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Erschienen in: Annals of Behavioral Medicine 3/2013

01.12.2013 | Original Article

An Online Mindfulness Intervention Targeting Socioemotional Regulation in Fibromyalgia: Results of a Randomized Controlled Trial

verfasst von: Mary C. Davis, Ph.D., Alex J. Zautra, Ph.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 3/2013

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Abstract

Background

Patients with fibromyalgia (FM) experience pain as well as deficits in positive affect and social relations that are not explicitly addressed in most behavioral treatments.

Purpose

The purpose of this study is to compare the effects of a 12-module online intervention targeting socioemotional regulation via mindful awareness/acceptance (MSER) with those of an attention-control treatment, healthy lifestyle tips (HT).

Methods

Seventy-nine FM patients were randomly assigned to MSER or HT, with outcomes assessed via online diary reports of pain, coping efficacy, affect, and social relations. Multilevel analyses revealed greater improvements in social functioning, positive affect, and coping efficacy for pain and stress (all ps < .05) in MSER versus HT across the 6-week trial.

Conclusions

FM patients experience increases in self-efficacy for coping with pain and positive engagement in relationships, marginal increases in positive affect, and decreases in relationship stress from an automated online intervention that targets socioemotional regulation skills. Findings highlight the potential utility of widely accessible, low-cost intervention methods for fibromyalgia (Clinicaltrials.gov number NCT01748786).
Literatur
1.
Zurück zum Zitat Reva CL, David TF, Charles GH, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthrits Rheumat. 2008;58:26-35.CrossRef Reva CL, David TF, Charles GH, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthrits Rheumat. 2008;58:26-35.CrossRef
2.
Zurück zum Zitat Robinson RL, Birnbaum HG, Morley MA, et al. Economic cost and epidemiological characteristics of patients with fibromyalgia claims. J Rheumatol. 2003;30:1318-1325.PubMed Robinson RL, Birnbaum HG, Morley MA, et al. Economic cost and epidemiological characteristics of patients with fibromyalgia claims. J Rheumatol. 2003;30:1318-1325.PubMed
3.
Zurück zum Zitat Thieme K, Turk DC, Flor H. Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial variables. Psychosom Med. 2004;66:837-844.PubMedCrossRef Thieme K, Turk DC, Flor H. Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial variables. Psychosom Med. 2004;66:837-844.PubMedCrossRef
4.
Zurück zum Zitat Zautra AJ, Fasman R, Reich JW, et al. Fibromyalgia: Evidence for deficits in positive affect regulation. Psychosom Med. 2005;67:147-155.PubMedCrossRef Zautra AJ, Fasman R, Reich JW, et al. Fibromyalgia: Evidence for deficits in positive affect regulation. Psychosom Med. 2005;67:147-155.PubMedCrossRef
5.
Zurück zum Zitat Finan PH, Zautra AJ, Davis MC. Daily affect relations in fibromyalgia patients reveal positive affective disturbance. Psychosom Med. 2009;71:474-482.PubMedCrossRef Finan PH, Zautra AJ, Davis MC. Daily affect relations in fibromyalgia patients reveal positive affective disturbance. Psychosom Med. 2009;71:474-482.PubMedCrossRef
6.
Zurück zum Zitat Davis MC, Zautra AJ, Reich JW. Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis. Ann Behav Med. 2001;23:215-226.PubMedCrossRef Davis MC, Zautra AJ, Reich JW. Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis. Ann Behav Med. 2001;23:215-226.PubMedCrossRef
7.
Zurück zum Zitat Sim J, Adams N. Systematic review of randomized controlled trials of nonpharmacological interventions for fibromyalgia. Clin J Pain. 2002;18:324-336.PubMedCrossRef Sim J, Adams N. Systematic review of randomized controlled trials of nonpharmacological interventions for fibromyalgia. Clin J Pain. 2002;18:324-336.PubMedCrossRef
8.
Zurück zum Zitat Rossy L, Buckelew S, Dorr N, et al. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med. 1999;21:180-191.PubMedCrossRef Rossy L, Buckelew S, Dorr N, et al. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med. 1999;21:180-191.PubMedCrossRef
9.
Zurück zum Zitat Glombiewski JA, Sawyer AT, Gutermann J, et al. Psychological treatments for fibromyalgia: A meta-analysis. Pain. 2010;151:280-295.PubMedCrossRef Glombiewski JA, Sawyer AT, Gutermann J, et al. Psychological treatments for fibromyalgia: A meta-analysis. Pain. 2010;151:280-295.PubMedCrossRef
10.
Zurück zum Zitat Bernardy K, Fuber N, Kollner V, Hauser W. Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome—a systematic review and metaanalysis of randomized controlled trials. J Rheumatol. 2010;37:1991-2005.PubMedCrossRef Bernardy K, Fuber N, Kollner V, Hauser W. Efficacy of cognitive-behavioral therapies in fibromyalgia syndrome—a systematic review and metaanalysis of randomized controlled trials. J Rheumatol. 2010;37:1991-2005.PubMedCrossRef
11.
Zurück zum Zitat Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to relapse prevention. New York: Guilford Press; 2002. Segal ZV, Williams JMG, Teasdale JD. Mindfulness-based cognitive therapy for depression: A new approach to relapse prevention. New York: Guilford Press; 2002.
12.
Zurück zum Zitat Fredrickson BL, Branigan C. Positive emotions broaden the scope of attention and thought–action repertoires. Cogn Emot. 2005;19:313-332.PubMedCrossRef Fredrickson BL, Branigan C. Positive emotions broaden the scope of attention and thought–action repertoires. Cogn Emot. 2005;19:313-332.PubMedCrossRef
13.
Zurück zum Zitat Aaronson NK, Muller M, Cohen PDA, et al. Translation, validation, and norming of the Dutch language version of the SF-36 health survey in community and chronic disease populations. J Clin Epidemiol. 1998;51:1055-1068.PubMedCrossRef Aaronson NK, Muller M, Cohen PDA, et al. Translation, validation, and norming of the Dutch language version of the SF-36 health survey in community and chronic disease populations. J Clin Epidemiol. 1998;51:1055-1068.PubMedCrossRef
14.
Zurück zum Zitat Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. Mindfulness training as an intervention for fibromyalgia: Evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom. 2007;76:226-233.PubMedCrossRef Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. Mindfulness training as an intervention for fibromyalgia: Evidence of postintervention and 3-year follow-up benefits in well-being. Psychother Psychosom. 2007;76:226-233.PubMedCrossRef
15.
Zurück zum Zitat Sephton SE, Salmon P, Weissbecker I, et al. Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: Results of a randomized clinical trial. Arthritis Care Res. 2007;57:77-85.CrossRef Sephton SE, Salmon P, Weissbecker I, et al. Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: Results of a randomized clinical trial. Arthritis Care Res. 2007;57:77-85.CrossRef
16.
Zurück zum Zitat Schmidt S, Grossman P, Schwarzer B, et al. Treating fibromyalgia with mindfulness-based stress reduction: Results from a 3-armed randomized controlled trial. Pain. 2011;152:361-369.PubMedCrossRef Schmidt S, Grossman P, Schwarzer B, et al. Treating fibromyalgia with mindfulness-based stress reduction: Results from a 3-armed randomized controlled trial. Pain. 2011;152:361-369.PubMedCrossRef
17.
Zurück zum Zitat Mannerkorpi K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: A pilot study. J Rehabil Med. 2004;36:279-281.PubMedCrossRef Mannerkorpi K, Arndorw M. Efficacy and feasibility of a combination of body awareness therapy and qigong in patients with fibromyalgia: A pilot study. J Rehabil Med. 2004;36:279-281.PubMedCrossRef
18.
Zurück zum Zitat Kazdin AE, Blase SL. Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspect Psychol Sci. 2011;6:21-37.CrossRef Kazdin AE, Blase SL. Rebooting psychotherapy research and practice to reduce the burden of mental illness. Perspect Psychol Sci. 2011;6:21-37.CrossRef
19.
Zurück zum Zitat Glasgow RE, Lichtenstein E, Marcus AC. Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. Am J Public Health. 2003;93:1261-1267.PubMedCrossRef Glasgow RE, Lichtenstein E, Marcus AC. Why don’t we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. Am J Public Health. 2003;93:1261-1267.PubMedCrossRef
20.
Zurück zum Zitat Zautra AJ, Davis MC, Reich JW, et al. Comparison of cognitive behavioral and mindfulness meditation interventions on adaptation to rheumatoid arthritis for patients with and without history of recurrent depression. J Consult Clin Psychol. 2008;76:408-421.PubMedCrossRef Zautra AJ, Davis MC, Reich JW, et al. Comparison of cognitive behavioral and mindfulness meditation interventions on adaptation to rheumatoid arthritis for patients with and without history of recurrent depression. J Consult Clin Psychol. 2008;76:408-421.PubMedCrossRef
21.
Zurück zum Zitat Judd L, AH S, MJ D, et al. A prospective 12-year study of subsyndromal and syndromal depressive symptoms in unipolar major depressive disorders. Arch Gen Psychiatry. 1998;55:694-700.PubMedCrossRef Judd L, AH S, MJ D, et al. A prospective 12-year study of subsyndromal and syndromal depressive symptoms in unipolar major depressive disorders. Arch Gen Psychiatry. 1998;55:694-700.PubMedCrossRef
22.
Zurück zum Zitat Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): A review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol. 2005;23:S154.PubMed Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): A review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol. 2005;23:S154.PubMed
23.
Zurück zum Zitat Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: A comparison of six methods. Pain. 1986;27:117-126.PubMedCrossRef Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: A comparison of six methods. Pain. 1986;27:117-126.PubMedCrossRef
24.
Zurück zum Zitat Johnson LM, Zautra AJ, Davis MC. The role of illness uncertainty on coping with fibromyalgia symptoms. Health Psychol. 2006;25:696-703.PubMedCrossRef Johnson LM, Zautra AJ, Davis MC. The role of illness uncertainty on coping with fibromyalgia symptoms. Health Psychol. 2006;25:696-703.PubMedCrossRef
25.
Zurück zum Zitat Reich JW, Zautra AJ. Experimental and measurement approaches to internal control in at-risk older adults. J Soc Issues. 1991;47:143-158.CrossRef Reich JW, Zautra AJ. Experimental and measurement approaches to internal control in at-risk older adults. J Soc Issues. 1991;47:143-158.CrossRef
26.
Zurück zum Zitat Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol. 1988;54:1063-1070.PubMedCrossRef Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol. 1988;54:1063-1070.PubMedCrossRef
27.
Zurück zum Zitat Watson D, Clark LA. The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Unpublished manuscript. Iowa City: University of Iowa; 1994. Watson D, Clark LA. The PANAS-X: Manual for the positive and negative affect schedule-expanded form. Unpublished manuscript. Iowa City: University of Iowa; 1994.
28.
Zurück zum Zitat Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473-483.PubMedCrossRef Ware JE, Sherbourne CD. The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Med Care. 1992;30:473-483.PubMedCrossRef
29.
Zurück zum Zitat Zautra AJ, Guarnaccia CA, Dohrenwend BP. Measuring small life events. Am J Community Psychol. 1986;14:629-655.PubMedCrossRef Zautra AJ, Guarnaccia CA, Dohrenwend BP. Measuring small life events. Am J Community Psychol. 1986;14:629-655.PubMedCrossRef
30.
Zurück zum Zitat Meinert CL. Clinical trials: Design, conduct, and analysis. New York: Oxford; 1986. Meinert CL. Clinical trials: Design, conduct, and analysis. New York: Oxford; 1986.
31.
Zurück zum Zitat Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system for mixed models. Cary, NC: SAS Institute; 1996. Littell RC, Milliken GA, Stroup WW, Wolfinger RD. SAS system for mixed models. Cary, NC: SAS Institute; 1996.
32.
Zurück zum Zitat Aiken LS, West SG. Multiple regression: Testing and intrepreting interactions. Thousand Oaks, CA: Sage; 1991. Aiken LS, West SG. Multiple regression: Testing and intrepreting interactions. Thousand Oaks, CA: Sage; 1991.
33.
Zurück zum Zitat Moskowitz JT. Positive affect predicts lower risk of AIDS mortality. Psychosom Med. 2003;65:620-626.PubMedCrossRef Moskowitz JT. Positive affect predicts lower risk of AIDS mortality. Psychosom Med. 2003;65:620-626.PubMedCrossRef
34.
Zurück zum Zitat Ong AD. Pathways linking positive emotion and health in later life. Curr Dir Psychol Sci. 2010;19:358-362.CrossRef Ong AD. Pathways linking positive emotion and health in later life. Curr Dir Psychol Sci. 2010;19:358-362.CrossRef
35.
Zurück zum Zitat Nydahl O. The way things are. UK: O Books; 2008. Nydahl O. The way things are. UK: O Books; 2008.
36.
Zurück zum Zitat Geschwind N, Peeters F, Drukker M, van Os J, Wichers M. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: A randomized controlled trial. J Consult Clin Psychol. 2011;79:618-628.PubMedCrossRef Geschwind N, Peeters F, Drukker M, van Os J, Wichers M. Mindfulness training increases momentary positive emotions and reward experience in adults vulnerable to depression: A randomized controlled trial. J Consult Clin Psychol. 2011;79:618-628.PubMedCrossRef
37.
Zurück zum Zitat Fledderus M, Bohlmeijer E, Pieterse M, Schreurs K. Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: A randomized controlled trial. Psychol Med. 2012;42:485-495.PubMedCrossRef Fledderus M, Bohlmeijer E, Pieterse M, Schreurs K. Acceptance and commitment therapy as guided self-help for psychological distress and positive mental health: A randomized controlled trial. Psychol Med. 2012;42:485-495.PubMedCrossRef
38.
Zurück zum Zitat Zautra AJ, Davis MC, Reich JW, et al. Phone-based interventions with automated mindfulness and mastery messages improve the daily functioning for depressed middle-aged community residents. J Psychother Integr. 2012;22:206.CrossRef Zautra AJ, Davis MC, Reich JW, et al. Phone-based interventions with automated mindfulness and mastery messages improve the daily functioning for depressed middle-aged community residents. J Psychother Integr. 2012;22:206.CrossRef
39.
Zurück zum Zitat Roberts-Wolfe D, Sacchet M, Hastings E, Roth H, Britton W. Mindfulness training alters emotional memory recall compared to active controls: Support for an emotional information processing model of mindfulness. Front Hum Neurosci. 2012;6:1-13.CrossRef Roberts-Wolfe D, Sacchet M, Hastings E, Roth H, Britton W. Mindfulness training alters emotional memory recall compared to active controls: Support for an emotional information processing model of mindfulness. Front Hum Neurosci. 2012;6:1-13.CrossRef
40.
Zurück zum Zitat van Vugt MK, Hitchcock P, Shahar B, Britton W: The effects of mindfulness-based cognitive therapy on affective memory recall dynamics in depression: a mechanistic model of rumination. Front Hum Neurosci. 2012; 6:1–13. van Vugt MK, Hitchcock P, Shahar B, Britton W: The effects of mindfulness-based cognitive therapy on affective memory recall dynamics in depression: a mechanistic model of rumination. Front Hum Neurosci. 2012; 6:1–13.
41.
Zurück zum Zitat Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M. Efficacy of multicomponent treatment in fibromyalgia syndrome: A meta-analysis of randomized controlled clinical trials. Arthritis Care & Research. 2009;61:216-224.CrossRef Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M. Efficacy of multicomponent treatment in fibromyalgia syndrome: A meta-analysis of randomized controlled clinical trials. Arthritis Care & Research. 2009;61:216-224.CrossRef
42.
Zurück zum Zitat Häuser W, Bernardy K, Üçeyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants: A meta-analysis. JAMA. 2009;301:198-209.PubMedCrossRef Häuser W, Bernardy K, Üçeyler N, Sommer C. Treatment of fibromyalgia syndrome with antidepressants: A meta-analysis. JAMA. 2009;301:198-209.PubMedCrossRef
43.
Zurück zum Zitat Younger J, Mackey S. Fibromyalgia symptoms are reduced by low-dose naltrexone: A pilot study. Pain Med. 2009;10:663-672.PubMedCrossRef Younger J, Mackey S. Fibromyalgia symptoms are reduced by low-dose naltrexone: A pilot study. Pain Med. 2009;10:663-672.PubMedCrossRef
44.
Zurück zum Zitat Gracely RH, Petzke F, Wolf JM, Clauw DJ. Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthritis Rheum. 2002;46:1333-1343.PubMedCrossRef Gracely RH, Petzke F, Wolf JM, Clauw DJ. Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthritis Rheum. 2002;46:1333-1343.PubMedCrossRef
45.
Zurück zum Zitat Southwick SM, Charney DS. The science of resilience: Implications for the prevention and treatment of depression. Science. 2012;338:79-82.PubMedCrossRef Southwick SM, Charney DS. The science of resilience: Implications for the prevention and treatment of depression. Science. 2012;338:79-82.PubMedCrossRef
Metadaten
Titel
An Online Mindfulness Intervention Targeting Socioemotional Regulation in Fibromyalgia: Results of a Randomized Controlled Trial
verfasst von
Mary C. Davis, Ph.D.
Alex J. Zautra, Ph.D.
Publikationsdatum
01.12.2013
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 3/2013
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9513-7

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