Effect of Positive Mindfulness and Emotion-Focused Cognitive-Behavioral Therapy in Fibromyalgia Patients’ Response to Stress and Subjective Well-Being
Advances in Nursing & Midwifery,
Vol. 30 No. 4 (2021),
15 October 2021
,
Page 1-7
Abstract
Abstract
Introduction: Fibromyalgia disease has a considerable effect on anxiety disorders such as subjective well-being. The present study aimed to investigate the effect of positive mindfulness therapy (PMT) and emotion-focused cognitive-behavioral therapy (EFCBT) in fibromyalgia patients’ response to stress and subjective well-being.
Methods: The research method was quasi-experimental with a pre-test and post-test design, and a control group. The statistical population included 160 women with fibromyalgia, visiting Red Cross affiliated physiotherapy clinics in Tehran in 2020. The sample consisted of 60 patients with fibromyalgia selected by convenience sampling and randomly divided into two experimental groups (PMT and EFCBT) and a control group (n= 20 per group). Data were collected using the Self-Regulation Inventory (SRI) and the Subjective Well-Being Scale. The validity and reliability of the research instruments were confirmed. Data were analyzed at descriptive and inferential levels using SPSS software version 20.
Results: The results showed that the PMT produced significant improvements in subjective well-being and response to stress (P = 0.001) in patients with fibromyalgia. Furthermore, EFCBT was effective in improving subjective well-being and response to stress (P = 0.001) in the patients compared to the control group. The results did not imply a significant difference between the two treatment interventions.
Conclusions: PMT and EFCBT were effective in reducing response to stress and improving subjective well-being in patients with fibromyalgia. Based on the results, holding PMT and EFCBT workshops may exert beneficial effects on reducing response to stress and increasing subjective well-being in patients with fibromyalgia. According to the results, using positive mindfulness therapy and emotion-focused cognitive-behavioral therapy was effective in reducing response to stress and improving subjective well-being in patients with fibromyalgia.
- Fibromyalgia
- Stress
- Well-being
- Positive mindfulness
- Emotional cognitive
How to Cite
References
Maffei ME. Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies. Int J Mol Sci. 2020;21(21). doi: 10.3390/ijms21217877 pmid: 33114203
Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L, Bonasia DE, et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130. doi: 10.1155/2012/426130 pmid: 23213512
Lami MJ, Martinez MP, Sanchez AI, Miro E, Diener FN, Prados G, et al. Gender Differences in Patients with Fibromyalgia Undergoing Cognitive-Behavioral Therapy for Insomnia: Preliminary Data. Pain Pract. 2016;16(2):E23-34. doi: 10.1111/papr.12411 pmid: 26841198
Tsang A, Von Korff M, Lee S, Alonso J, Karam E, Angermeyer MC, et al. Common chronic pain conditions in developed and developing countries: gender and age differences and comorbidity with depression-anxiety disorders. J Pain. 2008;9(10):883-91. doi: 10.1016/j.jpain.2008.05.005 pmid: 18602869
Galvez-Sanchez CM, Duschek S, Reyes Del Paso GA. Psychological impact of fibromyalgia: current perspectives. Psychol Res Behav Manag. 2019;12:117-27. doi: 10.2147/PRBM.S178240 pmid: 30858740
Bandelow B, Michaelis S. Epidemiology of anxiety disorders in the 21st century. Dialogues Clin Neurosci. 2015;17(3):327-35. pmid: 26487813
Nikmanesh Z, Khosravi Z. The Effect of Training Emotion Regulation Techniques on Resilience and Psychological Well-Being among Nurses in Zahedan. Advanc Nurs Midwife. 2020;29(2):1-6.
Terol Cantero MC, Buunk AP, Cabrera V, Bernabe M, Martin-Aragon Gelabert M. Profiles of Women With Fibromyalgia and Social Comparison Processes. Front Psychol. 2020;11:440. doi: 10.3389/fpsyg.2020.00440 pmid: 32231628
Klaus K, Fischer S, Doerr JM, Nater UM, Mewes R. Classifying Fibromyalgia Syndrome as a Mental Disorder?-An Ambulatory Assessment Study. Int J Behav Med. 2017;24(2):230-8. doi: 10.1007/s12529-016-9603-6 pmid: 27757841
Cejudo J, Garcia-Castillo FJ, Luna P, Rodrigo-Ruiz D, Feltrero R, Moreno-Gomez A. Using a Mindfulness-Based Intervention to Promote Subjective Well-Being, Trait Emotional Intelligence, Mental Health, and Resilience in Women With Fibromyalgia. Front Psychol. 2019;10:2541. doi: 10.3389/fpsyg.2019.02541 pmid: 31798502
Loge-Hagen JS, Saele A, Juhl C, Bech P, Stenager E, Mellentin AI. Prevalence of depressive disorder among patients with fibromyalgia: Systematic review and meta-analysis. J Affect Disord. 2019;245:1098-105. doi: 10.1016/j.jad.2018.12.001 pmid: 30699852
Furness PJ, Vogt K, Ashe S, Taylor S, Haywood-Small S, Lawson K. What causes fibromyalgia? An online survey of patient perspectives. Health Psychol Open. 2018;5(2):2055102918802683. doi: 10.1177/2055102918802683 pmid: 30275965
Kordi M, Banaei Heravan M. Prediction of Self-Efficacy of Women with Gestational Diabetes Based on Coping Styles with Stress. Advance Nurs Midwife. 2020;29(2):27-33.
Mahmoodi Z, Karimlou M, Sajjadi H, Dejman M, Vameghi M, Dolatian M. Stressful life events and Low birth Weight: according to social determinant of health approach. Advanc Nurs Midwife. 2016;25(90):17-26.
Janssen M, Heerkens Y, Kuijer W, van der Heijden B, Engels J. Effects of Mindfulness-Based Stress Reduction on employees' mental health: A systematic review. PLoS One. 2018;13(1):e0191332. doi: 10.1371/journal.pone.0191332 pmid: 29364935
Hofmann SG, Gomez AF. Mindfulness-Based Interventions for Anxiety and Depression. Psychiatr Clin North Am. 2017;40(4):739-49. doi: 10.1016/j.psc.2017.08.008 pmid: 29080597
Mohammadi F, Imanzad M, Mohammadkhani P, Dolatshahi B, Asghari M, Tavassoli E. The effectiveness of "Mindfulness based Cognitive Therapy" on psycho-social performance of chronic low back pain patients (CLBP). Advanc Nurs Midwife. 2014;23(82):46-54.
Phan HP, Ngu BH, Chen SC, Wu L, Shi SY, Lin RY, et al. Advancing the Study of Positive Psychology: The Use of a Multifaceted Structure of Mindfulness for Development. Front Psychol. 2020;11:1602. doi: 10.3389/fpsyg.2020.01602 pmid: 32765367
Guendelman S, Medeiros S, Rampes H. Mindfulness and Emotion Regulation: Insights from Neurobiological, Psychological, and Clinical Studies. Front Psychol. 2017;8:220. doi: 10.3389/fpsyg.2017.00220 pmid: 28321194
Zhang Q, Wang Z, Wang X, Liu L, Zhang J, Zhou R. The Effects of Different Stages of Mindfulness Meditation Training on Emotion Regulation. Front Hum Neurosci. 2019;13:208. doi: 10.3389/fnhum.2019.00208 pmid: 31316361
Al-Refae M, Al-Refae A, Munroe M, Sardella NA, Ferrari M. A Self-Compassion and Mindfulness-Based Cognitive Mobile Intervention (Serene) for Depression, Anxiety, and Stress: Promoting Adaptive Emotional Regulation and Wisdom. Front Psychol. 2021;12:648087. doi: 10.3389/fpsyg.2021.648087 pmid: 33828514
Suh H, Jeong J. Association of Self-Compassion With Suicidal Thoughts and Behaviors and Non-suicidal Self Injury: A Meta-Analysis. Front Psychol. 2021;12:633482. doi: 10.3389/fpsyg.2021.633482 pmid: 34122224
Suveg C, Jones A, Davis M, Jacob ML, Morelen D, Thomassin K, et al. Emotion-Focused Cognitive-Behavioral Therapy for Youth with Anxiety Disorders: A Randomized Trial. J Abnorm Child Psychol. 2018;46(3):569-80. doi: 10.1007/s10802-017-0319-0 pmid: 28580504
Torres S, Sales CMD, Guerra MP, Simoes MP, Pinto M, Vieira FM. Emotion-Focused Cognitive Behavioral Therapy in Comorbid Obesity With Binge Eating Disorder: A Pilot Study of Feasibility and Long-Term Outcomes. Front Psychol. 2020;11:343. doi: 10.3389/fpsyg.2020.00343 pmid: 32194485
Kohrt BA, Griffith JL, Patel V. Chronic pain and mental health: integrated solutions for global problems. Pain. 2018;159 Suppl 1:S85-S90. doi: 10.1097/j.pain.0000000000001296 pmid: 30113952
Kim SY, Busch AJ, Overend TJ, Schachter CL, van der Spuy I, Boden C. Flexibility exercise training for adults with fibromyalgia. Cochrane Database Syst Rev. 2019;9(9):CD013419-CD. doi: 10.1002/14651858.CD013419
Mohammadi Zeidi I, Seifpour T, Morshedi H, Alizadeh H. The Effectiveness of Coping Strategies training on Knowledge, Pain Specific Self-efficacy and Indicators of Migraine Headache. J Health Res Commun. 2020;6(2):11-26.
Borza L. Cognitive-behavioral therapy for generalized anxiety. Dialogues Clin Neurosci. 2017;19(2):203-8. pmid: 28867944
Marqués MaJ, Ibáñez M, Ruiperez MA, Moya J, Ortet G. The Self-Regulation Inventory (SRI): Psychometric properties of a health-related coping measure. Personal Individ Difference. 2005;39:1043-54. doi: 10.1016/j.paid.2005.02.030
Ashkezari MD, Besharat MA, Azizi L, Abdolmanafi A. Reliability, Validity, and Factorial Analysis of a Short Version of the Self-Regulation Inventory. Procedia Soc Behav Sci. 2011;30:252-5. doi: 10.1016/j.sbspro.2011.10.050
Molavi H, Torkan H, Soltani I, Palahang H. Structure Standardization, Validity and Reliability of Subjective Well-being Questionnaire. Iran J Psychiatr Clinic Psychol. 2010;16(3):231-8.
Ivtzan I, Lomas T. Mindfulness in positive psychology: The science of meditation and wellbeing. Routledge/Taylor & Francis Group.2016.
Lee JK, Orsillo SM, Roemer L, Allen LB. Distress and avoidance in generalized anxiety disorder: exploring the relationships with intolerance of uncertainty and worry. Cogn Behav Ther. 2010;39(2):126-36. doi: 10.1080/16506070902966918 pmid: 19714542
Adler-Neal AL, Zeidan F. Mindfulness Meditation for Fibromyalgia: Mechanistic and Clinical Considerations. Curr Rheumatol Rep. 2017;19(9):59. doi: 10.1007/s11926-017-0686-0 pmid: 28752493
- Abstract Viewed: 887 times
- PDF Downloaded: 129 times