Mindfulness is associated with sleep quality among patients with fibromyalgia.
Michelle Park, Yuan Zhang, Lori Lyn Price, Raveendhara R Bannuru, Chenchen Wang
International Journal of Rheumatic Diseases November 27, 2019 DOI: 10.1111/1756-185x.13756 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Cross-sectional analysis of baseline data from a randomized trial Longitudinal Peer reviewed |
|---|---|
| Sample size | 177 |
| Population | Patients with fibromyalgia (93% female; mean age 52 ± 12 years; BMI 30 ± 7 kg/m2; 59% White) |
| Measures | Five Facet Mindfulness Questionnaire, Pittsburgh Sleep Quality Index (PSQI), PROMIS Sleep Disturbance (PROMIS-SD), PROMIS Pain Interference, Hospital Anxiety and Depression Scale |
| Topics | Anxiety Depression Meditation |
| Keywords | Humans Fibromyalgia Treatment outcome Cross-sectional studies Adult Middle aged Female Surveys and questionnaires Sleep wake disorders Chronic pain Mediation |
| Key findings | Higher mindfulness was associated with better sleep quality and less sleep disturbance in fibromyalgia patients, and pain interference, depression, and anxiety mediated this relationship. The authors call for longitudinal studies to examine whether cultivating mindfulness can improve sleep. |
Abstract
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.
Comparable studies
Other randomized controlled trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Alterations in Brain and Immune Function Produced by Mindfulness Meditation Healthy employees in a work environment | 2003 | Randomized controlled trial | n = 41 |
| Prevention of relapse/recurrence in major depression by mindfulness-based cognitive therapy. Recovered recurrently depressed patients | 2000 | Randomized controlled trial | n = 145 |
| Open hearts build lives: Positive emotions, induced through loving-kindness meditation, build consequential personal resources. Working adults | 2008 | Randomized controlled trial | n = 139 |
| Short-term meditation training improves attention and self-regulation Undergraduate Chinese students | 2007 | Randomized controlled trial | n = 40 |
| Mindfulness-Based Cognitive Therapy for Depression: Replication and Exploration of Differential Relapse Prevention Effects. Recovered recurrently depressed patients | 2004 | Randomized controlled trial | n = 73 |
Citations in the library
Cited by 5
- Moderating effect of mindfulness on the relationship between anxiety and somatization symptoms in middle‐aged and elderly female patients with hypertension Journal of Clinical Hypertension May 31, 2023
- Recalibrating Pain–Mood Coupling in Fibromyalgia: A Hypothesis-Generating Multisystem Neurobehavioral Framework for Mindfulness-Based Interventions Anesthesia Research September 13, 2026
- Moderation of mindfulness on the relationship between anxiety and somatization symptoms in middle-aged and elderly female patients with hypertension：A cross-sectional analysis Research Square November 22, 2022
- Low mindfulness is related to poor sleep quality from middle adolescents to emerging adults: a process model involving resilience and emotional dysfunction. BMC Psychiatry August 28, 2023
- Effect of Mindfulness Therapy and Aromatherapy Massage on Pain Perception, Quality of Life and Sleep Quality in Older Women With Chronic Pain Sālmand December 9, 2021
Cites 15
- Using Self-Report Assessment Methods to Explore Facets of Mindfulness Assessment January 27, 2006
- How Does Mindfulness Meditation Work? Proposing Mechanisms of Action From a Conceptual and Neural Perspective Perspectives on Psychological Science October 14, 2011
- Construct Validity of the Five Facet Mindfulness Questionnaire in Meditating and Nonmeditating Samples Assessment February 29, 2008
- Mindfulness as a protective factor against depressive symptoms in people with fibromyalgia. Journal of Mental Health April 2020
- Effects of Mindfulness Training on Sleep Problems in Patients With Fibromyalgia. Frontiers in Psychology 2018
and 10 more in the library