Overview
This is a two phase study. In phase 1, a focus group (N=5) will be conducted to adapt MBCT-T for use in the study population. In phase 2, a single-arm trial will be conducted examining four, weekly sessions of preoperative MBCT-T in subjects with high pain catastrophizing scheduled for spine surgery (N=20). Subjects will then be followed for two weeks postoperatively.
Eligibility
Inclusion Criteria:
- Scheduled for one or two level lumbar spine surgery requiring an inpatient stay as well as patients having ambulatory 1 or 2 level lumbar spine surgeries
- PCS score ≥ 20
- Able to provide voluntary informed consent
- Telephone access
- Internet access
Exclusion Criteria:
- Non-English speaking
- Cognitively impaired, by history
- Bipolar disorder
- Borderline personality disorder
- Active post-traumatic stress disorder
- Schizoaffective disorder or any other disorder characterized by delusions or hallucinations
- History of self-harm or suicidality in past three months