r-n-jРоссийский неврологический журналRussian neurological journal2658-79472686-7192МИА10.30629/2658-7947-2020-25-2-12-21r-n-j-72Research ArticleОБЗОРЫREVIEWSПсихологические методы лечения хронической неспецифической боли в спинеPsychological Methods of Chronic Non-Specific Pain Treatmenthttps://orcid.org/0000-0003-4971-9254КузьминоваТ. И.KuzminovaT. I.

Кузьминова Татьяна Игоревна — аспирант кафедры нервных болезней и нейрохирургии

Москва

Moscow

tatiana.martova@yandex.ruhttps://orcid.org/0000-0002-0827-9427МухаметзяноваА. Х.MukhametzyanovaA. Kh.

Москва

Moscow

albimukhametzyanova@yandex.ruhttps://orcid.org/0000-0002-8725-5246МагомедкеримоваЛ. В.MagomedkerimovaL. V.

Москва

Moscow

Mobitzz@mail.ruПервый МГМУ им. И.М. СеченоваРоссияFirst MSMU of the Ministry of Health of Russia named after I.M. SechenovRussian Federation2020220720202521221Copyright © Кузьминова Т.И., Мухаметзянова А.Х., Магомедкеримова Л.В., 20202020Кузьминова Т.И., Мухаметзянова А.Х., Магомедкеримова Л.В.Kuzminova T.I., Mukhametzyanova A.K., Magomedkerimova L.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.r-n-j.com/jour/article/view/72

Для уменьшения интенсивности болевого синдрома, снижения влияния психологических, социальных факторов, коморбидных расстройств и улучшения качества жизни у пациентов с хронической болью в спине (ХБС) могут использоваться психологические методы лечения. Обсуждаются методы оценки психологического состояния, эффективность различных психологических методов. Отмечается, что эффективность когнитивно-поведенческой терапии, майндфулнесс (терапия осознанности), метода релаксации и биологической обратной связи подтверждена результатами рандомизированных контролируемых исследований при ХБС. Психологические методы лечения боли следует широко использовать при ведении пациентов с ХБС.

Psychological treatment methods can be used to reduce the intensity of the pain syndrome, the influence of psychological, social factors, comorbide disorders, and to improve the quality of life in patients with chronic back pain (CPS, i.e. chronical pain syndrome). The methods of assessing the psychological state, the effectiveness of various psychological methods are discussed. It is noted that the effectiveness of cognitive-behavioral therapy, mindfulness (mindfulness therapy), relaxation method and biofeedback is confirmed by the results of randomized controlled studies for CPS. Psychological methods of treatment for pain should be widely used in the management of patients with CPS.

боль в спинехроническая неспецифическая боль в нижней части спиныпсихологические методы леченияболевые опросникикогнитивно-поведенческая терапиямайндфулнессбиологическая обратная связьback painchronic nonspecific pain in the lower backpsychological treatment methodspain questionnairescognitive behavioral therapymindfulnessbiofeedbackReferencesHurwitz E.L., Randhawa K., Yu H., Côté P., Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur. Spine J. 2018;27(Suppl 6):796–801. https://doi.org/10.1007/s00586-017-5432-9.Hurwitz E.L., Randhawa K., Yu H., Côté P., Haldeman S. The Global Spine Care Initiative: a summary of the global burden of low back and neck pain studies. Eur. Spine J. 2018;27(Suppl 6):796–801. https://doi.org/10.1007/s00586-017-5432-9.Chou R., Qaseem A., Snow V., Casey D., Cross J.T.Jr., Shekelle P., Owens D.K.;. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann. Intern. Med. 2007;147(7):478–491. https://doi.org/10.7326/0003-4819-1477-200710020-00006.Chou R., Qaseem A., Snow V., Casey D., Cross J.T.Jr., Shekelle P., Owens D.K.;. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann. Intern. Med. 2007;147(7):478–491. https://doi.org/10.7326/0003-4819-1477-200710020-00006.Tavee J.O., Levin K.H. Low back pain. Continuum (Minneap Minn). 2017;23(2):467–486. https://doi.org/10.1212/CON.0000000000000449.Tavee J.O., Levin K.H. Low back pain. Continuum (Minneap Minn). 2017;23(2):467–486. https://doi.org/10.1212/CON.0000000000000449.Парфенов В.А., Яхно Н.Н., Кукушкин М.Л. Чурюканов М.В., Давыдов О.С., Головачева В.А., Исайкин А.И., Ачкасов Е.Е., Евзиков Г.Ю., Каратеев А.Е., Хабиров Ф.А., Широков В.А. Острая неспецифическая (скелетно-мышечная) поясничная боль. Рекомендации Российского общества по изучению боли (РОИБ). Неврология, нейропсихиатрия, психосоматика. 2018;10(2):4–11. https://doi.org/10.14412/2074-2711-20182-4-11.Парфенов В.А., Яхно Н.Н., Кукушкин М.Л. Чурюканов М.В., Давыдов О.С., Головачева В.А., Исайкин А.И., Ачкасов Е.Е., Евзиков Г.Ю., Каратеев А.Е., Хабиров Ф.А., Широков В.А. Острая неспецифическая (скелетно-мышечная) поясничная боль. Рекомендации Российского общества по изучению боли (РОИБ). Неврология, нейропсихиатрия, психосоматика. 2018;10(2):4–11. https://doi.org/10.14412/2074-2711-20182-4-11.Данилов А.Б. Биопсихосоциокультурная модель и хроническая боль. Современная терапия в психиатрии и неврологии. 2013;1:30–36. https://cyberleninka.ru/article/n/biopsihosotsiokulturnaya-model-i-hronicheskaya-bol.Данилов А.Б. Биопсихосоциокультурная модель и хроническая боль. Современная терапия в психиатрии и неврологии. 2013;1:30–36. https://cyberleninka.ru/article/n/biopsihosotsiokulturnaya-model-i-hronicheskaya-bol.Суслова Е.Ю., Парфенов В.А. Комплексный подход к лечению пациентов с хронической люмбалгией. Журнал неврологии и психиатрии имени С.С. Корсакова. 2015;10(2):16–21. https://doi.org/10.17116/jnevro201511510216-21.Суслова Е.Ю., Парфенов В.А. Комплексный подход к лечению пациентов с хронической люмбалгией. Журнал неврологии и психиатрии имени С.С. Корсакова. 2015;10(2):16–21. https://doi.org/10.17116/jnevro201511510216-21.Nicholas M.K., Linton S.J., Watson P.J., Main C.J., the «Decade of the Flags» Working Group. Early Identification and Management of Psychological Risk Factors («Yellow Flags») in Patients With Low Back Pain: A Reappraisal. Phys. Ther. 2011;91(5):737–753. https://doi.org/10.2522/ptj.20100224.Nicholas M.K., Linton S.J., Watson P.J., Main C.J., the «Decade of the Flags» Working Group. Early Identification and Management of Psychological Risk Factors («Yellow Flags») in Patients With Low Back Pain: A Reappraisal. Phys. Ther. 2011;91(5):737–753. https://doi.org/10.2522/ptj.20100224.Головачева В.А., Головачева А.А., Фатеева Т.Г. Психологические методы в лечении хронической неспецифической боли в нижней части спины. Неврология, нейропсихиатрия, психосоматика. 2019;11(2):25–32. https://doi.org/10.14412/2074-2711-2019-2S-25-32.Головачева В.А., Головачева А.А., Фатеева Т.Г. Психологические методы в лечении хронической неспецифической боли в нижней части спины. Неврология, нейропсихиатрия, психосоматика. 2019;11(2):25–32. https://doi.org/10.14412/2074-2711-2019-2S-25-32.Аверченкова А.А., Парфенов В.А. Клинико-психологический и нейрофизиологический профиль пациентов с хронической люмбалгией. Российский журнал боли. 2015;1(46):59. (In Russian). https://painrussia.ru/russian-Journal-of-Pain/45%2015.pdf.Аверченкова А.А., Парфенов В.А. Клинико-психологический и нейрофизиологический профиль пациентов с хронической люмбалгией. Российский журнал боли. 2015;1(46):59. (In Russian). https://painrussia.ru/russian-Journal-of-Pain/45%2015.pdf.Ciaramella A., Poli P. Chronic Low Back Pain: Perception and Coping With Pain in the Presence of Psychiatric Comorbidity. The Journal of Nervous and Mental Disease. 2015;203(8):632–640. https://doi.org/10.1097/NMD.0000000000000340.Ciaramella A., Poli P. Chronic Low Back Pain: Perception and Coping With Pain in the Presence of Psychiatric Comorbidity. The Journal of Nervous and Mental Disease. 2015;203(8):632–640. https://doi.org/10.1097/NMD.0000000000000340.Nijs J., Mairesse O., Neu D., Leysen L., Danneels L., Cagnie B., Meeus M., Moens M., Ickmans K., Goubert D. Sleep Disturbances in Chronic Pain: Neurobiology, Assessment, and Treatment in Physical Therapist Practice. Phys. Ther. 2018;98(5):325–335. https://doi.org/10.1093/ptj/pzy020.Nijs J., Mairesse O., Neu D., Leysen L., Danneels L., Cagnie B., Meeus M., Moens M., Ickmans K., Goubert D. Sleep Disturbances in Chronic Pain: Neurobiology, Assessment, and Treatment in Physical Therapist Practice. Phys. Ther. 2018;98(5):325–335. https://doi.org/10.1093/ptj/pzy020.Magel J., Fritz J.M., Greene T., Kjaer P., Marcus R.L., Brennan G.P. Outcomes of Patients With Acute Low Back Pain Stratified by the STarT Back Screening Tool: Secondary Analysis of a Randomized Trial. Physical Therapy. 2017;97(3):330–337. https://doi.org/10.2522/ptj.20160298.Magel J., Fritz J.M., Greene T., Kjaer P., Marcus R.L., Brennan G.P. Outcomes of Patients With Acute Low Back Pain Stratified by the STarT Back Screening Tool: Secondary Analysis of a Randomized Trial. Physical Therapy. 2017;97(3):330–337. https://doi.org/10.2522/ptj.20160298.Hill J.C., Whitehurst D.G., Lewis M., Bryan S., Dunn K.M., Foster N.E., Konstantinou K., Main C.J., Mason E., Somerville S., Sowden G., Vohora K., Hay E.M. Comparison of stratified primary care management for low back pain with current best bractice (STarT Back): a randomised controlled trial. Lancet. 2011;378(9802):1560–1571. https://doi.org/10.1016/S01406736(11)60937-9.Hill J.C., Whitehurst D.G., Lewis M., Bryan S., Dunn K.M., Foster N.E., Konstantinou K., Main C.J., Mason E., Somerville S., Sowden G., Vohora K., Hay E.M. Comparison of stratified primary care management for low back pain with current best bractice (STarT Back): a randomised controlled trial. Lancet. 2011;378(9802):1560–1571. https://doi.org/10.1016/S01406736(11)60937-9.Ramasamy A., Martin M.L., Blum S.I., Liedgens H., Argoff C., Freynhagen R., Patrick D.L. Assessment of Patient-Reported Outcome Instruments to Assess Chronic Low Back Pain. Pain Medicine. 2017;18(6):1098–1110. https://doi.org/10.1093/pm/pnw357.Ramasamy A., Martin M.L., Blum S.I., Liedgens H., Argoff C., Freynhagen R., Patrick D.L. Assessment of Patient-Reported Outcome Instruments to Assess Chronic Low Back Pain. Pain Medicine. 2017;18(6):1098–1110. https://doi.org/10.1093/pm/pnw357.McCord D.M., Drerup L.C. Relative practical utility of the Minnesota Multiphasic Personality Inventory-2 Restructured Clinical Scales versus the Clinical Scales in a chronic pain patient sample. J. Clin. Exp. Neuropsychol. 2011;33(1):140–6. https://doi.org/10.1080/13803395.2010.495056.McCord D.M., Drerup L.C. Relative practical utility of the Minnesota Multiphasic Personality Inventory-2 Restructured Clinical Scales versus the Clinical Scales in a chronic pain patient sample. J. Clin. Exp. Neuropsychol. 2011;33(1):140–6. https://doi.org/10.1080/13803395.2010.495056.Rosenstiel A.K., Keefe, F.J. The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain. 1983;17(1):33–44. https://doi.org/10.1016/0304-3959(83)90125-2.17.Rosenstiel A.K., Keefe, F.J. The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain. 1983;17(1):33–44. https://doi.org/10.1016/0304-3959(83)90125-2.17.Fernandes L., Storheim K., Lochting I., Grotle M. Cross-cultural adaptation and validation of the Norwegian pain catastrophizing scale in patients with low back pain. BMC Musculoskelet Disord. 2012;13:111. https://doi.org/10.1186/1471-2474-13-111.Fernandes L., Storheim K., Lochting I., Grotle M. Cross-cultural adaptation and validation of the Norwegian pain catastrophizing scale in patients with low back pain. BMC Musculoskelet Disord. 2012;13:111. https://doi.org/10.1186/1471-2474-13-111.Turk D.C., Dworkin R.H., Trudeau J.J., Benson C., Biondi D.M., Katz N.P., Kim M. Validation of the Hospital Anxiety and Depression Scale in Patients With Acute Low Back Pain. J. Pain. 2015;16(10):1012–1021. doi: 10.1016/j.jpain.2015.07.001. https://doi.org/10.1017/S104161021300197X.Turk D.C., Dworkin R.H., Trudeau J.J., Benson C., Biondi D.M., Katz N.P., Kim M. Validation of the Hospital Anxiety and Depression Scale in Patients With Acute Low Back Pain. J. Pain. 2015;16(10):1012–1021. doi: 10.1016/j.jpain.2015.07.001. https://doi.org/10.1017/S104161021300197X.Wong M.L., Lau K.N.T., Espie C.A., Luik A.I., Kyle S.D., Lau E.Y.Y. Psychometric properties of the Sleep Condition Indicator and Insomnia Severity Index in the evaluation of insomnia disorder. Sleep Med. 2017 May;33:76–81. https://doi.org/10.1016/j.sleep.2016.05.019.Wong M.L., Lau K.N.T., Espie C.A., Luik A.I., Kyle S.D., Lau E.Y.Y. Psychometric properties of the Sleep Condition Indicator and Insomnia Severity Index in the evaluation of insomnia disorder. Sleep Med. 2017 May;33:76–81. https://doi.org/10.1016/j.sleep.2016.05.019.Fan A., Tournadre A., Pereira B., Tatar Z., Couderc M., Malochet-Guinamand S., Dubost J.-J. Performance of Fibromyalgia Rapid Screening Tool (FiRST) to detect fibromyalgia syndrome in rheumatic diseases. Rheumatology. 2016;55(10):1746–50. https://doi.org/10.1093/rheumatology/kew244.Fan A., Tournadre A., Pereira B., Tatar Z., Couderc M., Malochet-Guinamand S., Dubost J.-J. Performance of Fibromyalgia Rapid Screening Tool (FiRST) to detect fibromyalgia syndrome in rheumatic diseases. Rheumatology. 2016;55(10):1746–50. https://doi.org/10.1093/rheumatology/kew244.Staiger T.O., Gaster B., Sullivan M.D., Deyo R. Systematic Review of Antidepressants in the Treatment of Chronic Low Back Pain. Spine. 2003;28(22):2540–45. https://doi.org/10.1097/01.brs.0000092372.73527.ba.Staiger T.O., Gaster B., Sullivan M.D., Deyo R. Systematic Review of Antidepressants in the Treatment of Chronic Low Back Pain. Spine. 2003;28(22):2540–45. https://doi.org/10.1097/01.brs.0000092372.73527.ba.Airaksinen O., Brox J.I., Cedraschi C., Hildebrandt J., KlaberMoffett J., Kovacs F., Mannion A.F., Reis S., Staal J.B., Ursin H., Zanoli G. Chapter 4 European guidelines for the management of chronic nonspecific low back pain. Eur. Spine J. 2006;15(2):192–300. https://doi.org/10.1007/s00586-006-1072-1.Airaksinen O., Brox J.I., Cedraschi C., Hildebrandt J., KlaberMoffett J., Kovacs F., Mannion A.F., Reis S., Staal J.B., Ursin H., Zanoli G. Chapter 4 European guidelines for the management of chronic nonspecific low back pain. Eur. Spine J. 2006;15(2):192–300. https://doi.org/10.1007/s00586-006-1072-1.Ikemoto T., Miki K., Matsubara T., Wakao N. Psychological Treatment Strategy for Chronic Low Back Pain. Spine Surgery and Related Research. 2019;3(3):199–206. https://doi.org/10.22603/ssrr.2018-0050.Ikemoto T., Miki K., Matsubara T., Wakao N. Psychological Treatment Strategy for Chronic Low Back Pain. Spine Surgery and Related Research. 2019;3(3):199–206. https://doi.org/10.22603/ssrr.2018-0050.Bergin A.E., Garfield S.L. Handbook of psychotherapy and behavior change. 4th ed. John Wiley & Sons. 1994.Bergin A.E., Garfield S.L. Handbook of psychotherapy and behavior change. 4th ed. John Wiley & Sons. 1994.Ashton-James C.E., Nicholas M.K. Appearance of trustworthiness: an implicit source of bias in judgments of patients’ pain. Pain. 2016;157(8):1583–1585. https://doi.org/10.1097/j.pain.0000000000000595.Ashton-James C.E., Nicholas M.K. Appearance of trustworthiness: an implicit source of bias in judgments of patients’ pain. Pain. 2016;157(8):1583–1585. https://doi.org/10.1097/j.pain.0000000000000595.Benedetti F. Placebo and the new physiology of the doctor-patient relationship. Physiol. Rev. 2013;93(3):1207–1246. https://doi.org/10.1152/physrev.00043.2012.Benedetti F. Placebo and the new physiology of the doctor-patient relationship. Physiol. Rev. 2013;93(3):1207–1246. https://doi.org/10.1152/physrev.00043.2012.Oliveira C.B., Maher C.G., Pinto R.Z., Traeger A.C., Lin C.C., Chenot J.F., van Tulder M., Koes B.W. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur. Spine J. 2018;27(11):27912803. https://doi.org/10.1007/s00586-018-5673-2.Oliveira C.B., Maher C.G., Pinto R.Z., Traeger A.C., Lin C.C., Chenot J.F., van Tulder M., Koes B.W. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur. Spine J. 2018;27(11):27912803. https://doi.org/10.1007/s00586-018-5673-2.Bernardy K., Klose P., Busch A.J., Choy E.H., Häuser W. Cognitive behavioural therapies for fibromyalgia. Cochrane Database of Systematic Reviews. 2013;9. https://doi.org/10.1002/14651858.CD009796.pub2.Bernardy K., Klose P., Busch A.J., Choy E.H., Häuser W. Cognitive behavioural therapies for fibromyalgia. Cochrane Database of Systematic Reviews. 2013;9. https://doi.org/10.1002/14651858.CD009796.pub2.Allen L.B., White K.S., Barlow D.H., Shear M.K., Gorman J.M., Woods S.W. Cognitive-Behavior Therapy (CBT) for Panic Disorder: Relationship of Anxiety and Depression Comorbidity with Treatment Outcome. J. Psychopathol. Behav. Assess. 2010;32(2):185–192. https://doi.org/10.1007/s10862-009-9151-3.Allen L.B., White K.S., Barlow D.H., Shear M.K., Gorman J.M., Woods S.W. Cognitive-Behavior Therapy (CBT) for Panic Disorder: Relationship of Anxiety and Depression Comorbidity with Treatment Outcome. J. Psychopathol. Behav. Assess. 2010;32(2):185–192. https://doi.org/10.1007/s10862-009-9151-3.Schutte-Rodin S., Broch L., Buysse D., Dorsey C., Sateia M. Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults. J. Clin. Sleep Med. 2008;4(5):487–504. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576317.Schutte-Rodin S., Broch L., Buysse D., Dorsey C., Sateia M. Clinical Guideline for the Evaluation and Management of Chronic Insomnia in Adults. J. Clin. Sleep Med. 2008;4(5):487–504. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576317.Beck J.S. Cognitive behavior therapy: basics and beyond. 2nd ed. New York: The Guilford Press; 2011:394.Beck J.S. Cognitive behavior therapy: basics and beyond. 2nd ed. New York: The Guilford Press; 2011:394.Парфенов В.А., Головачева В.А. Хроническая боль и ее лечение в неврологии. Москва: ГЭОТАР-Медиа; 2018:288.Парфенов В.А., Головачева В.А. Хроническая боль и ее лечение в неврологии. Москва: ГЭОТАР-Медиа; 2018:288.Cuijpers P., van Straten A., Andersson G. Internet-administered cognitive behavior therapy for health problems: a systematic review. J. Behav. Med. 2008;31(2):169–177. https://doi.org/10.1007/s10865-007-9144-1.Cuijpers P., van Straten A., Andersson G. Internet-administered cognitive behavior therapy for health problems: a systematic review. J. Behav. Med. 2008;31(2):169–177. https://doi.org/10.1007/s10865-007-9144-1.Rutledge T., Atkinson J.H., Chircop-Rollick T., D’Andrea J., Garfin S., Patel S., Penzien D.B., Wallace M., Weickgenant A.L., Slater M. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain. Clin. J. Pain. 2018;34(4):322–327. https://doi.org/10.1097/AJP.0000000000000555.Rutledge T., Atkinson J.H., Chircop-Rollick T., D’Andrea J., Garfin S., Patel S., Penzien D.B., Wallace M., Weickgenant A.L., Slater M. Randomized Controlled Trial of Telephone-Delivered Cognitive Behavioral Therapy Versus Supportive Care for Chronic Back Pain. Clin. J. Pain. 2018;34(4):322–327. https://doi.org/10.1097/AJP.0000000000000555.Данилов А.Б., Корабельникова Е.А. Когнитивноповеденческая психотерапия хронической боли. М.:АММпресс. 2015:328. [.In].Данилов А.Б., Корабельникова Е.А. Когнитивноповеденческая психотерапия хронической боли. М.:АММпресс. 2015:328. [.In].Otis J.D. Managing chronic pain: a cognitive-behavioral therapy: therapist guide. 1st ed. New York: Oxford University Press. 2007:114.Otis J.D. Managing chronic pain: a cognitive-behavioral therapy: therapist guide. 1st ed. New York: Oxford University Press. 2007:114.Henschke N., Ostelo R.W., van Tulder M.W., Vlaeyen J.W., Morley S., Assendelft W.J., Main C.J. Behavioural treatment for chronic low-back pain. Cochrane Database Syst. Rev. 2010;(7):2014. https://doi.org/10.1002/14651858.CD002014.pub3.Henschke N., Ostelo R.W., van Tulder M.W., Vlaeyen J.W., Morley S., Assendelft W.J., Main C.J. Behavioural treatment for chronic low-back pain. Cochrane Database Syst. Rev. 2010;(7):2014. https://doi.org/10.1002/14651858.CD002014.pub3.Hall A., Richmond H., Copsey B., Hansen Z., Williamson E., Jones G., Fordham B., Cooper Z., Lamb S. Physiotherapist-delivered cognitive-behavioural interventions are effective for low back pain, but can they be replicated in clinical practice? A systematic review. Disabil Rehabil. 2018;40(1):1–9. https://doi.org/10.1080/09638288.2016.1236155.Hall A., Richmond H., Copsey B., Hansen Z., Williamson E., Jones G., Fordham B., Cooper Z., Lamb S. Physiotherapist-delivered cognitive-behavioural interventions are effective for low back pain, but can they be replicated in clinical practice? A systematic review. Disabil Rehabil. 2018;40(1):1–9. https://doi.org/10.1080/09638288.2016.1236155.Oliveira C.B., Maher C.G., Pinto R.Z., Traeger A.C., Lin C.C., Chenot J.F., van Tulder M., Koes B.W. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur. Spine J. 2018;27(11):27912803. https://doi.org/10.1007/s00586-018-5673-2.Oliveira C.B., Maher C.G., Pinto R.Z., Traeger A.C., Lin C.C., Chenot J.F., van Tulder M., Koes B.W. Clinical practice guidelines for the management of non-specific low back pain in primary care: an updated overview. Eur. Spine J. 2018;27(11):27912803. https://doi.org/10.1007/s00586-018-5673-2.Bishop S.R., Lau M., Shapiro S., Carlson L., Anderson N.D, Carmody J., Segal Z.V., Abbey S., Speca M., Velting D., Devins G. Mindfulness: A Proposed Operational Definition. Clinical Psychology: Science and Practice. 2006;11(3):230–241. https://doi.org/10.1093/clipsy.bph077.Bishop S.R., Lau M., Shapiro S., Carlson L., Anderson N.D, Carmody J., Segal Z.V., Abbey S., Speca M., Velting D., Devins G. Mindfulness: A Proposed Operational Definition. Clinical Psychology: Science and Practice. 2006;11(3):230–241. https://doi.org/10.1093/clipsy.bph077.Tang Y.Y., Hölzel B.K., Posner M.I. The neuroscience of mindfulness meditation. Nature Reviews Neurosciense. 2015;16(4):213–225. https://doi.org/10.1038/nrn3916.Tang Y.Y., Hölzel B.K., Posner M.I. The neuroscience of mindfulness meditation. Nature Reviews Neurosciense. 2015;16(4):213–225. https://doi.org/10.1038/nrn3916.Crane R. Mindfulness-Based Cognitive Therapy: Distinctive Features. New York: Routledge. 2009;208. https://doi.org/10.4324/9781315627229.Crane R. Mindfulness-Based Cognitive Therapy: Distinctive Features. New York: Routledge. 2009;208. https://doi.org/10.4324/9781315627229.Chiesa A., Malinowski P. Mindfulnessbased approaches: Are they all the same? J. Clinical Psychology. 2011;67(4):404–424. https://doi.org/10.1002/jclp.20776.Chiesa A., Malinowski P. Mindfulnessbased approaches: Are they all the same? J. Clinical Psychology. 2011;67(4):404–424. https://doi.org/10.1002/jclp.20776.Goyal M., Singh S., Sibinga E.M., Gould N.F., Rowland Seymour A., Sharma R. Meditation programs for psychological stress and wellbeing: A systematic review and metaanalysis. JAMA Internal Medicine. 2014;174(3):357–368. https://doi.org/10.1001/jamainternmed.2013.13018.Goyal M., Singh S., Sibinga E.M., Gould N.F., Rowland Seymour A., Sharma R. Meditation programs for psychological stress and wellbeing: A systematic review and metaanalysis. JAMA Internal Medicine. 2014;174(3):357–368. https://doi.org/10.1001/jamainternmed.2013.13018.Teasdale J.D., Segal Z.V., Williams J.M.G., Ridgeway V.A., Soulsby J.M., Lau M.A. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology. 2000;68(4):615–623. https://doi.org/10.1037/0022-006X.68.4.615.Teasdale J.D., Segal Z.V., Williams J.M.G., Ridgeway V.A., Soulsby J.M., Lau M.A. Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Journal of Consulting and Clinical Psychology. 2000;68(4):615–623. https://doi.org/10.1037/0022-006X.68.4.615.Greeson J., Eisenlohr-Moul T. Mindfulness-based stress reduction for chronic pain. Mindfulness based treatment approaches: Clinician’s guide to evidence base and applications, 2nd edn. 2014;269–292. https://doi.org/10.1016/b978-0-12-416031-6.00012-8.Greeson J., Eisenlohr-Moul T. Mindfulness-based stress reduction for chronic pain. Mindfulness based treatment approaches: Clinician’s guide to evidence base and applications, 2nd edn. 2014;269–292. https://doi.org/10.1016/b978-0-12-416031-6.00012-8.Khoury B., Sharma M., Rush S.E., Claude F. Mindfulnessbased stress reduction for healthy individuals: A meta-analysis. J. Psychosomatic Research. 2015;78(6):519–528. https://doi.org/10.1016/j.jpsychores.2015.03.009.Khoury B., Sharma M., Rush S.E., Claude F. Mindfulnessbased stress reduction for healthy individuals: A meta-analysis. J. Psychosomatic Research. 2015;78(6):519–528. https://doi.org/10.1016/j.jpsychores.2015.03.009.Cherkin D.C., Sherman K.J.,. Balderson B.H.,. Cook A.J., Anderson M.L., Hawkes R.J., Hansen K.E., Turner J. A. Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain. JAMA. 2016;315(12):1240–1249. https://doi.org/10.1001/jama.2016.2323.Cherkin D.C., Sherman K.J.,. Balderson B.H.,. Cook A.J., Anderson M.L., Hawkes R.J., Hansen K.E., Turner J. A. Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain. JAMA. 2016;315(12):1240–1249. https://doi.org/10.1001/jama.2016.2323.Day M.A., Ward L.C., Ehde D.M., Thorn B.E., Burns J., Barnier A., Mattingley J.B., Jensen M.P. A Pilot Randomized Controlled Trial Comparing Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain. Pain Medicine. 2019;20(11):2134–2148. https://doi.org/10.1093/pm/pny273.Day M.A., Ward L.C., Ehde D.M., Thorn B.E., Burns J., Barnier A., Mattingley J.B., Jensen M.P. A Pilot Randomized Controlled Trial Comparing Mindfulness Meditation, Cognitive Therapy, and Mindfulness-Based Cognitive Therapy for Chronic Low Back Pain. Pain Medicine. 2019;20(11):2134–2148. https://doi.org/10.1093/pm/pny273.Anheyer D., Haller H., Barth J., Lauche R., Dobos G., Cramer H. Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis. Annals of Internal Medicine. 2017;166(1):799–807. https://doi.org/10.7326/m16-1997.Anheyer D., Haller H., Barth J., Lauche R., Dobos G., Cramer H. Mindfulness-Based Stress Reduction for Treating Low Back Pain: A Systematic Review and Meta-analysis. Annals of Internal Medicine. 2017;166(1):799–807. https://doi.org/10.7326/m16-1997.Mann E.G., LeFort S., VanDenKerkhof E.G. Self-management interventions for chronic pain. Pain Management. 2013;3(3):211–222. https://doi.org/10.2217/pmt.13.9.Mann E.G., LeFort S., VanDenKerkhof E.G. Self-management interventions for chronic pain. Pain Management. 2013;3(3):211–222. https://doi.org/10.2217/pmt.13.9.Council J.R., Ahern D.K., Follick M.J., Kline C.L. Expectancies and functional impairment in chronic low back pain. Pain. 1988;33(3):323–331. https://doi.org/10.1016/03043959(88)90291-6.Council J.R., Ahern D.K., Follick M.J., Kline C.L. Expectancies and functional impairment in chronic low back pain. Pain. 1988;33(3):323–331. https://doi.org/10.1016/03043959(88)90291-6.Nicholas M.K., Molloy A.M., Tokin L. et al. Manage Your Pain 3 rd edition: Practical and Positive Ways of Adapting to Chronic Pain. ABC books. 2011. https://scholar.google.com/scholar?q=Nicholas+MK,+Molloy+AM,+Tokin+L,+et+al.+Manage+Your+Pain+3rd+edition:+Practical+and+Positive+Ways+of+Adapting+to+Chronic+Pain.+ABC+books.+2011.+.Nicholas M.K., Molloy A.M., Tokin L. et al. Manage Your Pain 3 rd edition: Practical and Positive Ways of Adapting to Chronic Pain. ABC books. 2011. https://scholar.google.com/scholar?q=Nicholas+MK,+Molloy+AM,+Tokin+L,+et+al.+Manage+Your+Pain+3rd+edition:+Practical+and+Positive+Ways+of+Adapting+to+Chronic+Pain.+ABC+books.+2011.+.Davis M., Eshelman E., McKay M. The relaxation and stress reduction workbook. USA; New Harbinger Publication, Inc. 2008.Davis M., Eshelman E., McKay M. The relaxation and stress reduction workbook. USA; New Harbinger Publication, Inc. 2008.Holroyd K.A., Drew J.B. Behavioral Approaches to the Treatment of Migraine. Seminars in Neurology. 2006;26(2):199–207. https://doi.org/10.1055/s-2006-939920.Holroyd K.A., Drew J.B. Behavioral Approaches to the Treatment of Migraine. Seminars in Neurology. 2006;26(2):199–207. https://doi.org/10.1055/s-2006-939920.Schummer G.J., Noh S.M. end Mendoza J.J. The effect of neurofeedback and cranial electrotherapy on immune function within a group of HIV+ subjects: a controlled study. Journal of Neurotherapy. 2013;17(3):151–161. https://doi.org/10.1080/10874208.2013.813168.Schummer G.J., Noh S.M. end Mendoza J.J. The effect of neurofeedback and cranial electrotherapy on immune function within a group of HIV+ subjects: a controlled study. Journal of Neurotherapy. 2013;17(3):151–161. https://doi.org/10.1080/10874208.2013.813168.Джафарова О.А., Фрицлер И.В., Шубина О.С. Биоуправление при лечении головных болей напряжения. Биоуправление-4: Теория и практика. 2002. https://boslab.ru/upload/iblock/6ad/6add51bdbba8805156ceff83c8714361.pdf.Джафарова О.А., Фрицлер И.В., Шубина О.С. Биоуправление при лечении головных болей напряжения. Биоуправление-4: Теория и практика. 2002. https://boslab.ru/upload/iblock/6ad/6add51bdbba8805156ceff83c8714361.pdf.Штарк М.Б., Павленко С.С., Скок А.Б., Шубина О.С. Биоуправление в клинической практике. Неврологический журнал. 2000;№5:52–56. (In Russian). http://xn b1adef0ban2h.com.ua/files/bos.pdf.Штарк М.Б., Павленко С.С., Скок А.Б., Шубина О.С. Биоуправление в клинической практике. Неврологический журнал. 2000;№5:52–56. (In Russian). http://xn b1adef0ban2h.com.ua/files/bos.pdf.Hides J.A., Stanton W.R., Wilson S.J. et al. Retraining motor control of abdominal muscles among elite cricketers with low back pain. Scandinavian Journal of Medicine & Science in Sports. 2010;20(6):834–842. https://doi.org/10.1111/j.16000838.2009.01019.x.Hides J.A., Stanton W.R., Wilson S.J. et al. Retraining motor control of abdominal muscles among elite cricketers with low back pain. Scandinavian Journal of Medicine & Science in Sports. 2010;20(6):834–842. https://doi.org/10.1111/j.16000838.2009.01019.x.Andrasik F., Grazzi L. Biofeedback and behavioral treatments: filling some gaps. Neurological Sciences. 2014;35(1):121–127. https://doi.org/10.1007/s10072-014-1753-1.Andrasik F., Grazzi L. Biofeedback and behavioral treatments: filling some gaps. Neurological Sciences. 2014;35(1):121–127. https://doi.org/10.1007/s10072-014-1753-1.Alexander A.B., Smith D.D. Clinical Applications of EMG Biofeedback. In Clinical Application of Biofeedback: Appraisal and Status. Pergamon; New York, NY, USA. 1979.Alexander A.B., Smith D.D. Clinical Applications of EMG Biofeedback. In Clinical Application of Biofeedback: Appraisal and Status. Pergamon; New York, NY, USA. 1979.Sielski R., Rief W., Glombiewski J.A. Efficacy of Biofeedback in Chronic back Pain: a Meta-Analysis. International Journal of Behavioral Medicine. 2017;24(1):25–41. https://doi.org/10.1007/s12529-016-9572-9.Sielski R., Rief W., Glombiewski J.A. Efficacy of Biofeedback in Chronic back Pain: a Meta-Analysis. International Journal of Behavioral Medicine. 2017;24(1):25–41. https://doi.org/10.1007/s12529-016-9572-9.

The authors declare that there are no conflicts of interest present.