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Fibromyalgia syndrome (FMS) is a complex and poorly understood psychosomatic pain disorder. The illness has been the subject of controversy, both in terms of the alleged lack of interest and capability of the medical community to understand and support patients with FMS, and the burden that such individuals place upon economic and healthcare resources. Due to the lack of convincing data for the effectiveness of extant pharmacological and non-pharmacological FMS treatments, a recent direction in FMS research has been the empirical investigation of mindfulness and other meditation-based approaches. The present qualitative study explored whether following participation in a mindfulness-based intervention, patients with FMS report experiencing changes in (i) how they experience and relate to their illness and (ii) their attitudes towards societal participation, work and unemployment. Ten individuals with FMS were randomly selected from the intervention arm of a randomised controlled trial (RCT) evaluating the effectiveness of a mindfulness-based intervention known as Meditation Awareness Training (MAT) for the treatment of FMS. Transcripts of semi-structured interviews were analysed using Interpretative Phenomenological Analysis, a robust and rigorous qualitative methodology for analysing subjective experiences. Five super-ordinate themes emerged from the dataset: (i) reservations about participating, (ii) improvements in psychosomatic well-being, (iii) spiritual growth, (iv) awareness of impermanence and (v) increased sense of citizenship. MAT was experienced as both an acceptable and accessible intervention by individuals with FMS, and participants reported experiencing improvements in psychosocial functioning as well as an increased sense of societal responsibility. MAT appears to have utility for treating FMS and for changing the attitudes of some individuals with FMS towards community engagement and societal contribution.
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American Psychiatric Association. (2010). American Psychiatric Association practice guideline for the treatment of patients with major depressive disorder (3rd ed.). Arlington: American Psychiatric Publishing.
Branco, J. C., Bannwarth, B., Failde, I., Abello Carbonell, J., Blotman, F., Spaeth, M., … Matucci-Cerinic, M. (2010). Prevalence of fibromyalgia: a survey in five European countries. Seminars in Arthritis and Rheumatism, 39, 448–55.
Canzonieri, A. M., Pollak, D. F., Oliveira, P. J., Costa, M. E., & Natour, J. (2013). Evaluation of socio-demographic variables, psychiatric comorbidity, and pain in fibromyalgia patients. Annals of the Rheumatic Diseases, 71, 756. CrossRef
Creswell, J. W. (2007). Qualitative inquiry and research design: choosing among five approaches (2nd ed.). London: Sage.
Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15, 199–208. CrossRef
Henke, M., & Chur-Hansen, A. (2014). The effectiveness of mindfulness-based programs on physical symptoms and psychological distress in patients with fibromyalgia: a systematic review. International Journal of Wellbeing, 4, 28–45. CrossRef
Hickie, I., Pols, R. G., Koschera, A., & Davenport, T. (2004). Why are somatoform disorders so poorly recognized and treated? In G. Andrews & S. Henderson (Eds.), Unmet need in psychiatry: problems, resources, responses (pp. 309–323). Cambridge: Cambridge University Press.
Hughes, G., Martinez, C., Myon, E., Taïeb, C., & Wessely, S. (2005). The impact of a diagnosis of fibromyalgia on health care resource use by primary care patients in the UK: an observational study based on clinical practice. Arthritis and Rheumatism, 54, 177–183. CrossRef
Mackenzie, M. J., Carlson, L. E., Munoz, M., & Speca, M. (2007). A qualitative study of self-perceived effects of mindfulness-based stress reduction (MBSR) in a psychosocial oncology setting. Stress and Health, 23, 59–69. CrossRef
National Institute for Health and Clinical Excellence (NICE). (2009). Depression: management of depression in primary and secondary care. London: Author.
Rimes, K. A., & Wingrove, J. (2013). Mindfulness-based cognitive therapy for people with chronic fatigue syndrome still experiencing excessive fatigue after cognitive behaviour therapy: a pilot randomized study. Clinical Psychology & Psychotherapy, 20, 107–117. CrossRef
Roth, B., & Stanley, T. W. (2002). Mindfulness-based stress reduction and healthcare utilization in the inner city: preliminary findings. Alternative Therapies in Health and Medicine, 8, 60–66. PubMed
Sandelowski, M., & Barroso, J. (2002). Reading qualitative studies. International Journal of Qualitative Methods, 1, 74–108.
Schaefer, C., Chandran, A., Hufstader, M., Baik, R., McNett, M., Goldenberg, D., … Zlateva, G. (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. DOI: 10.1186/1477-7525-9-71.
Scott, M., & Jones, K. (2014). Mindfulness in a fibromyalgia population. Journal of Alternative and Complementary Medicine, 20, A94–A95.
Shonin, E., & Van Gordon, W. (2015). Managers’ experiences of Meditation Awareness Training. Mindfulness, 4, 899–909. CrossRef
Shonin, E., Van Gordon, W., & Griffiths, M. D. (2014b). The emerging role of Buddhism in clinical psychology: toward effective integration. Psychology of Religion and Spirituality, 6, 123–137. CrossRef
Shonin, E., Van Gordon, W., Compare, A., Zangeneh, M., & Griffiths, M. D. (2015). Buddhist-derived loving-kindness and compassion meditation for the treatment of psychopathology: a systematic review. Mindfulness, 6, 1161–1180. CrossRef
Sicras-Mainar, A., Rejas, J., Navarro, R., Blanca, M., Morcillo, A., Larios, R., … Villarroya, C. (2009). Treating patients with fibromyalgia in primary care settings under routine medical practice: a claim database cost and burden of illness study. Arthritis Research and Therapy, 11, R54. DOI: 10.1186/ar2673.
Sim, J., & Madden, S. (2008). Illness experience in fibromyalgia syndrome: a metasynthesis of qualitative studies. Social Science & Medicine, 67, 57–67. CrossRef
Singh, N. N., Lancioni, G. E., Wahler, R. G., Winton, A. S., & Singh, J. (2008). Mindfulness approaches in cognitive behavior therapy. Behavioural and Cognitive Psychotherapy, 36, 659–666. CrossRef
Singh, N. N., Lancioni, G. E., Winton, A. S. W., Karazsia, B. T., & Singh, J. (2014). Mindfulness-Based Positive Behavior Support (MBPBS) for mothers of adolescents with autism spectrum disorders: effects on adolescents’ behavior and parental stress. Mindfulness, 5, 646–657. CrossRef
Smith, J. A. (1995). Semi-structured interviewing and qualitative analysis. In J. A. Smith, R. Harre, & L. Van Langenhove (Eds.), Rethinking methods in psychology (pp. 9–26). London: Sage.
Smith, J. A. (1996). Beyond the divide between cognition and discourse: using interpretative phenomenological analysis in health psychology. Psychology and Health, 11, 261–271. CrossRef
Smith, J. A. (2004). Reflecting on the development of interpretative phenomenological analysis and its contribution to qualitative research in psychology. Qualitative Research in Psychology, 1, 39–54.
Smith, J. A., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis. Theory, method and research. London: Sage Publications Ltd.
Stange, J. P., Eisner, L. R., Hölzel, B. K., Peckham, A. D., Dougherty, D. D., Rauch, S. … Deckersbach, T. (2011). Mindfulness-based cognitive therapy for bipolar disorder: effects on cognitive functioning. Journal of Psychiatric Practice, 17, 410–419.
Van Gordon, W., Shonin, E., Sumich, A., Sundin, E., & Griffiths, M. D. (2014). Meditation Awareness Training (MAT) for psychological wellbeing in a sub-clinical sample of university students: a controlled pilot study. Mindfulness, 5, 381–391.
Vøllestad, J. (2015). Mindfulness- and acceptance-based interventions in the treatment of anxiety disorders. In E. Shonin, W. Van Gordon, & M. D. Griffiths (Eds.), Mindfulness and Buddhist-derived approaches in mental health and addiction. Gewerbestrasse: Springer. doi: 10.1007/978-3-319-22255-4_1.
White, K. P., Nielson, W. R., Harth, M., Ostbye, T., & Speechley, M. (2002). Does the label “fibromyalgia” alter health status, function, and health service utilization? A prospective, within-group comparison in a community cohort of adults with chronic widespread pain. Arthritis Care and Research, 47, 260–265. CrossRefPubMed
Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L., … Yunus, M. B. (1997). A prospective, longitudinal, multicenter study of service utilization and costs in fibromyalgia. Arthritis and Rheumatism, 40, 1560–1570.
Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L., … Yunus, M. B. (1997). Work and disability status of persons with fibromyalgia. The Journal of Rheumatology, 24, 1171–1178.
Yardley, L. (2000). Dilemmas in qualitative health research. Psychology and Health, 15, 215–228. CrossRef
- Meditation Awareness Training for Individuals with Fibromyalgia Syndrome: an Interpretative Phenomenological Analysis of Participants’ Experiences
William Van Gordon
Mark D. Griffiths
- Springer US