort Study.","volume":"24","author":"EJ Roseen","year":"2023","journal-title":"Pain Med"},{"issue":"9","key":"pone.0307690.ref002","doi-asserted-by":"crossref","first-page":"863","DOI":"10.1001\/jama.2020.0734","article-title":"US Health Care Spending by Payer and Health Condition, 1996\u20132016","volume":"323","author":"JL Dieleman","year":"2020","journal-title":"JAMA"},{"issue":"1","key":"pone.0307690.ref003","doi-asserted-by":"crossref","first-page":"138","DOI":"10.3122\/jabfm.2020.01.190254","article-title":"Opioid prescriptions for new low back pain: trends and variability by state","volume":"33","author":"M Raad","year":"2020","journal-title":"The Journal of the American Board of Family Medicine"},{"issue":"Suppl 1","key":"pone.0307690.ref004","doi-asserted-by":"crossref","first-page":"S13","DOI":"10.1093\/pm\/pnac196","article-title":"Theoretical Schemas to Guide Back Pain Consortium (BACPAC) Chronic Low Back Pain Clinical Research.","volume":"24","author":"A Chau","year":"2023","journal-title":"Pain Med"},{"issue":"13","key":"pone.0307690.ref005","doi-asserted-by":"crossref","first-page":"3270","DOI":"10.1080\/09638288.2020.1851783","article-title":"A critical review of the biopsychosocial model of low back pain care: time for a new approach?","volume":"44","author":"K Mescouto","year":"2022","journal-title":"Disabil Rehabil."},{"issue":"3","key":"pone.0307690.ref006","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.jpain.2012.12.005","article-title":"Acceptance, cognitive restructuring, and distraction as coping strategies for acute pain.","volume":"14","author":"A Kohl","year":"2013","journal-title":"The journal of pain: official journal of the American Pain Society"},{"issue":"1\u20132","key":"pone.0307690.ref007","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1016\/j.pain.2004.03.034","article-title":"Distraction from chronic pain during a pain-inducing activity is associated with greater post-activity pain","volume":"110","author":"L Goubert","year":"2004","journal-title":"Pain"},{"issue":"7","key":"pone.0307690.ref008","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1016\/j.spinee.2015.03.003","article-title":"Clinical decision rule for primary care patient with acute low back pain at risk of developing chronic pain","volume":"15","author":"WE Mehling","year":"2015","journal-title":"The spine journal: official journal of the North American Spine Society"},{"issue":"9","key":"pone.0307690.ref009","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1097\/AJP.0b013e3181e104f2","article-title":"Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice.","volume":"26","author":"MI Hasenbring","year":"2010","journal-title":"The Clinical journal of pain"},{"key":"pone.0307690.ref010","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2147\/JPR.S42418","article-title":"Self-reported interoceptive awareness in primary care patients with past or current low back pain","volume":"6","author":"WE Mehling","year":"2013","journal-title":"Journal of pain research"},{"issue":"2","key":"pone.0307690.ref011","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1007\/s11916-005-0044-1","article-title":"How does distraction work in the management of pain?","volume":"9","author":"MH Johnson","year":"2005","journal-title":"Current pain and headache reports."},{"issue":"2024","key":"pone.0307690.ref012","article-title":"Insights into pain distraction and the impact of pain catastrophizing on pain perception during different types of distraction tasks","volume":"5","author":"P.-M. Rad AAW","year":"2024","journal-title":"Frontiers in Pain Research"},{"issue":"7","key":"pone.0307690.ref013","doi-asserted-by":"crossref","first-page":"1301","DOI":"10.1002\/ejp.1576","article-title":"Mindfulness meditation is related to sensory-affective uncoupling of pain in trained novice and expert practitioners","volume":"24","author":"J Zorn","year":"2020","journal-title":"European journal of pain"},{"issue":"6","key":"pone.0307690.ref014","doi-asserted-by":"crossref","first-page":"1130","DOI":"10.1097\/j.pain.0000000000002464","article-title":"Neural mechanisms of pain relief through paying attention to painful stimuli","volume":"163","author":"D Kim","year":"2022","journal-title":"Pain"},{"issue":"1","key":"pone.0307690.ref015","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1037\/0033-2909.109.1.25","article-title":"Beyond attentional strategies: cognitive-perceptual model of somatic interpretation.","volume":"109","author":"D. Cioffi","year":"1991","journal-title":"Psychological bulletin."},{"issue":"1","key":"pone.0307690.ref016","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1037\/a0018360","article-title":"Mindfulness and psychological process.","volume":"10","author":"JM Williams","year":"2010","journal-title":"Emotion."},{"issue":"4","key":"pone.0307690.ref017","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1093\/scan\/nsm030","article-title":"Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference.","volume":"2","author":"NA Farb","year":"2007","journal-title":"Social cognitive and affective neuroscience"},{"issue":"3","key":"pone.0307690.ref018","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.biopsych.2022.06.038","article-title":"Mindfulness Training Changes Brain Dynamics During Depressive Rumination: A Randomized Controlled Trial","volume":"93","author":"AM van der Velden","year":"2023","journal-title":"Biol Psychiatry"},{"issue":"9","key":"pone.0307690.ref019","doi-asserted-by":"crossref","first-page":"2155","DOI":"10.1007\/s12671-023-02193-6","article-title":"The State- and Trait-Level Effects and Candidate Mechanisms of Four Mindfulness-Based Cognitive Therapy (MBCT) Practices: Two Exploratory Studies.","volume":"14","author":"S Maloney","year":"2023","journal-title":"Mindfulness"},{"issue":"2","key":"pone.0307690.ref020","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1093\/sw\/swad008","article-title":"Mindfulness-Oriented Recovery Enhancement: An Evidence-Based Social Work Intervention for Addiction, Stress, and Chronic Pain.","volume":"68","author":"EL Garland","year":"2023","journal-title":"Soc Work"},{"key":"pone.0307690.ref021","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.cpr.2017.10.008","article-title":"The efficacy of attentional distraction and sensory monitoring in chronic pain patients: A meta-analysis.","volume":"59","author":"DM Van Ryckeghem","year":"2018","journal-title":"Clinical psychology review"},{"key":"pone.0307690.ref022","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.ctim.2019.03.021","article-title":"What are the known effects of yoga on the brain in relation to motor performances, body awareness and pain? A narrative review","volume":"44","author":"E Rivest-Gadbois","year":"2019","journal-title":"Complementary therapies in medicine"},{"issue":"1","key":"pone.0307690.ref023","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1016\/j.cbpra.2008.07.002","article-title":"Yoga and mindfulness: clinical aspects of an ancient mind\/body practice","volume":"16","author":"E. Salmon PL","year":"2009","journal-title":"Cogn and Behav Practice"},{"key":"pone.0307690.ref024","article-title":"Insular Cortex Mediates Increased Pain Tolerance in Yoga Practitioners","author":"C Villemure","year":"2013","journal-title":"Cerebral cortex"},{"issue":"2","key":"pone.0307690.ref025","doi-asserted-by":"crossref","first-page":"2275661","DOI":"10.1080\/07853890.2023.2275661","article-title":"Mind-body practices, interoception and pain: a scoping review of behavioral and neural correlates","volume":"55","author":"S Voss","year":"2023","journal-title":"Ann Med"},{"issue":"5","key":"pone.0307690.ref026","doi-asserted-by":"crossref","first-page":"399","DOI":"10.3109\/07853898909149228","article-title":"Medical research on a complaint: orientation and priorities.","volume":"21","author":"OS Miettinen","year":"1989","journal-title":"Ann Med"},{"key":"pone.0307690.ref027","article-title":"Immediate and lasting chronic pain reduction following a brief self-implemented mindfulness-based interoceptive exposure task: a pilot study.","author":"B Cayoun","year":"2017","journal-title":"Mindfulness"},{"issue":"14","key":"pone.0307690.ref028","doi-asserted-by":"crossref","first-page":"1128","DOI":"10.1097\/BRS.0000000000000434","article-title":"Report of the NIH task force on research standards for chronic low back pain","volume":"39","author":"RA Deyo","year":"2014","journal-title":"Spine"},{"issue":"12","key":"pone.0307690.ref029","doi-asserted-by":"crossref","first-page":"e0208034","DOI":"10.1371\/journal.pone.0208034","article-title":"The Multidimensional Assessment of Interoceptive Awareness, Version 2 (MAIA-2).","volume":"13","author":"WE Mehling","year":"2018","journal-title":"PloS one."},{"key":"pone.0307690.ref030","article-title":"Qualtrics","year":"2020"},{"issue":"1","key":"pone.0307690.ref031","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1097\/BRS.0b013e31815e3a10","article-title":"Interpreting change scores for pain and functional status in low back pain: towards international consensus regarding minimal important change","volume":"33","author":"RW Ostelo","year":"2008","journal-title":"Spine"},{"issue":"5","key":"pone.0307690.ref032","doi-asserted-by":"crossref","first-page":"1644","DOI":"10.1016\/j.athoracsur.2015.11.024","article-title":"Adjust for Multiple Comparisons? It\u2019s Not That Simple","volume":"101","author":"AD Althouse","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"2","key":"pone.0307690.ref033","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support.","volume":"42","author":"PA Harris","year":"2009","journal-title":"J Biomed Inform"},{"issue":"Suppl 1","key":"pone.0307690.ref034","doi-asserted-by":"crossref","first-page":"S95","DOI":"10.1093\/pm\/pnad008","article-title":"The Back Pain Consortium (BACPAC) Research Program Data Harmonization: Rationale for Data Elements and Standards.","volume":"24","author":"A Batorsky","year":"2023","journal-title":"Pain Med."},{"issue":"6","key":"pone.0307690.ref035","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1007\/s11606-009-0981-1","article-title":"Development and initial validation of the PEG, a three-item scale assessing pain intensity and interference","volume":"24","author":"EE Krebs","year":"2009","journal-title":"Journal of general internal medicine"},{"issue":"6","key":"pone.0307690.ref036","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/j.jpain.2016.02.012","article-title":"Responsiveness and Minimal Important Change of the Pain Self-Efficacy Questionnaire and Short Forms in Patients With Chronic Low Back Pain.","volume":"17","author":"A Chiarotto","year":"2016","journal-title":"The journal of pain: official journal of the American Pain Society"},{"issue":"3","key":"pone.0307690.ref037","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1016\/j.pain.2009.12.016","article-title":"Validation of the chronic pain acceptance questionnaire (CPAQ) in an Internet sample and development and preliminary validation of the CPAQ-8.","volume":"149","author":"RA Fish","year":"2010","journal-title":"Pain"},{"issue":"3","key":"pone.0307690.ref038","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1179\/jmt.2009.17.3.163","article-title":"Global rating of change scales: a review of strengths and weaknesses and considerations for design.","volume":"17","author":"SJ Kamper","year":"2009","journal-title":"J Man Manip Ther"},{"issue":"9","key":"pone.0307690.ref039","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1002\/ejp.665","article-title":"Development and evaluation of short forms of the Pain Catastrophizing Scale and the Pain Self-efficacy Questionnaire","volume":"19","author":"LA McWilliams","year":"2015","journal-title":"European journal of pain"},{"issue":"2","key":"pone.0307690.ref040","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1016\/0304-3959(93)90127-B","article-title":"A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability.","volume":"52","author":"G Waddell","year":"1993","journal-title":"Pain"},{"issue":"1","key":"pone.0307690.ref041","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/1073191105283504","article-title":"Using self-report assessment methods to explore facets of mindfulness.","volume":"13","author":"RA Baer","year":"2006","journal-title":"Assessment."},{"issue":"2","key":"pone.0307690.ref042","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.jpain.2007.09.005","article-title":"Interpreting the clinical importance of treatment outcomes in chronic pain clinical trials: IMMPACT recommendations.","volume":"9","author":"RH Dworkin","year":"2008","journal-title":"The journal of pain: official journal of the American Pain Society"},{"key":"pone.0307690.ref043","volume-title":"Stata 17 SaDS","year":"2021"},{"issue":"5\u20136","key":"pone.0307690.ref044","first-page":"170","article-title":"What is it like to meditate? Methods and issues for a microphenomenological description of meditative experience.","volume":"24","author":"C. Petitmengin","year":"2017","journal-title":"J Consciousness Studies."},{"key":"pone.0307690.ref045","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.copsyc.2018.10.009","article-title":"Studying the experience of meditation through Micro-phenomenology.","volume":"28","author":"C Petitmengin","year":"2018","journal-title":"Current opinion in psychology."},{"issue":"4","key":"pone.0307690.ref046","doi-asserted-by":"crossref","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","article-title":"Reflecting on reflexive thematic analysis.","volume":"11","author":"V Braun","year":"2019","journal-title":"Qual Res Sport Exerc"},{"issue":"3","key":"pone.0307690.ref047","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1080\/14780887.2020.1769238","article-title":"One size fits all? What counts as quality practice in (reflexive) thematic analysis?","volume":"18","author":"V Braun","year":"2021","journal-title":"Qual Res Psychol"},{"issue":"7","key":"pone.0307690.ref048","doi-asserted-by":"crossref","first-page":"e0200629","DOI":"10.1371\/journal.pone.0200629","article-title":"Does attention bias modification training impact on task performance in the context of pain: An experimental study in healthy participants.","volume":"13","author":"DML Van Ryckeghem","year":"2018","journal-title":"PLoS One."},{"issue":"8","key":"pone.0307690.ref049","doi-asserted-by":"crossref","first-page":"1283","DOI":"10.1016\/j.jpain.2022.03.235","article-title":"Pain is Not a \"thing\": How That Error Affects Language and Logic in Pain Medicine.","volume":"23","author":"M Cohen","year":"2022","journal-title":"J Pain."},{"issue":"2","key":"pone.0307690.ref050","doi-asserted-by":"crossref","first-page":"e634","DOI":"10.1097\/PR9.0000000000000634","article-title":"Reconsidering the International Association for the Study of Pain definition of pain","volume":"3","author":"M Cohen","year":"2018","journal-title":"PAIN Reports"},{"issue":"9","key":"pone.0307690.ref051","doi-asserted-by":"crossref","first-page":"1976","DOI":"10.1097\/j.pain.0000000000001939","article-title":"The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises","volume":"161","author":"SN Raja","year":"2020","journal-title":"PAIN"},{"key":"pone.0307690.ref052","article-title":"Everything flows, or does it? Heraclitus on everything. antigonejournal.com: Antigone, an open forum for classics","author":"S. van Hoorn","year":"2021"},{"key":"pone.0307690.ref053","doi-asserted-by":"crossref","DOI":"10.1515\/9781400848058","volume-title":"The Princton Dictionary of Buddhism","author":"D. S. Buswell REL","year":"2014"},{"issue":"7","key":"pone.0307690.ref054","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1007\/s12671-019-1091-8","article-title":"Effect of Acceptance versus Attention on Pain Tolerance: Dissecting Two Components of Mindfulness.","volume":"10","author":"Y Wang","year":"2019","journal-title":"Mindfulness (N Y)."},{"key":"pone.0307690.ref055","doi-asserted-by":"crossref","first-page":"1253559","DOI":"10.3389\/fnins.2023.1253559","article-title":"Dynamic processes of mindfulness-based alterations in pain perception","volume":"17","author":"C Lu","year":"2023","journal-title":"Front Neurosci"},{"key":"pone.0307690.ref056","volume-title":"Trauma and the Body: A Sensorimotor Approach to Psychotherapy.","author":"P Ogden","year":"2006"},{"key":"pone.0307690.ref057","doi-asserted-by":"crossref","first-page":"617","DOI":"10.3389\/fnhum.2013.00617","article-title":"Microcognitive science: bridging experiential and neuronal microdynamics.","volume":"7","author":"C Petitmengin","year":"2013","journal-title":"Frontiers in human neuroscience"},{"issue":"7","key":"pone.0307690.ref058","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1037\/a0039585","article-title":"Investigating the phenomenological matrix of mindfulness-related practices from a neurocognitive perspective","volume":"70","author":"A Lutz","year":"2015","journal-title":"The American psychologist"},{"key":"pone.0307690.ref059","article-title":"Klett-Cotta, Stuttgart.","author":"Heidegger M. Gelassenheit","year":"1959"},{"key":"pone.0307690.ref060","article-title":"DISCOURSE ON THINKING; A Translation of Gelassenheit by John M. Anderson and E. Hans Freund UNIVERSITY OF FLORIDA LIBRARIES Internet Archives","author":"M. Heidegger"},{"issue":"6937","key":"pone.0307690.ref061","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1038\/423227a","article-title":"Mental self: The person within","volume":"423","author":"A. Damasio","year":"2003","journal-title":"Nature"},{"issue":"6","key":"pone.0307690.ref062","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1016\/S0166-2236(03)00123-1","article-title":"A new view of pain as a homeostatic emotion","volume":"26","author":"AD Craig","year":"2003","journal-title":"Trends in neurosciences"},{"issue":"4","key":"pone.0307690.ref063","first-page":"44","article-title":"Randomized, controlled trial of breath therapy for patients with chronic low-back pain","volume":"11","author":"WE Mehling","year":"2005","journal-title":"Alternative therapies in health and medicine"},{"issue":"5","key":"pone.0307690.ref064","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1123\/jsr.2015-0199","article-title":"The use of breathing exercises in the treatment of chronic, nonspecific low back pain","volume":"26","author":"BE Anderson","year":"2017","journal-title":"Journal of sport rehabilitation"},{"key":"pone.0307690.ref065","article-title":"Emotional benefits of mindfulness.","author":"JJ Arch","year":"2015"},{"issue":"1","key":"pone.0307690.ref066","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1111\/nyas.13153","article-title":"Mindfulness meditation-based pain relief: a mechanistic account","volume":"1373","author":"F Zeidan","year":"2016","journal-title":"Annals of the New York Academy of Sciences"},{"key":"pone.0307690.ref067","doi-asserted-by":"crossref","first-page":"110677","DOI":"10.1016\/j.jpsychores.2021.110677","article-title":"Mindfulness-oriented recovery enhancement improves negative emotion regulation among opioid-treated chronic pain patients by increasing interoceptive awareness","volume":"152","author":"RL Roberts","year":"2021","journal-title":"J Psychosom Res"},{"key":"pone.0307690.ref068","article-title":"Sensing the body matters: profiles of interoceptive sensibility in chronic pain adjustment","author":"I Oliveira","year":"2023","journal-title":"Pain"},{"key":"pone.0307690.ref069","volume-title":"On Seeing, chapter in: Pilgrim at Tinker Creek","author":"A. Dillard","year":"1974"},{"issue":"11","key":"pone.0307690.ref070","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1016\/j.tics.2013.09.007","article-title":"Interoceptive inference, emotion, and the embodied self.","volume":"17","author":"AK Seth","year":"2013","journal-title":"Trends in cognitive sciences."},{"key":"pone.0307690.ref071","article-title":"Adaptive coding of pain prediction error in the anterior insula","author":"R Hoskin","year":"2023","journal-title":"European Journal of Pain"},{"issue":"3","key":"pone.0307690.ref072","doi-asserted-by":"crossref","first-page":"172","DOI":"10.1093\/jmp\/5.3.172","article-title":"self: a dialectic","volume":"5","author":"Gadow S. Body","year":"1980","journal-title":"The Journal of medicine and philosophy"},{"key":"pone.0307690.ref073","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1747-5341-6-6","article-title":"Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies.","volume":"6","author":"WE Mehling","year":"2011","journal-title":"Philosophy, ethics, and humanities in medicine: PEHM."},{"issue":"11","key":"pone.0307690.ref074","doi-asserted-by":"crossref","first-page":"e48230","DOI":"10.1371\/journal.pone.0048230","article-title":"The Multidimensional Assessment of Interoceptive Awareness (MAIA).","volume":"7","author":"WE Mehling","year":"2012","journal-title":"PloS one."},{"key":"pone.0307690.ref075","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.jad.2019.11.167","article-title":"Dropout rates in clinical trials of smartphone apps for depressive symptoms: A systematic review and meta-analysis","volume":"263","author":"J Torous","year":"2020","journal-title":"J Affect Disord"},{"issue":"8","key":"pone.0307690.ref076","doi-asserted-by":"crossref","first-page":"e39682","DOI":"10.2196\/39682","article-title":"mHealth Apps for Low Back Pain Self-management","volume":"10","author":"A Rintala","year":"2022","journal-title":"Scoping Review. JMIR Mhealth Uhealth"},{"key":"pone.0307690.ref077","doi-asserted-by":"crossref","first-page":"e47502","DOI":"10.2196\/47502","article-title":"Availability, Quality, and Evidence-Based Content of mHealth Apps for the Treatment of Nonspecific Low Back Pain in the German Language","volume":"11","author":"L Ulrich","year":"2023","journal-title":"Systematic Assessment. JMIR Mhealth Uhealth"},{"key":"pone.0307690.ref078","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1016\/j.jclinepi.2018.05.007","article-title":"Minimum clinically important differences in chronic pain vary considerably by baseline pain and methodological factors: systematic review of empirical studies","volume":"101","author":"MF Olsen","year":"2018","journal-title":"J Clin Epidemiol"},{"key":"pone.0307690.ref079","author":"MJ Sullivan","year":"2023","journal-title":"Pain Catastrophizing: Controversies"},{"issue":"3","key":"pone.0307690.ref080","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1080\/07448481.2018.1481071","article-title":"Worry and rumination: Explanatory roles in the relation between pain and anxiety and depressive symptoms among college students with pain","volume":"67","author":"AH Rogers","year":"2019","journal-title":"J Am Coll Health"},{"issue":"6","key":"pone.0307690.ref081","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1097\/PSY.0000000000000938","article-title":"Cognitive Defusion Is a Core Cognitive Mechanism for the Sensory-Affective Uncoupling of Pain During Mindfulness Meditation.","volume":"83","author":"J Zorn","year":"2021","journal-title":"Psychosom Med"},{"issue":"1708","key":"pone.0307690.ref082","article-title":"Differentiating attention styles and regulatory aspects of self-reported interoceptive sensibility","volume":"371","author":"WE Mehling","year":"2016","journal-title":"Philosophical transactions of the Royal Society of London Series B, Biological sciences."},{"issue":"2","key":"pone.0307690.ref083","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1002\/aur.2458","article-title":"Adaptive and Maladaptive Bodily Awareness: Distinguishing Interoceptive Sensibility and Interoceptive Attention from Anxiety-Induced Somatization in Autism and Alexithymia.","volume":"14","author":"DA Trevisan","year":"2021","journal-title":"Autism Res."},{"issue":"1","key":"pone.0307690.ref084","doi-asserted-by":"crossref","first-page":"20385","DOI":"10.1038\/s41598-021-99882-w","article-title":"A systematic review and meta-analysis of acceptance- and mindfulness-based interventions for DSM-5 anxiety disorders.","volume":"11","author":"H Haller","year":"2021","journal-title":"Sci Rep"},{"key":"pone.0307690.ref085","doi-asserted-by":"crossref","first-page":"1008086","DOI":"10.3389\/fnbeh.2023.1008086","article-title":"Interoceptive awareness: MBSR training alters information processing of salience network.","volume":"17","author":"SF Guu","year":"2023","journal-title":"Front Behav Neurosci"},{"issue":"1","key":"pone.0307690.ref086","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1111\/jasp.12196","article-title":"Self-Regulatory Deficits Associated with Unpracticed Mindfulness Strategies for Coping with Acute Pain","volume":"44","author":"DR Evans","year":"2014","journal-title":"J Appl Soc Psychol"},{"key":"pone.0307690.ref087","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.copsyc.2018.12.011","article-title":"Can mindfulness be too much of a good thing? The value of a middle way.","volume":"28","author":"WB Britton","year":"2019","journal-title":"Curr Opin Psychol"},{"key":"pone.0307690.ref088","doi-asserted-by":"crossref","first-page":"103621","DOI":"10.1016\/j.concog.2023.103621","article-title":"The misjudgment of interoceptive awareness: Systematic overrating of interoceptive awareness among individuals with lower interoceptive metacognitive skills.","volume":"117","author":"C Rominger","year":"2023","journal-title":"Conscious Cogn"},{"issue":"2","key":"pone.0307690.ref089","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1080\/02791072.2010.10400690","article-title":"Mindfulness training modifies cognitive, affective, and physiological mechanisms implicated in alcohol dependence: results of a randomized controlled pilot trial","volume":"42","author":"EL Garland","year":"2010","journal-title":"Journal of psychoactive drugs"},{"issue":"4","key":"pone.0307690.ref090","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1007\/s12671-023-02102-x","article-title":"Increased Effect Sizes in a Mindfulness- and Yoga-Based Intervention After Adjusting for Response Shift with Then-Test.","volume":"14","author":"LJ Bartos","year":"2023","journal-title":"Mindfulness (N Y)"},{"issue":"1","key":"pone.0307690.ref091","doi-asserted-by":"crossref","first-page":"100895","DOI":"10.1016\/j.xcrm.2022.100895","article-title":"Brief structured respiration practices enhance mood and reduce physiological arousal","volume":"4","author":"MY Balban","year":"2023","journal-title":"Cell Rep Med"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0307690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,24]],"date-time":"2024-10-24T17:41:56Z","timestamp":1729791716000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0307690"}},"subtitle":[],"editor":[{"given":"Yee Cheng","family":"Kueh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,10,24]]},"references-count":91,"journal-issue":{"issue":"10","published-online":{"date-parts":[[2024,10,24]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0307690","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,24]]}}}