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Effects of Mindfulness Training on Sleep Problems in Patients With Fibromyalgia.

Alberto Amutio, Clemente Franco, Laura C Sánchez-sánchez, María del C Pérez-Fuentes, José J Gázquez-Linares, William van Gordon, María del M Molero-Jurado

Frontiers in Psychology 2018 DOI: 10.3389/fpsyg.2018.01365 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 39
Population Adult women with fibromyalgia syndrome
Intervention Flow Meditation (Meditación-Fluir)
Duration 7-week intervention, 3-month follow-up
Topics Meditation
Keywords Fibromyalgia syndrome Second-generation mindfulnessbased interventions Sleep disorders Sleep quality
Key findings Women with fibromyalgia who received a 7-week Flow Meditation (Meditación-Fluir) program showed significant improvements on all sleep-related outcomes—subjective insomnia, sleep quality, sleepiness, and sleep impairment—compared with a waiting-list control group, with effects maintained at 3 months. The authors suggest the program may be useful for treating fibromyalgia and other pain conditions involving sleep impairment.

Abstract

Fibromyalgia syndrome (FMS) is a complex psychosomatic pain condition. In addition to generalized pain and various cognitive difficulties, new FMS diagnostic criteria acknowledge fatigue and sleep problems as core aspects of this condition. Indeed, poor sleep quality has been found to be a significant predictor of pain, fatigue, and maladaptive social functioning in this patient group. While there is promising evidence supporting the role of mindfulness as a treatment for FMS, to date, mindfulness intervention studies have principally focused on dimensions of pain as the primary outcome with sleep problems either not being assessed or included as a secondary consideration. Given the role of sleep problems in the pathogenesis of FMS, and given that mindfulness has been shown to improve sleep problems in other clinical conditions, the present study explored the effects of a mindfulness-based intervention known as Flow Meditation (Meditación-Fluir) on a range of sleep-related outcomes (subjective insomnia, sleep quality, sleepiness, and sleep impairment) in individuals with FMS. Adult women with FMS (n = 39) were randomly assigned to the 7 weeks mindfulness treatment or a waiting list control group. Results showed that compared to the control group, individuals in the mindfulness group demonstrated significant improvements across all outcome measures and that the intervention effects were maintained at a 3 month follow-up assessment. The Meditación-Fluir program shows promise for alleviating sleep problems relating to FMS and may thus have a role in the treatment of FMS as well as other pain disorders in which sleep impairment is a central feature of the condition.

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

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