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10-01-2020 | ORIGINAL PAPER

Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion

Auteurs: Jesus Montero-Marin, William Van Gordon, Edo Shonin, Mayte Navarro-Gil, Virginia Gasión, Yolanda López-del-Hoyo, Juan V. Luciano, Javier Garcia-Campayo

Gepubliceerd in: Mindfulness | Uitgave 3/2020

Abstract

Objectives

The aim of this study was to evaluate the efficacy of Attachment-Based Compassion Therapy (ABCT)—a standardised programme that includes practices to improve compassionate awareness with the aim of addressing maladaptive attachment—for improving mindfulness and self-compassion in fibromyalgia (FM) patients, and to determine whether gains in mindfulness and self-compassion mediate improvements in FM functional status together with comorbid anxiety and depression.

Methods

The study comprised a randomised controlled trial of individuals undergoing ABCT, with a Relaxation condition as an active control group. Baseline, post-test, and 3-month follow-up assessments were included. Participants (n = 42) were FM patients randomly assigned to ABCT or relaxation. Outcomes were functional status (FIQ), anxiety (HADS-A), depression (HADS-D), mindfulness (FFMQ), and self-compassion (SCS). Differences between groups were estimated using mixed-effects regression models, and mediation analyses were conducted using path analyses.

Results

Compared with the Relaxation condition, the ABCT group was more effective for improving mindfulness and self-compassion, as it observed through changes in the FFMQ and SCS subscales. Effect sizes were in the moderately large to large range (Cohen’s d between 0.60–2.20). Reductions in FM functional status were not mediated by either mindfulness or self-compassion. However, the self-compassion facet of common humanity was a mediator for reductions in both anxiety (B = − 2.04; bootstrapped 95% CI = − 4.44, − 0.04) and depression (B = − 2.12; bootstrapped 95% CI = − 4.40, − 0.45).

Conclusions

The improvement of common humanity via ABCT might be an active component for the reduction of comorbid anxiety and depression in FM patients.

Trial registration

NCT02454244

vorige artikel Is Self-Compassion Protective Among Sexual- and Gender-Minority Adolescents Across Racial Groups?

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Titel: Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion
Auteurs: Jesus Montero-Marin
William Van Gordon
Edo Shonin
Mayte Navarro-Gil
Virginia Gasión
Yolanda López-del-Hoyo
Juan V. Luciano
Javier Garcia-Campayo
Publicatiedatum: 10-01-2020
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 3/2020
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-019-01302-8

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