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Gepubliceerd in: Mindfulness 3/2020

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

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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
Literatuur
go back to reference 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. (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
go back to reference Fietta, P., Fietta, P., & Manganelli, P. (2007). Fibromyalgia and psychiatric disorders. Acta Biomed, 78(2), 88–95. PubMed Fietta, P., Fietta, P., & Manganelli, P. (2007). Fibromyalgia and psychiatric disorders. Acta Biomed, 78(2), 88–95. PubMed
go back to reference García-Campayo, J., & Demarzo, M. (2015). Mindfulness y Compasión: la nueva revolución. Madrid: Singlatana. García-Campayo, J., & Demarzo, M. (2015). Mindfulness y Compasión: la nueva revolución. Madrid: Singlatana.
go back to reference Gran, J. T. (2003). The epidemiology of chronic generalized musculoskeletal pain. Best Practice & Research. Clinical Rheumatology, 17(4), 547–561. CrossRef Gran, J. T. (2003). The epidemiology of chronic generalized musculoskeletal pain. Best Practice & Research. Clinical Rheumatology, 17(4), 547–561. CrossRef
go back to reference 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., 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
go back to reference 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. 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.
go back to reference Kia, S., & Choy, E. (2017). Update on treatment guideline in fibromyalgia syndrome with focus on pharmacology. Biomedicines, 5(2), E20. CrossRefPubMed Kia, S., & Choy, E. (2017). Update on treatment guideline in fibromyalgia syndrome with focus on pharmacology. Biomedicines, 5(2), E20. CrossRefPubMed
go back to reference 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 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
go back to reference Rothman, K. J. (1990). No adjustments are needed for multiple comparisons. Epidemiology, 1(1), 43–46. CrossRefPubMed Rothman, K. J. (1990). No adjustments are needed for multiple comparisons. Epidemiology, 1(1), 43–46. CrossRefPubMed
go back to reference 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 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
Metagegevens
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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