Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial
- PDF / 294,004 Bytes
- 12 Pages / 595.276 x 790.866 pts Page_size
- 18 Downloads / 184 Views
ORIGINAL ARTICLE
Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial Marta Parra-Delgado • Jose´ Miguel Latorre-Postigo
Published online: 4 April 2013 Springer Science+Business Media New York 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 prepost 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
M. Parra-Delgado J. M. Latorre-Postigo Department of Psychology, University of Castilla-La Mancha, Albacete, Spain M. Parra-Delgado J. M. Latorre-Postigo Applied Cognitive Psychology Unit, Neurological Disabilities Research Institute, Albacete, Spain M. Parra-Delgado (&) Departamento de Psicologı´a, Facultad de Educacio´n, Plaza de la Universidad, 3, 02071 Albacete, Spain e-mail: [email protected]
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. Keywords Mindfulness-based cognitive therapy Fibromyalgia Depression Pain
Introduction Fibromyalgia syndrome is characterised by widespread chronic musculoskeletal pain with different clinical, physical and psychological symptoms. The etiology is undetermined although various biological, genetic and environmental factors are thought to be involved in the appearance and development of fibromyalgia (Geoffroy et al. 2012). The estimated prevalence in different industrialised countries in the general population is 0.7–4.7 % (Branco et al. 2010; Eich et al. 2008). The prevalence is significantly higher in women than in men with the overall female-to-male ratio of 9–1 (Bartels et al. 2009; Yunus 2002). The diversity of symptoms of fibromyalgia causes sufferers to have major problems adapting their life, family and working environments (Bernard et al. 2000; Neumann and Buskila 1997; Reisine et al. 200
Data Loading...
