The impact of a meditation-based stress reduction program on fibromyalgia.
K H Kaplan, D L Goldenberg, M Galvin-Nadeau
General Hospital Psychiatry September 1, 1993 DOI: 10.1016/0163-8343(93)90020-o (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Pre-post intervention study Peer reviewed |
|---|---|
| Sample size | 77 |
| Population | Patients meeting the 1990 American College of Rheumatology criteria for fibromyalgia |
| Intervention | Meditation-based stress reduction program |
| Duration | 10-week group outpatient program; evaluated before and after the program |
| Measures | Visual analog scales (global well-being, pain, sleep, fatigue, feeling refreshed in the morning), medical symptom checklist, SCL-90-R, Coping Strategies Questionnaire, Fibromyalgia Impact Questionnaire, Fibromyalgia Attitude Index, psychiatric structured clinical interview (SCID) |
| Topics | Depression Meditation |
| Keywords | Humans Fibromyalgia Psychophysiologic disorders Pain measurement Treatment outcome Ambulatory care Adaptation, psychological Stress, psychological Sick role Awareness Somatoform disorders Personality inventory Adult Female Relaxation therapy |
| Key points | In 77 fibromyalgia patients completing a 10-week meditation-based stress reduction program, mean scores improved on all measures, and 51% showed moderate to marked improvement and were counted as "responders." The authors present these as preliminary findings suggesting the program is effective for fibromyalgia. |
Abstract
Fibromyalgia is a chronic illness characterized by widespread pain, fatigue, sleep disturbance, and resistance to treatment. The purpose of this study was to evaluate the effectiveness of a meditation-based stress reduction program on fibromyalgia. Seventy-seven patients meeting the 1990 criteria of the American College of Rheumatology for fibromyalgia took part in a 10-week group outpatient program. Therapists followed a carefully defined treatment approach and met weekly to further promote uniformity. Patients were evaluated before and after the program. Initial evaluation included a psychiatric structured clinical interview (SCID). Outcome measures included visual analog scales to measure global well-being, pain, sleep, fatigue, and feeling refreshed in the morning. Patients also completed a medical symptom checklist, SCL-90-R, Coping Strategies Questionnaire, Fibromyalgia Impact Questionnaire, and the Fibromyalgia Attitude Index. Although the mean scores of all the patients completing the program showed improvement, 51% showed moderate to marked improvement and only they were counted as "responders." These preliminary findings suggest that a meditation-based stress reduction program is effective for patients with fibromyalgia.
Comparable studies
Other non-randomized and open-label trials on meditation, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Early-stage breast and prostate cancer patients | 2003 | Pre-post intervention study | n = 59 |
| Exploring self‐compassion and empathy in the context of mindfulness‐based stress reduction (MBSR) Community sample | 2010 | Pre-post intervention study | |
| Mindfulness-Based Stress Reduction Lowers Psychological Distress In Medical Students Second-year medical students | 2003 | Prospective nonrandomized cohort-controlled study | n = 302 |
| Intensive meditation training, immune cell telomerase activity, and psychological mediators. Retreat participants and matched controls | 2011 | Controlled trial with wait-list control group | n = 60 |
| The Effectiveness of Mindfulness Training for Children with ADHD and Mindful Parenting for their Parents Children aged 8-12 with ADHD and their parents | 2011 | Within-group waitlist controlled trial | n = 22 |
Citations in the library
Cited by 86
- Mindfulness training as a clinical intervention: A conceptual and empirical review. Clinical Psychology Science and Practice 2003
- Mindfulness-Based Stress Reduction for Health Care Professionals: Results From a Randomized Trial. International Journal of Stress Management May 1, 2005
- A Randomized, Wait-List Controlled Clinical Trial: The Effect of a Mindfulness Meditation-Based Stress Reduction Program on Mood and Symptoms of Stress in Cancer Outpatients Psychosomatic Medicine September 1, 2000
- Mindfulness-Based Stress Reduction in Relation to Quality of Life, Mood, Symptoms of Stress, and Immune Parameters in Breast and Prostate Cancer Outpatients Psychosomatic Medicine July 1, 2003
- What Do We Really Know About Mindfulness-Based Stress Reduction? Psychosomatic Medicine 2002
and 81 more in the library
Cites 4
- Four-Year Follow-Up of a Meditation-Based Program for the Self-Regulation of Chronic Pain Clinical Journal of Pain 1986
- The Use of Meditation in Psychotherapy: A Review of the Literature American Journal of Psychotherapy July 1, 1991
- Medical care utilization and the transcendental meditation program. Psychosomatic Medicine 1987
- An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. General Hospital Psychiatry April 1, 1982