“Noticing the Way that I’m Noticing Pain”: A Qualitative Analysis of Therapeutic Progression in Mindfulness-Oriented Recovery Enhancement for Patients with Lumbosacral Radicular Pain

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This qualitative study analyzes session recordings from a clinical trial of Mindfulness-Oriented Recovery Enhancement (MORE) for patients with lumbosacral radicular pain. The authors identify a four-stage progression—Vigilance-Avoidance Metacognition-Reappraisal—through which participants modify their relationship to pain, noting that attention skills may initially be used for avoidance. The resource is intended for clinicians to anticipate challenges and tailor mindfulness-based interventions.

ID
5a85088897fe4da2
Source org
PubMed Central
Author
Ryan S. Wexler (National University of Natural Medicine), Wade Balsamo (National University of Natural Medicine), Devon J. Fox (National University of Natural Medicine), Danielle ZuZero (National University of Natural Medicine), Anand Parikshak (National University of Natural Medicine), Sophia Kwin (National University of Natural Medicine), Jillian Ramirez (National University of Natural Medicine), Austin R. Thompson (Oregon Health & Science University), Hans Carlson (Oregon Health & Science University), Thomas Kern (Oregon Health & Science University), Scott D. Mist (National University of Natural Medicine), Ryan Bradley (National University of Natural Medicine), Heather Zwickey (National University of Natural Medicine), Courtney K. Pickworth (National University of Natural Medicine), Eric L. Garland (University of San Diego)
Published
2026-03-01
OA status
hybrid
DOI
10.1007/s12671-026-02782-1
PMID
Not recorded
PMCID
Not recorded
Citations
0

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BibTeX

@article{allodium:5a85088897fe4da2,
  title = {“Noticing the Way that I’m Noticing Pain”: A Qualitative Analysis of Therapeutic Progression in Mindfulness-Oriented Recovery Enhancement for Patients with Lumbosacral Radicular Pain},
  author = {Ryan S. Wexler and Wade Balsamo and Devon J. Fox and Danielle ZuZero and Anand Parikshak and Sophia Kwin and Jillian Ramirez and Austin R. Thompson and Hans Carlson and Thomas Kern and Scott D. Mist and Ryan Bradley and Heather Zwickey and Courtney K. Pickworth and Eric L. Garland},
  year = {2026},
  journal = {PubMed Central},
  doi = {10.1007/s12671-026-02782-1},
  url = {https://doi.org/10.1007/s12671-026-02782-1}
}

RIS

TY  - JOUR
TI  - “Noticing the Way that I’m Noticing Pain”: A Qualitative Analysis of Therapeutic Progression in Mindfulness-Oriented Recovery Enhancement for Patients with Lumbosacral Radicular Pain
AU  - Wexler, Ryan S.
AU  - Balsamo, Wade
AU  - Fox, Devon J.
AU  - ZuZero, Danielle
AU  - Parikshak, Anand
AU  - Kwin, Sophia
AU  - Ramirez, Jillian
AU  - Thompson, Austin R.
AU  - Carlson, Hans
AU  - Kern, Thomas
AU  - Mist, Scott D.
AU  - Bradley, Ryan
AU  - Zwickey, Heather
AU  - Pickworth, Courtney K.
AU  - Garland, Eric L.
PY  - 2026
PB  - PubMed Central
DO  - 10.1007/s12671-026-02782-1
UR  - https://doi.org/10.1007/s12671-026-02782-1
ER  -

APA

Wexler, R. S., Balsamo, W., Fox, D. J., ZuZero, D., Parikshak, A., Kwin, S., Ramirez, J., Thompson, A. R., Carlson, H., Kern, T., Mist, S. D., Bradley, R., Zwickey, H., Pickworth, C. K., & Garland, E. L. (2026). “Noticing the Way that I’m Noticing Pain”: A Qualitative Analysis of Therapeutic Progression in Mindfulness-Oriented Recovery Enhancement for Patients with Lumbosacral Radicular Pain. PubMed Central. https://doi.org/10.1007/s12671-026-02782-1

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