Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion
- 10-01-2020
- ORIGINAL PAPER
Gepubliceerd in:
- 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
- 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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