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Frank Petzke

2 papers in the library · publishing 2025-2026

Papers

A Brief Mindfulness Intervention for Pain Management in Fibromyalgia: A Single-arm Open-Label Study.

Restorative Neurology and Neuroscience August 1, 2026 Perianen Ramasawmy, Luise Charlotte Heim, Elisabeth Fechner et al.

A four-week mindfulness-based intervention tailored for fibromyalgia, including weekly online group meetings and daily practices, was tested in an open-label single-arm study with 46 patients. Pain intensity measured on a numerical rating scale decreased statistically, but only 15.3% of participants achieved clinically meaningful pain relief. Moderate improvement in quality of life occurred, with 45.6% clinical responders. Small-to-medium improvements were seen in affective pain, mindfulness, resilience, and a measure of GABABergic inhibition (long-interval intracortical inhibition). The authors conclude that the results are insufficient to draw firm conclusions about therapeutic efficacy due to the study design and lack of clinical significance despite statistical significance.

Adding Anodal Transcranial Direct Current Stimulation to Mindfulness Meditation Abolishes Mindfulness-Induced Improvements in Emotion Regulation in Fibromyalgia: A Responder Analysis.

The Clinical Journal of Pain November 1, 2025 Perianen Ramasawmy, Andrea Antal, Olga L Gamboa Arana et al.

A 4-week mindfulness-based intervention (MBI) improved emotion regulation in people with fibromyalgia, and those who responded clinically to the MBI showed better emotion regulation for six weeks. Adding anodal transcranial direct current stimulation (tDCS) of the primary motor cortex during mindfulness meditation eliminated this improvement. In the sham tDCS group, responders to the combined intervention reported larger gains in emotion regulation than nonresponders, but no such difference appeared in the active tDCS group. The authors conclude that combining mindfulness meditation with M1-tDCS should be reconsidered as a therapy for emotion regulation in fibromyalgia.