Top

Gepubliceerd in:

01-10-2013 | Original Article

Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial

Auteurs: Marta Parra-Delgado, José Miguel Latorre-Postigo

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 5/2013

Abstract

Fibromyalgia syndrome has a strong clinical and social impact affecting the personal, family and working life of the sufferer. The presence of depressive symptoms is associated with decreased quality of life and an increase in the intensity of pain. The aim of this study is to demonstrate the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in reducing the impact of fibromyalgia, the depressive symptoms and the intensity of pain in women with fibromyalgia. An experimental pre-post treatment design with a 3-month follow-up was carried out. Female patients (N = 33) were randomised to MBCT or to a control group condition. MBCT is an 8-week group intervention. Measures included: Fibromyalgia Impact Questionnaire, Beck Depression Inventory and Visual Analogue Scale. Substantial differences were found in the reduction of the impact of fibromyalgia after treatment and in the decrease in depressive symptoms decrease in the follow-up. A slight decrease was observed in intensity of pain in different body areas although there were no significant differences between the groups. The study findings suggest that depressive symptoms and the impact of the illness were reduced in the MBCT group of women diagnosed with fibromyalgia. These changes were maintained during the 3-month follow up. No significant changes were found in the reduction of intensity of pain. The limitations of this study were analysed and possible improvements for future research were considered.

vorige artikel Cognitive Functioning in Patients Remitted from Recurrent Depression: Comparison with Acutely Depressed Patients and Controls and Follow-up of a Mindfulness-Based Cognitive Therapy Trial

volgende artikel Negative Automatic Evaluation and Better Recognition of Bodily Symptom Words in College Students with Elevated Health Anxiety

Aguglia, A., Salvi, V., Maina, G., Rossetto, I., & Aguglia, E. (2011). Fibromyalgia syndrome and depressive symptoms: Comorbility and clinical correlates. Journal of Affective Disorders, 128, 262–266.PubMedCrossRef

Alok, R., Das, S., Agarwal, G., Salwahan, L., & Srivastava, R. (2011). Relationship of severity of depression, anxiety and stress with severity of fibromyalgia. Clinical and Experimental Rheumatology, 29(Suppl 69), 70–72.

American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4 Ed.) Washington, DC, EE UU: APA.

Aparicio, M., Ramos-Cejudo, J., Salguero, J., & Sanz-Blasco, R. (2011). Ansiedad rasgo y salud autoinformada como variables predictoras de la atención médica en población española. Ansiedad y Estrés, 17, 125–136.

Baer, R. (2003). Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology: Science and Practice, 10(2), 125–143.CrossRef

Baer, R. (2006). Mindfulness-based treatment approaches. clinician’s guide to evidence base and applications. San Diego: Elsevier.

Bartels, E. M., Dreyer, L., Jacobsen, S., Jespersen, A., Bliddal, H., & Danneskiold-Samsøe, B. (2009). Fibromyalgia, diagnosis and prevalence. Are gender differences explainable? Ugeskrift for Laeger, 171(49), 3588–3592.PubMed

Beck, A. T., Rush, A., Shaw, B. F., & Emery, G. (1979). Cognitive therapy of depression. New York: Guilford.

Bennett, R. (2005). The fibromyalgia impact questionnaire (FIQ): A review of its development, current version, operating characteristics and uses [Supplement]. Clinical and Experimental Rheumatology, 23, 154–162.

Bennett, R., Bushmakin, A., Cappelleri, J., Zlateva, G., & Sadosky, A. (2009). Minimal clinically important difference in the fibromyalgia impact questionnaire. The Journal of Rheumatology, 36(6), 1304–1311.PubMedCrossRef

Bernard, A., Prince, A., & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis Care & Research, 13, 42–50.CrossRef

Bohlmeijer, E., Prenger, R., Taal, E., & Cuijpers, P. (2010). The effects of mindfulness-based stress reduction therapy on mental health of adults with a chronic medical disease: A meta-analysis. Journal of Psychosomatic Research, 68, 539–544.PubMedCrossRef

Borenstein, M., Rothstein, H., & Cohen, J. (2001). Sample Power 2.0. Chicago: SPSS Inc.

Branco, J. C., Bannwarth, B., Failde, I., Carbonell, J., Blotman, F., Spaeth, M., et al. (2010). Prevalence of fibromyalgia: A survey in five European Countries. Seminars in Arthritis and Rheumatism, 39(6), 448–453.PubMedCrossRef

Brosschot, J. F., & Aarsse, H. R. (2001). Restricted emotional processing and somatic attribution in fibromyalgia. International Journal of Psychiatric Medicine, 31, 127–146.CrossRef

Brown, K., Ryan, R., & Creswell, J. (2007). Mindfulness: Theoretical foundations and evidence for its salutary effects. Psychological Inquiry, 18(4), 211–237.CrossRef

Burckhardt, C. S. (2006). Multidisciplinary approaches for management of fibromyalgia. Current Pharmaceutical Design, 12, 59–66.PubMedCrossRef

Burckhardt, C., Clark, S., & Bennett, R. (1991). The fibromyalgia impact questionnaire: Development and validation. The Journal of Rheumatology, 18(5), 728–733.PubMed

Chiesa, A., & Serretti, A. (2010). Mindfulness based cognitive therapy for major depression: A systematic review and meta-analysis. European Psychiatry, 25(3), 1045.CrossRef

Chiesa, A., & Serretti, A. (2011). Mindfulness-based interventions for chronic pain: A systematic review of the evidence. The Journal of Alternative and Complementary Medicine, 17(1), 83–93.PubMedCrossRef

Coelho, H. F., Canter, P. H., & Ernst, E. (2007). Mindfulness-based cognitive therapy: Evaluating current evidence and informing future research. Journal of Consulting and Clinical Psychology, 75(6), 1000–1005.PubMedCrossRef

Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159.PubMedCrossRef

Cusens, B., Duggan, G. B., Thorne, K., & Burch, V. (2010). Evaluation of the breathworks mindfulness-based pain management programme: effects on well-being and multiple measures of mindfulness. Clinical Psychology & Psychotherapy, 17(1), 63–78.

De Miquel, C., García-Campayo, J., Tomás-Flórez, M., Gómez-Arguelles, J., Blanco-Tarrio, E., Gobbo-Montoya, M., et al. (2010). Documento de Consenso interdisciplinar para el tratamiento de la fibromialgia. Actas Españolas de Psiquiatría, 38(2), 108–120.PubMed

Devilly, G. J. (2004a). Random Number Generator: Version 1.0 [computer programme]. Swinburne University, Australia: Centre for Neuropsychology.

Devilly, G. J. (2004b). The Effect Size Generator for Windows: Version 2.3 [computer programme]. Swinburne University, Australia: Centre for Neuropsychology.

Eich, W., Häuser, W., Friedel, E., Klement, A., Herrmann, M., Petzke, F., et al. (2008). Definition, classification and diagnosis of fibromyalgia syndrome. Zeitschrift Für Rheumatologie, 67(8), 665–676.PubMedCrossRef

Ellis, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stewart.

Epstein, S., Kay, G., Clauw, D., Heaton, R., Klein, D., Krupp, L., et al. (1999). Psychiatric disorders in patients with fibromyalgia: A multicenter investigation. Psychosomatics, 40(1), 57–63.PubMedCrossRef

Evans, D., & Segerstrom, S. (2011). Why do mindful people worry less? Cognitive Therapy and Research, 35(6), 505–510.CrossRef

Evers, A. W. M., Kraaimaat, F. W., van Lankveld, W., Jongen, P. J. H., Jacobs, J. W. G., & Bijisma, J. W. J. (2001). Beyond unfavourable thinking: The illness cognition questionnaire for chronic diseases. Journal of Consulting and Clinical Psychology, 69, 1026–1103.PubMedCrossRef

Ferrando, L., Bobes, J., Gibert, J., & Lecrubier, Y. (1997). Instrumentos de detección y orientación diagnóstica. In J. Bobes, M. P. González, M. T. Bascarán, A. Sáiz, & M. Bousoño (Eds.), Banco de instrumentos básicos para la práctica de la psiquiátrica clínica (pp. 2–26). Barcelona: Ars Médica.

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

Fitzpatrick, L., Simpson, J., & Smith, A. (2010). A qualitative analysis of mindfulness-based cognitive therapy (MBCT) in Parkinson’s disease. Psychology and Psychotheraphy, 83(2), 179–192.CrossRef

Fjorback, L. O., Arendt, M. M., Ørnbøl, E. E., Fink, P. P., & Walach, H. H. (2011). Mindfulness-based stress reduction and mindfulness-based cognitive therapy—a systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica, 124(2), 102–119.PubMedCrossRef

Foley, E., Huxter, A., Baillie, M., Price, M., & Sinclair, E. (2010). Mindfulness-based cognitive therapy for individuals whose lives have been affected by cancer: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 78(1), 72–79.PubMedCrossRef

Franco, C., Mañas, I., & Justo, E. (2010). Mejora en algunas dimensiones de salud percibida en pacientes con fibromialgia mediante la aplicación de un programa de meditación mindfulness. Psychology, Society & Education, 2, 117–130.

Geoffroy, P., Amad, A., Gangloff, C., & Thomas, P. (2012). Fibromyalgia and psychiatry: 35 years later… what’s new? Presse Médicale, 41(5), 455–465.CrossRef

Geschwind, N., Peeters, F., Huibers, M., van Os, J., & Wichers, M. (2012). Efficacy of mindfulness-based cognitive therapy in relation to prior history of depression: Randomised controlled trial. The British Journal of Psychiatry, 201, 320–325.PubMedCrossRef

Giesecke, T., Williams, D., Harris, R., Cupps, T., Tian, X., Tian, T., et al. (2003). Subgrouping of fibromyalgia patients on the basis of pressure-pain thresholds and psychological factors. Arthritis and Rheumatism, 48(10), 2916–2922.PubMedCrossRef

Gilbert, B., & Christopher, M. (2010). Mindfulness-based attention as a moderator of the relationship between depressive affect and negative cognitions. Cognitive Therapy & Research, 34(6), 514–521.CrossRef

Glombiewski, J., Sawyer, A., Gutermann, J., Koenig, K., Rief, W., & Hofmann, S. G. (2010). Psychological treatments for fibromyalgia: A meta-analysis. Pain, 151, 280–295.PubMedCrossRef

González, V., Stewart, A., Ritter, P., & Lorig, K. (1995). Translation and validation of arthritis outcome measures into Spanish. Arthritis and Rheumatism, 38, 1429–1446.PubMedCrossRef

González, E., Elorza, J., & Failde, I. (2010). Fibromyalgia and psychiatric comorbidity: Their effect on the quality of life patients. Actas Españolas de Psiquiatría, 38(5), 295–300.PubMed

Grossman, P., Tiefenthaler-Gilmer, U., Raysz, A., & Kesper, U. (2007). Mindfulness training as an intervention for fibromyalgia: Evidence of postintervention and 3-year follow-up benefits in well-being. Psychotherapy and Psychosomatics, 76, 226–233.PubMedCrossRef

Häuser, W., Thieme, K., & Turk, D. (2010). Guidelines on the management of fibromyalgia syndrome—a systematic review. European Journal of Pain, 14(1), 5–10.PubMedCrossRef

Hayes, S. C. (2004). Acceptance and commitment therapy, relational frame theory, and the third wave of behaviorial and cognitive therapies. Behaviour Therapy, 35, 639–665.CrossRef

Hoffman, D., & Dukes, E. (2008). The health status burden of people with fibromyalgia: A review of studies that assessed health status with the SF-36 or the SF-12. International Journal of Clinical Practice, 62(1), 115–126.PubMedCrossRef

Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169–183.PubMedCrossRef

Huskisson, E. C. (1974). Measurement of pain. The Lancet, 2, 1127–1131.CrossRef

Kabat-Zinn, J. (1982). An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: Theoretical considerations and preliminary results. General Hospital Psychiatry, 4, 33–47.PubMedCrossRef

Kabat-Zinn, J. (1990). Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Dell Publishing.

Kabat-Zinn, J., Lipworth, L., & Burney, R. (1985). The clinical use of mindfulness meditation for the self-regulation of chronic pain. Journal of Behaviorial Medicine, 8(2), 163–190.CrossRef

Kaplan, K. H., Goldenberg, D. L., & Galvin-Nadeau, M. (1993). The impact of a meditation-based stress reduction program on fibromyalgia. General Hospital Psychiatry, 15, 284–289.PubMedCrossRef

Kumar, S., Feldman, G., & Hayes, A. (2008). Changes in mindfulness and emotion regulation in an exposure-based cognitive therapy for depression. Cognitive Therapy & Research, 32(6), 734–744.CrossRef

Kuyken, W., Watkins, E., Holden, E., White, K., Taylor, R. S., Byford, S., et al. (2010). How does mindfulness-based cognitive therapy work? Behaviour Research and Therapy, 48(11), 1105–1112.PubMedCrossRef

Lush, E., Salmon, P., Floyd, A., Studts, J., & Weissbecker, I. (2009). Mindfulness meditation for symptom reduction in fibromyalgia: Psychophysiological correlates. Journal of Clinical Psychology in Medical Settings, 16, 200–207.PubMedCrossRef

Ma, S., & Teasdale, J. D. (2004). Mindfulness-based cognitive therapy for depression: Replication and exploration of differential relapse prevention effects. Journal of Consulting and Clinical Psychology, 72(1), 31–40.PubMedCrossRef

Marchand, W. R. (2012). Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. Journal of Psychiatric Practice, 18(4), 233–252.PubMedCrossRef

Maxwell, S. E., & Delaney, H. D. (2004). Introduction to model comparisons: One-way between subjects designs. In S. E. Maxwell & H. D. Delaney (Eds.), Designing experiments and analyzing date (pp. 67–148). New Jersey: LEA.

McCracken, L. M. (1998). Learning to live with the pain: acceptance of pain predicts adjustment in person with chronic pain. Pain, 74(1), 21–27.PubMedCrossRef

McCracken, L. M., & Eccleston, C. (2005). A prospective study of acceptance of pain and patient functioning with chronic pain. Pain, 118, 164–169.PubMedCrossRef

McCracken, L. M., & Thompson, M. (2009). Components of Mindfulness in patients with chronic pain. Journal of Psychopathology and Behavioral Assessment, 31, 75–82.CrossRef

Merkes, M. (2010). Mindfulness-based stress reduction for people with chronic diseases. Australian Journal of Primary Health, 16, 200–210.PubMedCrossRef

Michalak, J., Heidenreich, T., Meibert, P., & Schulte, D. (2008). Mindfulness predicts relapse/recurrence in major depressive disorder after mindfulness-based cognitive therapy. Journal of Nervous and Mental Disease, 196(8), 630–633.PubMedCrossRef

Miró, J. (2003). Instrumentos para la evaluación de la experiencia de dolor crónico en adultos. In T. Gutiérrez, R. M. Raich, D. Sánchez, & J. Deus (Eds.), Instrumentos de evaluación en psicología de la salud. Madrid: Alianza Editorial.

Miró, M. T., Perestelo, L., Pérez, J., Rivero, A., González, M., De la Fuente, J. A., et al. (2011). Eficacia de los tratamientos psicológicos basados en mindfulness para los trastornos de ansiedad y depresión: una revisión sistemática. Revista de Psicopatología y Psicología Clínica, 16, 1–16.

Neumann, L., & Buskila, D. (1997). Quality of life and physical functioning of relatives of fibromyalgia patients. Seminars in Arthritis and Rheumatism, 26, 834–839.PubMedCrossRef

Parra, M., Latorre, J. M., & Montañés, J. (2012). Mindfulness-based cognitive therapy and reduction of anxiety symptoms in people with fibromyalgia. Anxiety & Stress, 18(2–3), 141–154.

Quintana, M., & Rincón, F. M. (2011). Eficacia del entrenamiento en mindfulness para pacientes con fibromialgia. Clinica y Salud, 22, 51–67.CrossRef

Raes, F., & Williams, J. G. (2010). The relationship between mindfulness and uncontrollability of ruminative thinking. Mindfulness, 1(4), 199–203.CrossRef

Raphael, K., Janal, M., Nayak, S., Schwartz, J., & Gallagher, R. (2006). Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain, 124(1–2), 117–125.PubMedCrossRef

Reisine, S., Fifield, J., Walsh, S., & Feinn, R. (2003). Do employment and family work affect the health status of women with fibromyalgia? Journal of Rheumatology, 30, 2045–2053.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

Rosenzweig, S., Greeson, J., Reibel, D., Green, J., Jasser, S., & Beasley, D. (2010). Mindfulness-based stress reduction for chronic pain conditions: Variation in treatment outcomes and role of home meditation practice. Journal of Psychosomatic Research, 68, 29–36.PubMedCrossRef

Rudd, M., & Rajab, M. (1995). Specificity of the beck depression inventory and the confounding role of comorbid disorders in a clinical sample. Cognitive Therapy and Research, 19(1), 51–68.CrossRef

Sanz, J., & Vazquez, C. (1998). Fiabilidad, validez y datos normativos del inventario para la depresión de Beck. Psicothema, 10(2), 303–318.

Sanz, J., & Vázquez, C. (1998). El Inventario para la Depresión de Beck (BDI) como instrumento para identificar sujetos deprimidos y no deprimidos en la investigación psicopatológica: Fiabilidad, validez y datos normativos en muestras universitarias. Psicothema, 10, 303–318.

Schmidt, S., Grossman, P., Schwarzer, B., Jena, S., Naumann, J., & Walach, H. (2011). Treating fibromyalgia with mindfulness-based stress reduction: Results from a 3-armed randomized controlled trial. Pain, 152, 361–369.PubMedCrossRef

Schütze, R., Rees, C., Preece, M., & Schütze, M. (2010). Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain, 148(1), 120–127.PubMedCrossRef

Segal, Z. V., Williams, J. M., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy for depression: A new approach for preventing relapse. New York: Guilford.

Sephton, S., Salmon, P., Weissbecker, I., Ulmer, C., Floyd, A., Hoover, K., et al. (2007). Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: Results of a randomized clinical trial. Arthritis and Rheumatism, 57, 77–85.PubMedCrossRef

Serrano-Atero, M. S., Caballero, J., Cañas, A., García-Saura, P. L., Serrano-Álvarez, C., & Prieto, J. (2002). Valoración del dolor (I). Revista de la Sociedad Española del Dolor, 9(2), 94–108.

Sheehan, D. V., Lecrubier, Y. Y., Sheehan, K., Janavs, J. J., Weiller, E. E., Keskiner, A. A., et al. (1997). The validity of the mini international neuropsychiatric interview (MINI) according to the SCID-P and its reliability. European Psychiatry, 12, 232–241.CrossRef

Sicras-Mainar, A., Blanca-Tamayo, M., Navarro-Artieda, R., & Rejas-Gutiérrez, J. (2009). Use of resources and costs profile in patients with fibromyalgia or generalized anxiety disorder in primary care settings. Atencion Primaria, 41(2), 77–84.PubMedCrossRef

Söderberg, S., Lundman, B., & Norberg, A. (1999). Struggling for dignity: The meaning of women’s experience of living with fibromyalgia. Qualitative Health Research, 9(5), 575–587.PubMedCrossRef

Spitzer, R. L., Williams, J. W., Gibbon, M., & First, M. B. (1990). Structured clinical interview for DSM-III-R, patient edition/non-patient edition, (SCID-P/SCID-NP). Washington.: American Psychiatric Press.

Teasdale, J. D., Segal, Z., & Williams, J. M. (1995). How does cognitive therapy prevent depressive relapse and why should attentional control (mindfulness) training help? Behaviour Research and Therapy, 33(1), 25–39.PubMedCrossRef

Thieme, K., & Gracely, R. (2009). Are psychological treatments effective for fibromyalgia pain? Current Rheumatology Reports, 11(6), 443–450.PubMedCrossRef

Thieme, K., Turk, D., & Flor, H. (2004). Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial variables. Psychosomatic Medicine, 66, 837–844.PubMedCrossRef

Thieme, K., Häuser, W., Batra, A., Bernardy, K., Felde, E., Gesmann, M., et al. (2008). Psychotherapy in patients with fibromyalgia syndrome. Schmerz, 22(3), 295–302.PubMedCrossRef

Tornero, J., Piqueras, J. A., Carballo, L. F., & Vidal, J. (2002). Epidemiología de la discapacidad laboral debida a las enfermedades reumáticas. Revista Española de Reumatología, 29, 373–384.

Vago, D. R., & Nakamura, Y. (2011). Selective attentional bias towards pain-related threat in fibromyalgia: Preliminary evidence for effects of mindfulness meditation training. Cognitive Therapy and Research, 35, 581–594.CrossRef

van Aalderen, J. R., Donders, A. T., Giommi, F. F., Spinhoven, P. P., Barendregt, H. P., & Speckens, A. M. (2012). The efficacy of mindfulness-based cognitive therapy in recurrent depressed patients with and without a current depressive episode: A randomized controlled trial. Psychological Medicine, 42(5), 989–1001.PubMedCrossRef

van Middendorp, H., Lumley, M., Jacobs, J., van Doornen, L., Bijlsma, J., & Geenen, R. (2008). Emotions and emotional approach and avoidance strategies in fibromyalgia. Journal of Psychosomatic Research, 64(2), 159–167.PubMedCrossRef

Vishne, T., Fostick, L., Silberman, A., Kupchick, M., Rubinow, A., Amital, H., et al. (2008). Fibromyalgia among major depression disorder females compared to males. Rheumatology International, 28(9), 831–836.PubMedCrossRef

Weissbecker, I., Salmon, P., Studts, J., Floyd, A., Dedert, E., & Sephton, S. (2002). Mindfulness-based stress reduction and sense of coherence among women with fibromyalgia. Journal of Clinical Psychology in Medical Settings, 9(4), 297–307.CrossRef

Wierwille, L. (2012). Fibromyalgia: diagnosing and managing a complex syndrome. Journal of the American Academy of Nurse Practitioners, 24(4), 184–192.PubMedCrossRef

Wilson, H., Robinson, J., & Turk, D. (2009). Toward the identification of symptom patterns in people with fibromyalgia. Arthritis and Rheumatism, 61(4), 527–534.PubMedCrossRef

Wolfe, F., Smythe, H. A., Yunus, M. B., Bennet, R. M., Bombardier, C., Goldenberg, D. L., et al. (1990). The American college of rheumatology 1990. Criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis and Rheumatism, 33, 160–172.PubMedCrossRef

Wolfe, F., Ross, K., Anderson, J., Russell, I., & Hebert, L. (1995). The prevalence and characteristics of fibromyalgia in the general population. Arthritis and Rheumatism, 38(1), 19–28.PubMedCrossRef

Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L., et al. (1997). A prospective, longitudinal, multicenter study of service utilization and costs in fibromyalgia. Arthritis and Rheumatism, 40, 1560–1570.PubMedCrossRef

Wolfe, F., Clauw, D., Fitzcharles, M., Goldenberg, D., Katz, R., 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.CrossRef

Yunus, M. B. (2002). Gender differences in fibromyalgia and other related syndromes. Journal of Gender-Specific Medicine, 5(2), 42–47.PubMed

Titel: Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial
Auteurs: Marta Parra-Delgado
José Miguel Latorre-Postigo
Publicatiedatum: 01-10-2013
Uitgeverij: Springer US
Gepubliceerd in: Cognitive Therapy and Research / Uitgave 5/2013
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI: https://doi.org/10.1007/s10608-013-9538-z

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 5/2013

Negative Automatic Evaluation and Better Recognition of Bodily Symptom Words in College Students with Elevated Health Anxiety

Anxiety, Appearance Contingent Self-Worth, and Appearance Conversations with Friends in Relation to Disordered Eating: Examining Moderator Models

Eating Expectancies in Relation to Eating Disorder Recovery

‘Folk Theories’ About the Causes of Insomnia

The Role of Causal Uncertainty in the Relationship Between Perceived Parental Dysphoria and Offspring’s Own Dysphoria

Exploring the Relationship Between Social Anxiety and Bulimic Symptoms: Mediational Effects of Perfectionism Among Females