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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?

volgende artikel Dying Before You Die

Ablin, J. N., Zohar, A. H., Zaraya-Blum, R., & Buskila, D. (2016). Distinctive personality profiles of fibromyalgia and chronic fatigue syndrome patients. PeerJ, 4, e2421. https://doi.org/10.7717/peerj.242145.CrossRefPubMedPubMedCentral

Aguado, J., Luciano, J. V., Cebolla, A., Serrano-Blanco, A., Soler, J., & García-Campayo, J. (2015). Bifactor analysis and construct validity of the five facet mindfulness questionnaire (FFMQ) in non-clinical Spanish samples. Frontiers in Psychology, 6, 404. https://doi.org/10.3389/fpsyg.2015.00404.CrossRefPubMedPubMedCentral

Alda, M., Puebla-Guedea, M., Rodero, B., Demarzo, M., Montero-Marin, J., Roca, M., et al. (2016). Zen meditation, length of telomeres and the role of experiential avoidance and compassion. Mindfulness, 7, 651–659. https://doi.org/10.1007/s12671-016-0500-5.CrossRefPubMedPubMedCentral

Amutio, A., Franco Justo, C., Sánchez, L. C., Pérez-Fuentes, M. C., Gázquez Linares, J. J., Van Gordon, W., et al. (2018). Effects of mindfulness training on sleep problems in patients with fibromyalgia. Frontiers in Psychology, 9, 1365. https://doi.org/10.3389/fpsyg.2018.01365.CrossRefPubMedPubMedCentral

Bennett, R. (2005). The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clinical and Experimental Rheumatology, 23(5 Suppl 39), S154–S162.PubMed

Bennett, R., & Nelson, D. (2006). Cognitive behavioral therapy for fibromyalgia. Nature Clinical Practice Rheumatology, 2(8), 416–424. https://doi.org/10.1038/ncprheum0245.CrossRefPubMed

Bernardy, K., Klose, P., Welsch, P., & Häuser, W. (2018). Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome - a systematic review and meta-analysis of randomized controlled trials. European Journal of Pain, 22(2), 242–260. https://doi.org/10.1002/ejp.1121.CrossRefPubMed

Branco, J. C., Bannwarth, B., Failde, I., Abello Carbonell, J., Blotman, F., et al. (2010). Prevalence of fibromyalgia: a survey in five European countries. Seminars in Arthritis and Rheumatism, 39(6), 448–453. https://doi.org/10.1016/j.semarthrit.2008.12.003.CrossRefPubMed

Cabo-Meseguer, A., Cerdá-Olmedo, G., & Trillo-Mata, J. L. (2017). Fibromyalgia: prevalence epidemiologic profiles and economic costs. Medicina Clínica, 149(10), 441–448. https://doi.org/10.1016/j.medcli.2017.06.008.CrossRefPubMed

Cagnie, B., Coppieters, I., Denecker, S., Six, J., Danneels, L., & Meeus, M. (2014). Central sensitization in fibromyalgia? A systematic review on structural and functional brain MRI. Seminars in Arthritis and Rheumatism, 44(1), 68–75. https://doi.org/10.1016/j.semarthrit.2014.01.001.CrossRefPubMed

Carlson, L. E. (2012). Mindfulness-based interventions for physical conditions: a narrative review evaluating levels of evidence. ISRN Psychiatry, 2012, 651583. https://doi.org/10.5402/2012/651583.CrossRefPubMedPubMedCentral

Cash, E., Salmon, P., Weissbecker, I., Rebholz, W. N., Bayley-Veloso, R., Zimmaro, L. A., et al. (2015). Mindfulness meditation alleviates fibromyalgia symptoms in women: results of a randomized clinical trial. Annals of Behavioral Medicine, 49(3), 319–330. https://doi.org/10.1007/s12160-014-9665-0.CrossRefPubMed

Cebolla, A., García-Palacios, A., Soler, J., Guillen, V., Baños, R., & Botella, C. (2012). Psychometric properties of the Spanish validation of the five facets of mindfulness questionnaire (FFMQ). The European Journal of Psychiatry, 26(2), 118–126. https://doi.org/10.4321/S0213-61632012000200005.CrossRef

Chandran, A., Schaefer, C., Ryan, K., Baik, R., McNett, M., & Zlateva, G. (2012). The comparative economic burden of mild, moderate, and severe fibromyalgia: results from a retrospective chart review and cross-sectional survey of working-age U.S. adults. Journal of Managed Care Pharmacy, 18(6), 415–426. https://doi.org/10.18553/jmcp.2012.18.6.415.CrossRefPubMed

Chang, E. C., Yu, T., Najarian, A. S., Wright, K. M., Chen, W., Chang, O. D., et al. (2017). Understanding the association between negative life events and suicidal risk in college students: examining self-compassion as a potential mediator. Journal of Clinical Psychology, 73(6), 745–755. https://doi.org/10.1002/jclp.22374.CrossRefPubMed

Cuppage, J., Baird, K., Gibson, J., Booth, R., & Hevey, D. (2018). Compassion focused therapy: exploring the effectiveness with a transdiagnostic group and potential processes of change. The British Journal of Clinical Psychology, 57(2), 240–254. https://doi.org/10.1111/bjc.12162.CrossRefPubMed

Davis, M. C., Thummala, K., & Zautra, A. (2014). Stress-related clinical pain and mood in women with chronic pain: moderating effects of depression and positive mood induction. Annals of Behavioral Medicine, 48(1), 61–70. https://doi.org/10.1007/s12160-013-9583-6.CrossRefPubMed

Dworkin, R. H., Turk, D. C., McDermott, M. P., Peirce-Sandner, S., Burke, L. B., Cowan, P., et al. (2009). Interpreting the clinical importance of group differences in chronic pain clinical trials: IMMPACT recommendations. Pain, 146(3), 238–244. https://doi.org/10.1016/j.pain.2009.08.019.CrossRefPubMed

Egbewale, B. E., Lewis, M., & Sim, J. (2014). Bias, precision and statistical power of analysis of covariance in the analysis of randomized trials with baseline imbalance: a simulation study. BMC Medical Research Methodology, 14, 49. https://doi.org/10.1186/1471-2288-14-49.CrossRefPubMedPubMedCentral

Feise, R. J. (2002). Do multiple outcome measures require p-value adjustment? BMC Medical Research Methodology, 2(1), 8. https://doi.org/10.1186/1471-2288-2-8.CrossRefPubMedPubMedCentral

Feldman, C., & Kuyken, W. (2011). Compassion in the landscape of suffering. Contemporary Buddhism, 12(1), 143–155. https://doi.org/10.1080/14639947.2011.56483.CrossRef

Fietta, P., Fietta, P., & Manganelli, P. (2007). Fibromyalgia and psychiatric disorders. Acta Biomed, 78(2), 88–95.PubMed

Fritz, M. S., & MacKinnon, D. P. (2007). Required sample size to detect the mediated effect. Psychological Science, 18(3), 233–239. https://doi.org/10.1111/j.1467-9280.2007.01882.x.CrossRefPubMed

García-Campayo, J., & Demarzo, M. (2015). Mindfulness y Compasión: la nueva revolución. Madrid: Singlatana.

Garcia-Campayo, J., Magdalena, J., Magallón, R., Fernández-García, E., Salas, M., & Andrés, E. (2008). A meta-analysis of the efficacy of fibromyalgia treatment according to level of care. Arthritis Research & Therapy, 10(4), R81. https://doi.org/10.1186/ar2455.CrossRef

García-Campayo, J., Rodero, B., del Hoyo, Y. L., Luciano, J. V., Alda, M., & Gili, M. (2010). Validation of a Spanish language version of the pain self-perception scale in patients with fibromyalgia. BMC Musculoskeletal Disorders, 11(1), 255. https://doi.org/10.1186/1471-2474-11-255.CrossRefPubMedPubMedCentral

García-Campayo, J., Navarro-Gil, M., Andrés, E., Montero-Marín, J., López-Artal, L., & Piva-Demarzo, M. M. (2014). Validation of the Spanish versions of the long (26 items) and short (12 items) forms of the Self-Compassion Scale (SCS). Health and Quality of Life Outcomes, 12, 4. https://doi.org/10.1186/1477-7525-12-4.CrossRefPubMedPubMedCentral

García-Campayo, J., Navarro-Gil, M., & Demarzo, M. (2016). Attachment-based compassion therapy. Mindfulness & Compassion, 1(2), 68–74. https://doi.org/10.1016/j.mincom.2016.10.004.CrossRef

Gedik, Z. (2018). Self-compassion and health-promoting lifestyle behaviors in college students. Psychology, Health & Medicine, 24(1), 108–114. https://doi.org/10.1080/13548506.2018.1503692.CrossRef

Gran, J. T. (2003). The epidemiology of chronic generalized musculoskeletal pain. Best Practice & Research. Clinical Rheumatology, 17(4), 547–561.CrossRef

Hall, C. W., Row, K. A., Wuensch, K. L., & Godley, K. R. (2013). The role of self-compassion in physical and psychological well-being. The Journal of Psychology, 147(4), 311–323. https://doi.org/10.1080/00223980.2012.693138.CrossRefPubMed

Hassett, A. L., & Gevirtz, R. N. (2009). Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheumatic Diseases Clinics of North America, 35(2), 393–407. https://doi.org/10.1016/j.rdc.2009.05.003.CrossRefPubMedPubMedCentral

Häuser, W., & Bernardy, K. (2015). Psychotherapeutic procedures for fibromyalgia syndrome. Zeitschrift für Rheumatologie, 74(7), 584–590. https://doi.org/10.1007/s00393-014-1555-0.CrossRefPubMed

Häuser, W., Arnold, B., Eich, W., Felde, E., Flügge, C., Henningsen, P., et al. (2008). Management of fibromyalgia syndrome--an interdisciplinary evidence-based guideline. German Medical Science, 6, Doc14.PubMedPubMedCentral

Häuser, W., Walitt, B., Fitzcharles, M. A., & Sommer, C. (2014). Review of pharmacological therapies in fibromyalgia syndrome. Arthritis Research & Therapy, 16(1), 201. https://doi.org/10.1186/ar4441.CrossRef

Hayes, A. F., & Scharkow, M. (2013). The relative trustworthiness of inferential tests of the indirect effect in statistical mediation analysis: does method really matter? Psychological Science, 24(10), 1918–1927. https://doi.org/10.1177/0956797613480187.CrossRefPubMed

Hayes, S. C., Luoma, J. B., Bond, F. W., Masuda, A., & Lillis, J. (2006). Acceptance and commitment therapy: model, processes and outcomes. Behaviour Research and Therapy, 44(1), 1–25. https://doi.org/10.1016/j.brat.2005.06.006.CrossRefPubMed

Hoge, E. A., Hölzel, B. K., Marques, L., Metcalf, C. A., Brach, N., Lazar, S. W., et al. (2013). Mindfulness and self-compassion in generalized anxiety disorder: examining predictors of disability. Evidence-based Complementary and Alternative Medicine, 2013, 576258. https://doi.org/10.1155/2013/576258.CrossRefPubMedPubMedCentral

Kaplan, D. M., Raison, C. L., Milek, A., Tackman, A. M., Pace, T. W., & Mehl, M. R. (2018). Dispositional mindfulness in daily life: a naturalistic observation study. PLoS One, 13(11), e0206029. https://doi.org/10.1371/journal.pone.0206029.CrossRefPubMedPubMedCentral

Kenny, D. A., Kashy, D. A., & Bolger, N. (1998). Data analysis in social psychology. In D. Gilbert, S. Fike, & G. Lindzey (Eds.), The handbook of social psychology. Boston: McGraw-Hill.

Kia, S., & Choy, E. (2017). Update on treatment guideline in fibromyalgia syndrome with focus on pharmacology. Biomedicines, 5(2), E20.CrossRefPubMed

Kumbhare, D., Ahmed, S., & Watter, S. (2018). A narrative review on the difficulties associated with fibromyalgia diagnosis. Therapeutic Advances in Musculoskeletal Disease, 10(1), 13–26. https://doi.org/10.1177/1759720X17740076.CrossRefPubMed

Langhorst, J., Häuser, W., Bernardy, K., Lucius, H., Settan, M., Winkelmann, A., et al. (2012). Complementary and alternative therapies for fibromyalgia syndrome. Systematic review, meta-analysis and guideline. Schmerz, 26(3), 311–317. https://doi.org/10.1007/s00482-012-1178-9.CrossRefPubMed

Lauche, R., Cramer, H., Dobos, G., Langhorst, J., & Schmidt, S. (2013). A systematic review and meta-analysis of mindfulness-based stress reduction for the fibromyalgia syndrome. Journal of Psychosomatic Research, 75(6), 500–510. https://doi.org/10.1016/j.jpsychores.2013.10.010.CrossRefPubMed

Leadley, R. M., Armstrong, N., Lee, Y. C., Allen, A., & Kleijnen, J. (2012). Chronic diseases in the European Union: the prevalence and health cost implications of chronic pain. Journal of Pain & Palliative Care Pharmacotherapy, 26(4), 310–325. https://doi.org/10.3109/15360288.2012.736933.CrossRef

Lockhart, G., MacKinnon, D. P., & Ohlrich, V. (2011). Mediation analysis in psychosomatic medicine research. Psychosomatic Medicine, 73(1), 29–43. https://doi.org/10.1097/PSY.0b013e318200a54b.CrossRefPubMed

López, A., Sanderman, R., & Schroevers, M. J. (2016). Mindfulness and self-compassion as unique and common predictors of affect in the general population. Mindfulness, 7(6), 1289–1296. https://doi.org/10.1007/s12671-016-0568-y.CrossRefPubMedPubMedCentral

Luciano, J. V., Barrada, J. R., Aguado, J., Osma, J., & García-Campayo, J. (2014a). Bifactor analysis and construct validity of the HADS: a cross-sectional and longitudinal study in fibromyalgia patients. Psychological Assessment, 26(2), 395–406. https://doi.org/10.1037/a0035284.CrossRefPubMed

Luciano, J. V., Guallar, J. A., Aguado, J., López-del-Hoyo, Y., Olivan, B., Magallón, R., et al. (2014b). Effectiveness of group acceptance and commitment therapy for fibromyalgia: a 6-month randomized controlled trial (EFFIGACT study). Pain, 155(4), 693–702. https://doi.org/10.1016/j.pain.2013.12.029.CrossRefPubMed

Luciano, J. V., D’Amico, F., Feliu-Soler, A., McCracken, L. M., Aguado, J., Peñarrubia-María, M. T., et al. (2017). Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomized controlled trial conducted in Spain (EFFIGACT Study). The Journal of Pain, 18(7), 868–880. https://doi.org/10.1016/j.jpain.2017.03.001.CrossRefPubMed

Macfarlane, G. J., Kronisch, C., Dean, L. E., Atzeni, F., Häuser, W., Fluß, E., et al. (2017). EULAR revised recommendations for the management of fibromyalgia. Annals of the Rheumatic Diseases, 76(2), 318–328. https://doi.org/10.1136/annrheumdis-2016-209724.CrossRefPubMed

Mackintosh, K., Power, K., Schwannauer, M., & Chan, S. W. Y. (2018). The relationships between self-compassion, attachment and interpersonal problems in clinical patients with mixed anxiety and depression and emotional distress. Mindfulness, 9(3), 961–971. https://doi.org/10.1007/s12671-017-0835-6.CrossRefPubMed

Meeus, M., Nijs, J., Vanderheiden, T., Baert, I., Descheemaeker, F., Struyf, F., et al. (2015). The effect of relaxation therapy on autonomic functioning, symptoms and daily functioning, in patients with chronic fatigue syndrome or fibromyalgia: a systematic review. Clinical Rehabilitation, 29(3), 221–233. https://doi.org/10.1177/0269215514542635.CrossRefPubMed

Mist, S. D., Firestone, K. A., & Jones, K. D. (2013). Complementary and alternative exercise for fibromyalgia: a meta-analysis. Journal of Pain Research, 6, 247–260. https://doi.org/10.2147/JPR.S32297.CrossRefPubMedPubMedCentral

Montero-Marín, J., Gaete, J., Demarzo, M., Rodero, B., Lopez, L. C., & García-Campayo, J. (2016). Self-criticism: a measure of uncompassionate behaviors toward the self, based on the negative components of the self-compassion scale. Frontiers in Psychology, 7, 1281. https://doi.org/10.3389/fpsyg.2016.01281.CrossRefPubMedPubMedCentral

Montero-Marin, J., Navarro-Gil, M., Puebla-Guedea, M., Luciano, J. V., Van Gordon, W., Shonin, E., et al. (2018). Efficacy of ‘Attachment-Based Compassion Therapy’ (ABCT) in the treatment of fibromyalgia: a randomized controlled trial. Frontiers in Psychiatry, 8, 307. https://doi.org/10.3389/fpsyt.2017.00307.CrossRefPubMedPubMedCentral

Morris, S. B. (2008). Estimating effect sizes from pretest-posttest-control group designs. Organizational Research Methods, 11(2), 364–386. https://doi.org/10.1177/1094428106291059.CrossRef

Navarro-Gil, M., Lopez-del-Hoyo, Y., Modrego-Alarcón, M., Montero-Marin, J., Van Gordon, W., Shonin, E., et al. (2018). Effects of attachment-based compassion therapy (ABCT) on self-compassion and attachment style in healthy people. Mindfulness. https://doi.org/10.1007/s12671-018-0896-1.CrossRef

Neff, K., Pisitsungkagarn, K., & Hsieh, Y. P. (2008). Self-compassion and self-construal in the United States, Thailand, and Taiwan. Journal of Cross-Cultural Psychology, 39, 267–285. https://doi.org/10.1177/0022022108314544.CrossRef

Neff, K. D., Tóth-Király, I., Yamell, L. M., Armitsu, K., Castilho, P., Ghorbani, N., et al. (2018). Examining the Self-Compassion Scale in 20 diverse samples: Support for use of a total score and six subscale scores. Psychological Assessment, 31(1), 27–45. https://doi.org/10.1037/pas0000629.CrossRefPubMed

Nüesch, E., Häuser, W., Bernardy, K., Barth, J., & Jüni, P. (2013). Comparative efficacy of pharmacological and non-pharmacological interventions in fibromyalgia syndrome: network meta-analysis. Annals of the Rheumatic Diseases, 72(6), 955–962. https://doi.org/10.1136/annrheumdis-2011-201249.CrossRefPubMed

Perneger, T. V. (1998). What’s wrong with Bonferroni adjustments. BMJ [British Medical Journal], 316, 7139. https://doi.org/10.1136/bmj.316.7139.1236.CrossRef

Peter, D., & Gazelle, H. (2017). Anxious solitude and self-compassion and self-criticism trajectories in early adolescence: attachment security as a moderator. Child Development, 88(6), 1834–1848. https://doi.org/10.1111/cdev.12926.CrossRefPubMedPubMedCentral

Queiroz, L. P. (2013). Worldwide epidemiology of fibromyalgia. Current Pain and Headache Reports, 17(8), 356. https://doi.org/10.1007/s11916-013-0356-5.CrossRefPubMed

Rivera, J., & González, T. (2004). The fibromyalgia impact questionnaire: a validated Spanish version to assess the health status in women with fibromyalgia. Clinical and Experimental Rheumatology, 22(5), 554–560.PubMed

Rothman, K. J. (1990). No adjustments are needed for multiple comparisons. Epidemiology, 1(1), 43–46.CrossRefPubMed

Sanada, K., Díez, M. A., Salas Valero, M. S., Pérez-Yus, M. C., Demarzo, M. M., García-Toro, M., et al. (2015). Effects of non-pharmacological interventions on inflammatory biomarker expression in patients with fibromialgia: a systematic review. Arthritis Research & Therapy, 17, 272. https://doi.org/10.1186/s13075-015-0789-9.CrossRef

Sawynok, J., & Lynch, M. (2014). Qigong and fibromyalgia: randomized controlled trials and beyond. Evidence-based Complementary and Alternative Medicine, 2014, 379715. https://doi.org/10.1155/2014/379715.CrossRefPubMedPubMedCentral

Schaefer, C., Chandran, A., Hufstader, M., Baik, R., McNett, M., Goldenberg, D., et al. (2011). The comparative burden of mild, moderate and severe fibromyalgia: results from a cross-sectional survey in the United States. Health and Quality of Life Outcomes, 9, 71. https://doi.org/10.1186/1477-7525-9-71.CrossRefPubMedPubMedCentral

Sosa-Reina, M. D., Nunez-Nagy, S., Gallego-Izquierdo, T., Pecos-Martín, D., Monserrat, J., & Álvarez-Mon, M. (2017). Effectiveness of therapeutic exercise in fibromyalgia syndrome: a systematic review and meta-analysis of randomized clinical trials. BioMed Research International, 2017, 2356346. https://doi.org/10.1155/2017/2356346.CrossRefPubMedPubMedCentral

Sun, H., & Zhang, P. (2008). An exploration of affect factors and their role in user technology acceptance: mediation and causality. Journal of the American Society for Information Science and Technology, 59(8), 1252–1263. https://doi.org/10.1002/asi.20819.CrossRef

Theoharides, T. C., Tsilioni, I., Arbetman, L., Panagiotidou, S., Stewart, J. M., Gleason, R. M., et al. (2015). Fibromyalgia syndrome in need of effective treatments. The Journal of Pharmacology and Experimental Therapeutics, 355(2), 255–263. https://doi.org/10.1124/jpet.115.227298.CrossRefPubMedPubMedCentral

Thieme, K., Mathys, M., & Turk, D. C. (2017). Evidenced-based guidelines on the treatment of fibromyalgia patients: are they consistent and if not, why not? Have effective psychological treatments been overlooked? The Journal of Pain, 18(7), 747–756. https://doi.org/10.1016/j.jpain.2016.12.006.CrossRefPubMed

Toussaint, L. L., Whipple, M. O., Abboud, L. L., Vincent, A., & Wahner-Roedler, D. L. (2012). A mind-body technique for symptoms related to fibromyalgia and chronic fatigue. Explore, 8(2), 92–98. https://doi.org/10.1016/j.explore.2011.12.003.CrossRefPubMed

Vallejo, M. A., Rivera, J., Esteve-Vives, J., & Rodríguez-Muñoz, M. F. (2012). Use of the Hospital Anxiety and Depression Scale (HADS) to evaluate anxiety and depression in fibromyalgia patients. Revista de Psiquiatria y Salud Mental, 5(2), 107–114. https://doi.org/10.1016/j.rpsmen.2012.01.004.CrossRefPubMed

Van Gordon, W., Shonin, E., & Griffiths, M. D. (2016). Meditation Awareness Training for individuals with fibromyalgia syndrome: an interpretative phenomenological analysis of participant’s experiences. Mindfulness, 7(2), 409–419. https://doi.org/10.1007/s12671-015-0458-8.CrossRef

Van Gordon, W., Shonin, E., Dunn, T. J., Garcia-Campayo, J., & Griffiths, M. D. (2017). Meditation awareness training for the treatment of fibromyalgia syndrome: a randomized controlled trial. British Journal of Health Psychology, 22(1), 186–206. https://doi.org/10.1111/bjhp.12224.CrossRefPubMed

Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. (2016). Acceptance- and mindfulness-based interventions for the treatment of chronic pain: a meta-analytic review. Cognitive Behaviour Therapy, 45(1), 5–31. https://doi.org/10.1080/16506073.2015.1098724.CrossRefPubMed

Vincent, A., Benzo, R. P., Whipple, M. O., McAllister, S. J., Erwin, P. J., & Saligan, L. N. (2013). Beyond pain in fibromyalgia: insights into the symptom of fatigue. Arthritis Research & Therapy, 15(6), 221. https://doi.org/10.1186/ar4395.CrossRef

Vincent, A., Whipple, M. O., McAllister, S. J., Aleman, K. M., & St Sauver, J. L. (2015). A cross-sectional assessment of the prevalence of multiple chronic conditions and medication use in a sample of community-dwelling adults with fibromyalgia in Olmsted County, Minnesota. British Medical Journal Open, 5(3), e006681. https://doi.org/10.1136/bmjopen-2014-006681.CrossRef

Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology Preliminary Diagnostic Criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research, 62(5), 600–610. https://doi.org/10.1002/acr.20140.CrossRef

Yim, Y. R., Lee, K. E., Park, D. J., Kim, S. H., Nah, S. S., Lee, J. H., et al. (2016). Identifying fibromyalgia subgroups using cluster analysis: relationships with clinical variables. European Journal of Pain, 21(2), 374–384. https://doi.org/10.1002/ejp.935.CrossRefPubMed

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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