Mindfulness as a protective factor against depressive symptoms in people with fibromyalgia

Brooks, Jessica; Müller, Verônica Regina; Sánchez, Jennifer; Johnson, Elizabeth; Chiu, Chung Yi; Cotton, Brandi Parker; Lohman, Matthew C.; Catalano, Denise; Bartels, Stephen J.; Chan, Fong

doi:10.1080/09638237.2017.1417555

Cited by 14 publications

(16 citation statements)

References 42 publications

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“…Our findings should be interpreted with caution due to some limitations. First, even though previous evidence supports the conceptual models of mediation presented, the cross‐sectional nature of the study precludes definitive conclusions about the direction of associations among variables . Future longitudinal studies are warranted to further disentangle these relationships.…”

Section: Discussionmentioning

confidence: 79%

“…The individual relationships that compose these mediation models are conceptually supported by previous evidence. The positive effects of mindfulness on pain interference, depression, and anxiety have been recognized in studies of patients with fibromyalgia . Of note, higher mindfulness can attenuate the subjective experience of pain and protect against psychological symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…The positive effects of mindfulness on pain interference, depression, and anxiety have been recognized in studies of patients with fibromyalgia. 14,43 Of note, higher mindfulness can attenuate the subjective experience of pain and protect against psychological symptoms. It is also supported that greater pain interference, depression, and anxiety contribute to poor sleep quality in fibromyalgia.…”

Section: Discussionmentioning

confidence: 99%

“…First, even though previous evidence supports the conceptual models of mediation presented, the cross-sectional nature of the study precludes definitive conclusions about the direction of associations among variables. 5,43 Future longitudinal studies are warranted to further disentangle these relationships. Second, average FFMQ score was higher in this population than in other samples of patients with chronic pain and healthy adults.…”

Section: Discussionmentioning

confidence: 99%

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Mindfulness is associated with sleep quality among patients with fibromyalgia

et al. 2019

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Aim Previous studies suggest higher mindfulness may be associated with better sleep quality in people with chronic pain conditions. However, the relationship between mindfulness and sleep in fibromyalgia patients, who commonly suffer from sleep problems, remains unstudied. We examined the relationship between mindfulness and sleep, and how this relationship may be mediated by depression, anxiety, and pain interference in fibromyalgia patients. Method We performed a cross‐sectional analysis of baseline data from a randomized trial in fibromyalgia patients. We measured mindfulness (Five Facet Mindfulness Questionnaire), sleep quality and disturbance (Pittsburgh Sleep Quality Index [PSQI], PROMIS Sleep Disturbance [PROMIS‐SD]), pain interference (PROMIS Pain Interference), and anxiety and depression (Hospital Anxiety and Depression Scale). Pearson correlations were used to examine associations among mindfulness and sleep quality and disturbance. Mediation analysis was conducted to assess whether pain interference, depression, and anxiety mediated the relationship between mindfulness and sleep. Results A total of 177 patents with fibromyalgia were included (93% female; mean age 52 ± 12 years; body mass index 30 ± 7 kg/m2; 59% White). Higher mindfulness was associated with better sleep quality and less sleep disturbance (PSQI r = −0.23, P = .002; PROMIS‐SD r = −.24, P = .002) as well as less pain interference (r = −.31, P < .0001), anxiety (r = −.58, P < .001), and depression (r = −0.54, P < .0001). Pain interference, depression, and anxiety mediated the association between mindfulness and sleep quality and disturbance. Conclusion Higher mindfulness is associated with better sleep in patients with fibromyalgia, with pain interference, depression, and anxiety mediating this relationship. Longitudinal studies are warranted to examine the potential effect of cultivating mindfulness on sleep in fibromyalgia.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Mindfulness is associated with sleep quality among patients with fibromyalgia

et al. 2019

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“…Thanks to their synergistic effects, current therapeutic approaches tend to combine pharmacological and nonpharmacological interventions to improve symptoms and ameliorate quality of life in patients affected by psychiatric disturbances. Evidence‐based psychotherapies and mind‐body therapies (MBTs) have proven effective in reducing symptoms of anxiety and depression in both patients with primary mental disorders and patients with chronic diseases (i.e., cancer and chronic pain).…”

Section: Focus On Mental Health and Stress Management: Clinical Effecmentioning

confidence: 99%

Stress and the psyche–brain–immune network in psychiatric diseases based on psychoneuroendocrineimmunology: a concise review

Bottaccioli

Minelli

2018

Annals of the New York Academy of Sciences

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In the last decades, psychoneuroendocrineimmunology research has made relevant contributions to the fields of neuroscience, psychobiology, epigenetics, molecular biology, and clinical research by studying the effect of stress on human health and highlighting the close interrelations between psyche, brain, and bodily systems. It is now well recognized that chronic stress can alter the physiological cross-talk between brain and biological systems, leading to long-lasting maladaptive effects (allostatic overload) on the nervous, immune, endocrine, and metabolic systems, which compromises stress resiliency and health. Stressful conditions in early life have been associated with profound alterations in cortical and subcortical brain regions involved in emotion regulation and the salience network, showing relevant overlap with different psychiatric conditions. This paper provides a summary of the available literature concerning the notable effects of stress on the brain and immune system. We highlight the role of epigenetics as a mechanistic pathway mediating the influences of the social and physical environment on brain structure and connectivity, the immune system, and psycho-physical health in psychiatric diseases. We also summarize the evidence regarding the effects of stress management techniques (mainly psychotherapy and meditation practice) on clinical outcomes, brain neurocircuitry, and immune-inflammatory network in major psychiatric diseases.

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Mindfulness is associated with psychological health and moderates the impact of fibromyalgia

et al. 2019

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Objective-Previous studies suggest mindfulness is associated with pain and depression. However, its impact in individuals with fibromyalgia remains unclear. We examined associations between mindfulness and physical and psychological symptoms, pain interference, and quality of life in fibromyalgia patients.Methods-We performed a cross-sectional analysis on baseline data from a fibromyalgia clinical trial. Mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). Pearson's correlations and multivariable linear regression models were used to evaluate associations between mindfulness and fibromyalgia impact, pain interference, physical function, depression, anxiety, stress, self-efficacy, and health-related quality of life. We also examined whether mindfulness moderated associations between fibromyalgia impact and psychological outcomes.Results-A total of 177 participants (age 52.0±12.2 (SD) years; 93.2% women; 58.8% white; body mass index 30.1±6.7 kg/m 2 ; FFMQ score 131.3±20.7; Revised Fibromyalgia Impact Questionnaire score 57.0±19.4) were included. Higher total mindfulness was significantly associated with lower fibromyalgia impact (r=−0.25), pain interference (r=−0.31), stress

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Mindfulness as a protective factor against depressive symptoms in people with fibromyalgia

Abstract: Mindfulness seems to play an important role as a protective factor against the negative effects of stress and depression among people with FM and should be included in mental health interventions for chronic pain.

Cited by 14 publications

References 42 publications

Mindfulness is associated with sleep quality among patients with fibromyalgia

Mindfulness is associated with sleep quality among patients with fibromyalgia

Stress and the psyche–brain–immune network in psychiatric diseases based on psychoneuroendocrineimmunology: a concise review

Mindfulness is associated with psychological health and moderates the impact of fibromyalgia

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