背景和目标：人们对使用非药物方法多维治疗慢性疼痛越来越感兴趣。本系统评价的目的是评估基于正念的疗法和引导意象 (GI) 干预措施在管理慢性非癌症疼痛和相关结果方面的有效性。材-癌症疼痛。 Cochrane 偏差风险工具用于评估证据质量，结果包括疼痛强度、阿片类药物消耗和疼痛的非感觉维度。结果：26 项试验符合纳入标准，其中大多数表现出中度至高度偏倚风险。正在分析多种慢性疼痛类型。在正念干预措施中，除了经典项目之外，正念导向恢复增强（MORE）作为一种改善内感受的方法而出现。六项试验表明，正念技巧可以显着降低疼痛强度，三项试验还报告了胃肠道的显着结果。在十项使用正念的试验和两项涉及胃肠道的试验中，有证据表明疼痛的非感觉维度有显着改善。四项基于正念的试验报告了对阿片类药物消耗的显着影响，而一项涉及胃肠道的研究发现该变量的影响很小。结论：这项研究支持了正念技术和胃肠道干预在治疗慢性非癌症疼痛方面的益处的证据。关于各种正念干预措施，应特别强调“更多”的积极成果。未来的研究应该关注特定的疼痛类型，探索正念和胃肠道干预的不同持续时间，并评估与情绪相关的结果。

Background and Objectives: There has been an increasing interest in the use of non-pharmacological approaches for the multidimensional treatment of chronic pain. The aim of this systematic review was to assess the effectiveness of mindfulness-based therapies and Guided Imagery (GI) interventions in managing chronic non-cancer pain and related outcomes. Materials and Methods: Searching three electronic databases (Web of Science, PubMed, and Scopus) and following the PRISMA guidelines, a systematic review was performed on Randomized Controlled Trials (RCTs) and pilot RCTs investigating mindfulness or GI interventions in adult patients with chronic non-cancer pain. The Cochrane Risk of Bias Tool was utilized to assess the quality of the evidence, with outcomes encompassing pain intensity, opioid consumption, and non-sensorial dimensions of pain. Results: Twenty-six trials met the inclusion criteria, with most of them exhibiting a moderate to high risk of bias. A wide diversity of chronic pain types were under analysis. Amongst the mindfulness interventions, and besides the classical programs, Mindfulness-Oriented Recovery Enhancement (MORE) emerges as an approach that improves interoception. Six trials demonstrated that mindfulness techniques resulted in a significant reduction in pain intensity, and three trials also reported significant outcomes with GI. Evidence supports a significant improvement in non-sensory dimensions of pain in ten trials using mindfulness and in two trials involving GI. Significant effects on opioid consumption were reported in four mindfulness-based trials, whereas one study involving GI found a small effect with that variable. Conclusions: This study supports the evidence of benefits of both mindfulness techniques and GI interventions in the management of chronic non-cancer pain. Regarding the various mindfulness interventions, a specific emphasis on the positive results of MORE should be highlighted. Future studies should focus on specific pain types, explore different durations of the mindfulness and GI interventions, and evaluate emotion-related outcomes.