Mindfulness is associated with psychological health and moderates the impact of fibromyalgia
Open accessAbstract
Objective: Previous studies suggest mindfulness is associated with pain and depression. However, its impact in individuals with fibromyalgia remains unclear. We examined associations between mindfulness and physical and psychological symptoms, pain interference, and quality of life in fibromyalgia patients. Methods: We performed a cross-sectional analysis on baseline data from a fibromyalgia clinical trial. Mindfulness was assessed using the Five Facet Mindfulness Questionnaire (FFMQ). Pearson’s correlations and multivariable linear regression models were used to evaluate associations between mindfulness and fibromyalgia impact, pain interference, physical function, depression, anxiety, stress, self-efficacy, and health-related quality of life. We also examined whether mindfulness moderated associations between fibromyalgia impact and psychological outcomes. Results: A total of 177 participants (age 52.0 ± 12.2 (SD) years; 93.2% women; 58.8% white; body mass index 30.1 ± 6.7 kg/m2; FFMQ score 131.3 ± 20.7; Revised Fibromyalgia Impact Questionnaire score 57.0 ± 19.4) were included. Higher total mindfulness was significantly associated with lower fibromyalgia impact (r = − 0.25), pain interference (r = − 0.31), stress (r = − 0.56), anxiety (r = − 0.58), depression (r = − 0.54), and better mental health-related quality of life (r = 0.57). Describing, Acting-with-awareness, and Non-judging facets of mindfulness were also associated with these outcomes. Mindfulness moderated the effect of fibromyalgia impact on anxiety (interaction P = 0.01). Conclusion: Higher mindfulness is associated with less pain interference, lower impact of fibromyalgia, and better psychological health and quality of life in people with fibromyalgia. Mindfulness moderates the influence of fibromyalgia impact on anxiety, suggesting mindfulness may alter how patients cope with fibromyalgia. Future studies should assess how mind-body therapies aiming to cultivate mindfulness may impact the well-being of patients with fibromyalgia. Key points: • Higher mindfulness was associated with better psychological health and lower overall impact of fibromyalgia. • Mindfulness moderated the relationship between overall fibromyalgia impact and anxiety. © 2019, International League of Associations for Rheumatology (ILAR).
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Claims the paper makes
22 of 57 cited sources checked · 12 supported · 1 flagged · accuracy not yet measured
- Premisecitation
In clinical and community groups, including chronic pain patients, greater mindfulness is linked to better physical and psychological outcomes.
“Higher levels of mindfulness are associated with better physical and psychological outcomes in clinical and community populations, including in patients with chronic pain,4–10”
Quote in the paperSubstantial claim2 of 7 sources checked- cites [4] Schütze R, Rees C, Preece M, Schütze M (2010) Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain 148:120–127 source
- cites [5] Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342 source
- cites [6] Bränström R, Duncan LG, Moskowitz JT (2011) The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population-based sample. Br J Health Psychol 16:300–316 source
The paper’s Abstract Conclusions and Discussion link greater dispositional mindfulness with well-being and perceived health in a Swedish population-based sample. The Discussion also summarizes benefits of mindfulness interventions for people with physical diseases, but that is different from an association between higher mindfulness and better outcomes in clinical groups. Our copy does not establish the claim specifically for chronic pain patients (searched: “chronic pain”). No page numbers were available in the indexed passages. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [7] Bränström R, Kvillemo P, Brandberg Y, Moskowitz JT (2010) Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients--a randomized study. Ann Behav Med 39:151–161 source
- cites [8] Lee AC, Harvey WF, Price LL, Morgan LPK, Morgan NL, Wang C (2017) Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis. Osteoarthr Cartil 25:824–831 source
The Results (page unavailable) associate higher mindfulness with better mental and physical quality-of-life scores, less depression and stress, and greater self-efficacy in patients with knee osteoarthritis. They find no significant association with pain or physical function. The paper does not establish the broader claim for community populations. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [9] Poulin PA, Romanow HC, Rahbari N, Small R, Smyth CE, Hatchard T et al (2016) The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Support Care Cancer 24:4167–4175 source
- cites [10] van Son J, Nyklíček I, Nefs G, Speight J, Pop VJ, Pouwer F (2015) The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from Diabetes MILES: the Netherlands. J Behav Med 38:251–260 source
- Premisecitation
The five facets of mindfulness have different relationships with health outcomes.
“These facets of mindfulness differ in their associations with health outcomes.4–10,13–17”
Quote in the paperSubstantial claim5 of 10 sources checked- cites [4] Schütze R, Rees C, Preece M, Schütze M (2010) Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain 148:120–127 source
- cites [5] Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342 source
- cites [6] Bränström R, Duncan LG, Moskowitz JT (2011) The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population-based sample. Br J Health Psychol 16:300–316 source
- cites [7] Bränström R, Kvillemo P, Brandberg Y, Moskowitz JT (2010) Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients--a randomized study. Ann Behav Med 39:151–161 source
- cites [8] Lee AC, Harvey WF, Price LL, Morgan LPK, Morgan NL, Wang C (2017) Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis. Osteoarthr Cartil 25:824–831 source
- cites [9] Poulin PA, Romanow HC, Rahbari N, Small R, Smyth CE, Hatchard T et al (2016) The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Support Care Cancer 24:4167–4175 source
- cites [10] van Son J, Nyklíček I, Nefs G, Speight J, Pop VJ, Pouwer F (2015) The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from Diabetes MILES: the Netherlands. J Behav Med 38:251–260 source
- cites [13] Curtis K, Osadchuk A, Katz J (2011) An eight-week yoga intervention is associated with improvements in pain, psychological functioning and mindfulness, and changes in cortisol levels in women with fibromyalgia. J Pain Res 4:189–201 source
- cites [14] Desrosiers A, Klemanski DH, Nolen-Hoeksema S (2013) Mapping mindfulness facets onto dimensions of anxiety and depression. Behav Ther 44:373–384 source
- cites [15] Jones KD, Mist SD, Casselberry MA, Ali A, Christopher MS (2015) Fibromyalgia impact and mindfulness characteristics in 4986 people with fibromyalgia. Explor J Sci Health 11:304–309 source
- Findingcitation
The study sample had higher average total FFMQ scores than other community and clinical samples.
“Our sample had higher average total Five Facet Mindfulness Questionnaire (FFMQ) scores than other community and clinical samples in studies that measured FFMQ5,7,10,13,15,17”
Quote in the paperNot a substantial claim2 of 6 sources checked- cites [5] Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342 source
- cites [7] Bränström R, Kvillemo P, Brandberg Y, Moskowitz JT (2010) Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients--a randomized study. Ann Behav Med 39:151–161 source
- cites [10] van Son J, Nyklíček I, Nefs G, Speight J, Pop VJ, Pouwer F (2015) The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from Diabetes MILES: the Netherlands. J Behav Med 38:251–260 source
- cites [13] Curtis K, Osadchuk A, Katz J (2011) An eight-week yoga intervention is associated with improvements in pain, psychological functioning and mindfulness, and changes in cortisol levels in women with fibromyalgia. J Pain Res 4:189–201 source
- cites [15] Jones KD, Mist SD, Casselberry MA, Ali A, Christopher MS (2015) Fibromyalgia impact and mindfulness characteristics in 4986 people with fibromyalgia. Explor J Sci Health 11:304–309 source
The Methods (Measures; page not available) confirm that this was a clinical sample assessed with the FFMQ. The Results report FFMQ subscale scores, but our copy gives no average total FFMQ score or comparison with the citing study’s sample, so it does not establish the claimed higher total score. (LLM, conf=0.80)
Experimental — accuracy not yet measured - cites [17] Veehof MM, Oskam MJ, Schreurs KMG, Bohlmeijer ET (2011) Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain 152:533–542 source
- Findingcitation
The study sample had lower fibromyalgia impact scores than participants in two online fibromyalgia studies.
“also had lower fibromyalgia impact scores than participants in two online fibromyalgia studies.15,44”
Quote in the paperNot a substantial claim2 of 2 sources checked- cites [15] Jones KD, Mist SD, Casselberry MA, Ali A, Christopher MS (2015) Fibromyalgia impact and mindfulness characteristics in 4986 people with fibromyalgia. Explor J Sci Health 11:304–309 source
- cites [44] Davis MC, Zautra AJ (2013) An online mindfulness intervention targeting socioemotional regulation in fibromyalgia: results of a randomized controlled trial. Ann Behav Med 46:273–284 source
- Findingown data
No facet of mindfulness was significantly associated with the physical component of quality of life.
“No facets of mindfulness were associated with the Patient’s Global Assessment, physical component of quality of life, and the 6-minute walking test.”
Quote in the paperNot a substantial claim
- Findingown data
Greater overall mindfulness was significantly associated with less depression (r = -0.54, P < 0.001).
“less depression (r = −0.54, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
No facet of mindfulness was significantly associated with the Patient's Global Assessment.
“No facets of mindfulness were associated with the Patient’s Global Assessment, physical component of quality of life, and the 6-minute walking test.”
Quote in the paperNot a substantial claim - Findingown data
Greater overall mindfulness was significantly associated with better coping skills (r = -0.40, P < 0.001).
“better coping skills (r = −0.40, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
The Observing facet of mindfulness was not significantly associated with anxiety.
“The Observing facet was also not associated with stress and anxiety.”
Quote in the paperNot a substantial claim - Findingown data
The Non-reacting facet of mindfulness was not significantly associated with overall fibromyalgia impact.
“the Non-reacting and Observing facets were not significantly associated with overall fibromyalgia impact.”
Quote in the paperNot a substantial claim - Findingown data
Among the 177 fibromyalgia patients, greater overall mindfulness showed a significant inverse relationship with fibromyalgia impact (r = -0.25, P < 0.001).
“higher mindfulness was significantly associated with lower fibromyalgia impact (r = −0.25, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
Greater overall mindfulness was significantly associated with less stress (r = -0.56, P < 0.001).
“less stress (r = −0.56, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
Greater overall mindfulness was significantly associated with less anxiety (r = -0.58, P < 0.001).
“less anxiety (r = −0.58, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
The Observing facet of mindfulness was not significantly associated with overall fibromyalgia impact.
“the Non-reacting and Observing facets were not significantly associated with overall fibromyalgia impact.”
Quote in the paperNot a substantial claim - Findingown data
Greater overall mindfulness was significantly associated with less pain interference (r = -0.31, P < 0.001).
“less pain interference (r = −0.31, P < 0.001)”
Quote in the paperSubstantial claim - Findingown data
The Observing facet of mindfulness was not significantly associated with stress.
“The Observing facet was also not associated with stress and anxiety.”
Quote in the paperNot a substantial claim - Findingown data
Greater overall mindfulness was significantly associated with better self-efficacy (r = 0.29, P = 0.001).
“better self-efficacy (r = 0.29, P = 0.001)”
Quote in the paperSubstantial claim - Findingown data
No significant moderation by mindfulness was found for the association between pain interference and depression.
“no significant moderation by mindfulness was found for the associations between pain interference and anxiety, depression, or stress.”
Quote in the paperNot a substantial claim - Findingown data
No facet of mindfulness was significantly associated with the 6-minute walking test.
“No facets of mindfulness were associated with the Patient’s Global Assessment, physical component of quality of life, and the 6-minute walking test.”
Quote in the paperNot a substantial claim - Findingown data
No significant moderation by mindfulness was found for the association between pain interference and stress.
“no significant moderation by mindfulness was found for the associations between pain interference and anxiety, depression, or stress.”
Quote in the paperNot a substantial claim - Findingown data
No significant moderation by mindfulness was found for the association between pain interference and anxiety.
“no significant moderation by mindfulness was found for the associations between pain interference and anxiety, depression, or stress.”
Quote in the paperNot a substantial claim - Findingown data
Participants with greater fibromyalgia impact were likely to have more anxiety, regardless of their mindfulness score.
“participants with greater fibromyalgia impact were likely to have more anxiety, regardless of mindfulness score.”
Quote in the paperNot a substantial claim - Findingown data
Most associations between mindfulness and outcomes remained unchanged after adjustment for age, gender, race, education, and BMI.
“Table 3 shows that most associations among mindfulness and outcomes remained unchanged after adjusting for age, gender, race, education, and BMI.”
Quote in the paperNot a substantial claim - Findingown data
No significant moderation by mindfulness was found for the association between Patient's Global Assessment and stress.
“no significant moderation by mindfulness was found for the associations between Patient’s Global Assessment and anxiety, depression, or stress (data not shown).”
Quote in the paperNot a substantial claim - Findingown data
Mindfulness did not moderate the association between fibromyalgia impact and depression (P = 0.82).
“the associations between fibromyalgia impact and depression (P = 0.82) (Figure 2A) or stress (P = 0.94) (Figure 2B) were not moderated by mindfulness.”
Quote in the paperNot a substantial claim - Findingown data
The difference in anxiety between low and high mindfulness groups was greatest at high levels of fibromyalgia impact.
“The difference in anxiety between low and high mindfulness groups was greatest at high degrees of fibromyalgia impact.”
Quote in the paperSubstantial claim - Findingown data
No significant moderation by mindfulness was found for the association between Patient's Global Assessment and depression.
“no significant moderation by mindfulness was found for the associations between Patient’s Global Assessment and anxiety, depression, or stress (data not shown).”
Quote in the paperNot a substantial claim - Findingown data
Mindfulness did not moderate the association between fibromyalgia impact and stress (P = 0.94).
“the associations between fibromyalgia impact and depression (P = 0.82) (Figure 2A) or stress (P = 0.94) (Figure 2B) were not moderated by mindfulness.”
Quote in the paperNot a substantial claim - Findingown data
Participants in the higher mindfulness group tended to have lower anxiety than those in lower mindfulness groups.
“participants in the higher mindfulness group tended to have lower anxiety than those in lower mindfulness groups.”
Quote in the paperSubstantial claim - Findingown data
The Observing facet of mindfulness was significantly associated with depression.
“the Observing facet was only significantly associated with depression, mental component of quality of life, and self-efficacy.”
Quote in the paperNot a substantial claim - Findingown data
After adjustment, the association between the Non-reacting facet and coping skills became non-significant (P = 0.15).
“Non-reacting and coping skills became non-significant (P = 0.15)”
Quote in the paperNot a substantial claim - Findingown data
After adjustment, the association between the Observing facet and SF-36 mental component summary became significant (P = 0.02).
“the association between Observing and SF-36-MCS became significant (P = 0.02)”
Quote in the paperSubstantial claim - Findingown data
The Observing facet of mindfulness was significantly associated with the mental component of quality of life.
“the Observing facet was only significantly associated with depression, mental component of quality of life, and self-efficacy.”
Quote in the paperSubstantial claim - Findingown data
Mindfulness moderated the effect of fibromyalgia impact on anxiety (interaction P = 0.01).
“the relationship between fibromyalgia impact and anxiety was moderated by mindfulness (P = 0.01)”
Quote in the paperSubstantial claim- Rests on an assumption: No prior study has examined whether mindfulness moderates psychological outcomes in fibromyalgia.
- Findingown data
The Observing facet of mindfulness was significantly associated with self-efficacy.
“the Observing facet was only significantly associated with depression, mental component of quality of life, and self-efficacy.”
Quote in the paperNot a substantial claim - Findingown data
No significant moderation by mindfulness was found for the association between Patient's Global Assessment and anxiety.
“no significant moderation by mindfulness was found for the associations between Patient’s Global Assessment and anxiety, depression, or stress (data not shown).”
Quote in the paperNot a substantial claim - Premisecitation
People with fibromyalgia report more emotional dysregulation than patients with similar pain levels from other conditions.
“Fibromyalgia patients also report higher levels of emotional dysregulation compared to other patients experiencing similar levels of pain.2”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [2] Burckhardt CS, Clark SR, Bennett RM (1993) Fibromyalgia and quality of life: a comparative analysis. J Rheumatol 20:475–479
- Interpretationreasoning
Mindfulness may be important in how a person relates to their physical and psychological distress.
“indicating that mindfulness may play a critical role in an individual’s relationship with their physical and psychological distress.”
Quote in the paperSubstantial claim - Interpretationown data
Mindfulness may change how fibromyalgia patients cope with their condition.
“suggesting mindfulness may alter how patients cope with fibromyalgia.”
Quote in the paperSubstantial claim - Interpretationown data
Mindfulness may reduce the amount of anxiety that develops as fibromyalgia impact increases.
“our results suggest that mindfulness may reduce the degree of anxiety that develops as a result of increasing fibromyalgia impact severity.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The study was not powered to detect differences between treatment arms for the FFMQ because it was a secondary analysis.
“This is an analysis of secondary outcome therefore we did not power the study to detect any differences between treatment arms for FFMQ.”
Quote in the paperNot a substantial claim - Interpretationown data
Mindfulness may weaken the link between fibromyalgia impact and the development of anxiety, especially in patients with greater fibromyalgia impact.
“This suggests that mindfulness may serve to weaken the relationship between fibromyalgia impact and the development of anxiety, particularly, in patients with greater fibromyalgia impact.”
Quote in the paperSubstantial claim - Study design and conductreasoning
The cross-sectional design limits the ability to infer causality about the associations between mindfulness and health outcomes.
“the cross-sectional design restricts our ability to infer causality about the associations between mindfulness and health outcomes.”
Quote in the paperSubstantial claim - Study design and conductown data
The study sample was not epidemiologically representative of all fibromyalgia patients.
“our study sample was not epidemiologically representative of all fibromyalgia patients.”
Quote in the paperNot a substantial claim
- Classified as probably not a substantial claim. 20
- The quote only partly states this claim. 1
- May combine two claims. 8
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe Describing, Acting-with-awareness, and Non-judging facets tend to show similar positive associations with psychological health.
“The Describing, Acting-with-awareness, and Non-judging facets are often similarly associated with better psychological health.”
Quote in the paperNot a substantial claim5 of 10 sources checked- cites [4] Schütze R, Rees C, Preece M, Schütze M (2010) Low mindfulness predicts pain catastrophizing in a fear-avoidance model of chronic pain. Pain 148:120–127 source
- cites [5] Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342 source
- cites [6] Bränström R, Duncan LG, Moskowitz JT (2011) The association between dispositional mindfulness, psychological well-being, and perceived health in a Swedish population-based sample. Br J Health Psychol 16:300–316 source
The Results section (page not provided) says acting with awareness and non-reactivity had the strongest associations with all measured outcomes, while non-judging was associated only with anxiety and describing with positive states of mind. The Discussion likewise says the facets differed in their associations, contrary to the claim that the three named facets were similarly associated with better psychological health. (LLM, conf=0.88)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measured - cites [7] Bränström R, Kvillemo P, Brandberg Y, Moskowitz JT (2010) Self-report mindfulness as a mediator of psychological well-being in a stress reduction intervention for cancer patients--a randomized study. Ann Behav Med 39:151–161 source
- cites [8] Lee AC, Harvey WF, Price LL, Morgan LPK, Morgan NL, Wang C (2017) Mindfulness is associated with psychological health and moderates pain in knee osteoarthritis. Osteoarthr Cartil 25:824–831 source
- cites [9] Poulin PA, Romanow HC, Rahbari N, Small R, Smyth CE, Hatchard T et al (2016) The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain. Support Care Cancer 24:4167–4175 source
- cites [10] van Son J, Nyklíček I, Nefs G, Speight J, Pop VJ, Pouwer F (2015) The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from Diabetes MILES: the Netherlands. J Behav Med 38:251–260 source
- cites [13] Curtis K, Osadchuk A, Katz J (2011) An eight-week yoga intervention is associated with improvements in pain, psychological functioning and mindfulness, and changes in cortisol levels in women with fibromyalgia. J Pain Res 4:189–201 source
The Five Facet Mindfulness Questionnaire section names all three facets and says that its subscales correlate with aspects of psychological functioning. It gives a positive association for Describing, but does not establish positive associations for Acting with awareness and Non-judging or show that the three are similarly associated with psychological health. The Results section reports improvement in Describing, not a comparison of those associations. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites [14] Desrosiers A, Klemanski DH, Nolen-Hoeksema S (2013) Mapping mindfulness facets onto dimensions of anxiety and depression. Behav Ther 44:373–384 source
- cites [15] Jones KD, Mist SD, Casselberry MA, Ali A, Christopher MS (2015) Fibromyalgia impact and mindfulness characteristics in 4986 people with fibromyalgia. Explor J Sci Health 11:304–309 source
The Discussion (page unavailable) reports that greater fibromyalgia impact was associated with lower scores on Describing, Acting with Awareness, and Non-judging; the Results characterize the facet correlations as small to medium. This supports a shared direction of association in people with fibromyalgia, but the paper measures fibromyalgia impact rather than psychological health generally and does not establish that the three associations are similar in strength or occur often across settings. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Classified as probably not a substantial claim.
Study design and conductcitationFibromyalgia impact was assessed with the validated 21-item Revised Fibromyalgia Impact Questionnaire (FIQR).
“The FIQR is a 21-item, validated self-report instrument that assesses function, overall impact, and symptoms over the past seven days.22”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [22] Bennett RM, Friend R, Jones KD, Ward R, Han BK, Ross RL (2009) The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. Arthritis Res Ther 11:R120 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Patient's Global Assessment is a common tool for assessing rheumatic conditions.
“This is a common tool for assessment of rheumatic conditions.25,26”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [25] Anderson J, Caplan L, Yazdany J, Robbins ML, Neogi T, Michaud K et al (2012) Rheumatoid arthritis disease activity measures: American College of Rheumatology recommendations for use in clinical practice. Arthritis Care Res (Hoboken) 64:640–647 source
The Discussion describes Patient’s Global Assessment (PtGA) as a component of several rheumatoid arthritis disease-activity measures, and reports that surveyed ACR members rated it highly feasible for clinical practice. That supports its use in rheumatoid arthritis, but the paper does not establish that PtGA is commonly used across rheumatic conditions more broadly. The Discussion’s statement about use beyond rheumatoid arthritis concerns RAPID-3, not PtGA specifically. (LLM, conf=0.82)
Experimental — accuracy not yet measured - cites [26] Hawker GA, Mian S, Kendzerska T, French M (2011) Measures of adult pain: Visual Analog Scale for pain (VAS pain), Numeric Rating Scale for pain (NRS pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF). Arthritis Care Res 63. https://doi.org/10.1002/acr.20543 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationPain interference was assessed with the highly reliable PROMIS Adult Short Form: Pain Interference version 1.0.
“PROMIS-Pain Interference measures the extent to which pain interferes with a patient’s physical, mental, emotional, and social activities in the past seven days and is highly reliable.23”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [23] Amtmann D, Cook KF, Jensen MP, Chen WH, Choi S, Revicki D et al (2010) Development of a PROMIS item bank to measure pain interference. Pain 150:173–182 source
The Introduction defines pain interference in terms of physical, mental, and social activities; Methods specifies a seven-day recall period and describes items addressing emotional aspects of pain. The Results and Discussion find PROMIS-PI bank scores highly reliable over a substantial T-score range, but less reliable at the extremes. They do not establish the reliability of the specifically named Adult Short Form version 1.0. (LLM, conf=0.85)
Experimental — accuracy not yet measured
Classified as probably not a substantial claim.
Study design and conductcitationMindfulness was assessed with the validated 39-item Five Facet Mindfulness Questionnaire (FFMQ).
“Mindfulness was measured by the FFMQ, a validated 39-question instrument that assesses overall mindfulness as well as its five subscales (Observing, Describing, Acting-with-awareness, Non-judging, and Non-reactivity) on a 5-point Likert scale where higher scores reflect higher mindfulness.5,11,17”
Quote in the paperSubstantial claim1 of 3 sources checked- cites [5] Baer RA, Smith GT, Lykins E, Button D, Krietemeyer J, Sauer S et al (2008) Construct validity of the five facet mindfulness questionnaire in meditating and nonmeditating samples. Assessment 15:329–342 source
- cites [11] Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13:27–45 source
Participants and Procedures (p. 10) identifies the FFMQ as a 39-item questionnaire using a 5-point scale, and Deriving Mindfulness Facets (p. 10) describes its five subscales. But the General Discussion (p. 17) says it requires extensive additional validation. Results (p. 12) also found that the five facets did not all load on an overall mindfulness factor in the independent student sample, so the unqualified claims of validation and an overall mindfulness score overstate this source. (LLM, conf=0.88)
Experimental — accuracy not yet measured - cites [17] Veehof MM, Oskam MJ, Schreurs KMG, Bohlmeijer ET (2011) Acceptance-based interventions for the treatment of chronic pain: a systematic review and meta-analysis. Pain 152:533–542 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Symptom Severity Scale is a widely used two-part measure of fibromyalgia-related symptoms.
“The Symptom Severity Scale (SS) is a widely-used, two-part instrument that enables assessment of fibromyalgia-related symptoms over the past week.20”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [20] Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Katz RS, Mease P et al (2010) The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 62:600–610 source
Table 4 (Discussion; page unavailable) describes two scoring parts: severity ratings for three symptoms over the past week, plus a rating of somatic symptoms in general. The paper establishes the SS scale as a measure of fibromyalgia symptom severity, but presents it as newly created and does not establish that it is widely used. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Classified as probably not a substantial claim.
PremisecitationMindfulness is considered to have five separate facets: Observing, Describing, Acting-with-awareness, Non-judging, and Non-reacting.
“Mindfulness has recently been characterized to be composed of five distinct dimensions: Observing, Describing, Acting-with-awareness, Non-judging, and Non-reacting.11,12”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [11] Baer RA, Smith GT, Hopkins J, Krietemeyer J, Toney L (2006) Using self-report assessment methods to explore facets of mindfulness. Assessment 13:27–45 source
- cites [12] Marikar Bawa FL, Mercer SW, Atherton RJ, Clague F, Keen A, Scott NW et al (2015) Does mindfulness improve outcomes in patients with chronic pain? Systematic review and meta-analysis. Br J Gen Pract 65:e387–e400 source
The quote only partly states this claim.
Findingown dataGreater overall mindfulness was significantly associated with better mental health-related quality of life (r = 0.57, P < 0.001).
“better mental component of quality of life (r = 0.57, P < 0.001)”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe Acting-with-awareness facet of mindfulness was associated with fibromyalgia impact, pain interference, stress, anxiety, depression, and mental health-related quality of life.
“Describing, Acting-with-awareness, and Non-judging facets of mindfulness were also associated with these outcomes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe Describing facet of mindfulness was associated with fibromyalgia impact, pain interference, stress, anxiety, depression, and mental health-related quality of life.
“Describing, Acting-with-awareness, and Non-judging facets of mindfulness were also associated with these outcomes.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe Non-judging facet of mindfulness was associated with fibromyalgia impact, pain interference, stress, anxiety, depression, and mental health-related quality of life.
“Describing, Acting-with-awareness, and Non-judging facets of mindfulness were also associated with these outcomes.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe various symptoms of fibromyalgia together produce greater overall severity than each symptom alone.
“These diverse symptoms synergistically create greater overall symptom severity than individual symptoms would alone.3”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [3] Sephton SE, Paul S, Weissbecker I, Ulmer C, Floyd A, Hoover K et al (2007) Mindfulness meditation alleviates depressive symptoms in women with fibromyalgia: results of a randomized clinical trial. Arthritis Rheum 57:77–85 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenNo correction for multiple testing was applied.
“No correction was made for multiple testing.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe 36-Item Short Form Health Survey has well-documented psychometric properties, high internal consistency, and validity across groups with different levels of ill-health.
“The SF-36 has high internal consistency of domains and is valid in groups reporting different levels of ill-health.33”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [32] McHorney CA, Ware JE, Rachel Lu JF, Sherbourne CD (1994) The MOS 36-ltem Short-Form Health Survey (SF-36): III. Tests of data quality, scaling assumptions, and reliability across diverse patient groups. Med Care 32:40–66 source
- cites [33] Jenkinson C, Wright L, Coulter A (1994) Criterion validity and reliability of the SF-36 in a population sample. Qual Life Res 3:7–12 source
Classified as probably not a substantial claim.
Study design and conductown dataMultivariable analyses were adjusted for age, gender, race, BMI, and education.
“Analyses were controlled for age, gender, race, body mass index (BMI), and education.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Hospital Anxiety and Depression Scale is a validated 14-item self-report measure of anxiety and depression.
“The Hospital Anxiety and Depression Scale (HADS) is a validated, 14-question, self-report inventory that measures levels of anxiety and depression with separate 7-question subscales.28,29”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [28] Härter M, Reuter K, Gross-Hardt K, Bengel J (2001) Screening for anxiety, depressive and somatoform disorders in rehabilitation--validity of HADS and GHQ-12 in patients with musculoskeletal disease. Disabil Rehabil 23:737–744 source
- cites [29] Zigmond AS, Snaith RP (1983) The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand 67:361–370 source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductcitationThe Perceived Stress Scale is an internally reliable and widely used measure of perceived stress.
“The Perceived Stress Scale (PSS) is an internally reliable, widely-used inventory used to measure perceptions of stress.27”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [27] Cohen S, Kamarck T, Mermelstein R (1983) A global measure of perceived stress. J Health Soc Behav 24:385 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe 6-minute walking test is an accepted measure of physical functional ability.
“The 6-minute walking test is an accepted measure of physical functional ability.36”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [36] Harada ND, Chiu V, Stewart AL (1999) Mobility-related function in older adults: assessment with a 6-minute walk test. Arch Phys Med Rehabil 80:837–841 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenModel diagnostics were performed to identify potential influential points.
“Model diagnostics were performed to identify potential influential points.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe Coping Strategies Questionnaire is a well-validated 7-item self-report measure of pain coping strategies.
“The Coping Strategies Questionnaire (CSQ) is a 7-item, well-validated, self-report scale used to assess the use of pain coping mechanisms through seven subscales – one behavioral and six cognitive – scored from 0 to 6, where higher scores indicate better coping strategies.30,31”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [30] Burckhardt CS, Henriksson C (2001) The coping strategies questionnaire–Swedish version: evidence of reliability and validity in patients with fibromyalgia. Scand J Behav Ther 30:97–107 source
- cites [31] Rosenstiel AK, Keefe FJ (1983) The use of coping strategies in chronic low back pain patients: relationship to patient characteristics and current adjustment. Pain 17:33–44 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationSelf-efficacy was assessed with the validated 8-item Arthritis Self-Efficacy Scale.
“Participants’ confidence in their ability to manage their fibromyalgia symptoms was assessed using the validated 8-item Arthritis Self-Efficacy Scale (ASES-8).35”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [35] Lorig K, Chastain RL, Ung E, Shoor S, Holman HR (1989) Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis Rheum 32:37–44 source
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenModel assumptions and appropriateness were examined graphically and analytically.
“Model assumptions and appropriateness were examined graphically and analytically.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataIn people with fibromyalgia, higher mindfulness is associated with less pain interference, lower fibromyalgia impact, and better psychological health and quality of life.
“Higher mindfulness is associated with less pain interference, lower impact of fibromyalgia, and better psychological health and quality of life in people with fibromyalgia.”
Quote in the paperSubstantial claim- Rests on an assumption: There are no currently recommended treatments that effectively manage the multidimensional symptoms of fibromyalgia.
- Rests on an assumption: This is the first study to investigate mindfulness in relation to pain interference, physical function, psychological health, and quality of life among people with fibromyalgia.
Probably not a substantial claim: may not pass S3 (load-bearing), S4 (based).
Interpretationnone givenDespite differences from other samples, the participants were representative of fibromyalgia patients likely to be seen in a clinical setting.
“Despite these differences, the participants were representative of fibromyalgia patients likely to be encountered in a clinical setting.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductreasoningThe parent trial was not designed to test the validation of the FFMQ, and the right variables were not collected.
“our parent trial was not designed to test the validation of FFMQ and the right variables were not collected.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationcitationPatients with higher mindfulness may cope better with high levels of fibromyalgia impact, leading to better psychological symptoms.
“This finding indicates that patients with higher mindfulness may better cope with high levels of overall fibromyalgia impact, leading to better psychological symptoms.38”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [38] Bergomi C, Ströhle G, Michalak J, Funke F, Berking M (2013) Facing the dreaded: does mindfulness facilitate coping with distressing experiences? A moderator analysis. Cogn Behav Ther 42:21–30 source
The paper relies on this without support.
There are no currently recommended treatments that effectively manage the multidimensional symptoms of fibromyalgia.
“No treatments are currently recommended for effectively managing these multidimensional symptoms of fibromyalgia.”
The paper relies on this without support.
No prior study has examined whether mindfulness moderates psychological outcomes in fibromyalgia.
“However, no study has investigated mindfulness as a moderator of psychological outcomes in fibromyalgia.”
The paper relies on this without support.
This is the first study to investigate mindfulness in relation to pain interference, physical function, psychological health, and quality of life among people with fibromyalgia.
“This is the first study to examine the role of mindfulness in pain interference, physical function, psychological health outcomes, and overall quality of life of individuals with fibromyalgia.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is some support for associations with mental health and well-being for the describe and non-reactivity facets of mindfulness.
“Note that there is also some support for associations with mental health and well-being for the describe (Pleman et al., 2019) and non-reactivity (Branstrom et al., 2011) facets of mindfulness.”
From Facets of Mindfulness Mediate the Relationship Between Attachment Orientation and Emotion Regulation in University Students (2024) · cites this paper as Pleman et al., 2019
There is evidence associated with the effectiveness of MBSR on psychological problems such as quality of life, sleep disturbance disorders, mood disorders, fatigue, and stress level in different medical conditions including rheumatoid arthritis, fibromyalgia, cancer, chronic pain, and multiple sclerosis.
“There are some evidence associated with the effectiveness of MBSR on psychological problems, such as quality of life, sleep disturbance disorders, mood disorders, fatigue, and stress level in different medical conditions, including rheumatoid arthritis,[16] fibromyalgia,[17] cancer,[18] chronic pain,[19] and multiple sclerosis.[202122]”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Negative correlation conflicts with the claim of better coping
MinorThe reported negative correlation means higher mindfulness is associated with lower coping-strategy scores. The paper defines higher scores as better coping, so this conflicts with its description of better coping skills.
“Higher mindfulness was also associated with better coping skills (r = −0.40, P < 0.001)”
“scored from 0 to 6, where higher scores indicate better coping strategies.”
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Self-citationCrins, M. H. P., Roorda, L. D., Smits, N., de Vet, H. C. W., Westhovens, R., Cella, D., Cook, K. F., Revicki, D., van Leeuwen, J., Boers, M., et al. (2015) · PLOS ONE · doi:10.1371/journal.pone.0134094 · Cited by 49 · see citing works
Psychological factors mediate key symptoms of fibromyalgia through their influence on stress
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Self-citationFibromyalgia Impact and Mindfulness Characteristics in 4986 People with Fibromyalgia
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“Our sample had higher average total Five Facet Mindfulness Questionnaire (FFMQ) scores than other community and clinical samples in studies that measured FFMQ [5, 7, 10, 13, 15, 17] and also had lower fibromyalgia impact scores than participants in two online fibromyalgia studies [15, 44].”
InfluentialMindfulness as a protective factor against depressive symptoms in people with fibromyalgia
Brooks, J., Muller, V. R., Sánchez, J., Johnson, E. T., Chiu, C.-Y., Cotton, B. P., Lohman, M. C., Catalano, D., Bartels, S. J., & Chan, F. (2017) · Journal of Mental Health · doi:10.1080/09638237.2017.1417555 · Cited by 15 · cited 1× · see citing works
“Our results also align with the recent finding that mindfulness has significant associations with perceived stress in people with fibromyalgia [40].”
Flagged first, then by citations
Cited by
Sorted by citations
Carpenter, J. K., Conroy, K., Gomez, A. F., Curren, L. C., & Hofmann, S. G. (2019) · Clinical Psychology Review · doi:10.1016/j.cpr.2019.101785 · Cited by 342 · see citing works
Smith, A. M., Leeming, A., Fang, Z., Hatchard, T., Mioduszewski, O., Schneider, M. A., Ferdossifard, A., Shergill, Y., Khoo, E.-L., & Poulin, P. (2021) · Journal of Cancer Survivorship · doi:10.1007/s11764-020-00945-0 · Cited by 41 · see citing works
Sosa‐Cordobés, E., Ramos‐Pichardo, J. D., Sánchez‐Ramos, J. L., Padilla, F. M. G., Martínez, E. F., & Garrido‐Fernández, A. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20010446 · Cited by 30 · see citing works
Mindfulness is associated with sleep quality among patients with fibromyalgia
Park, M., Zhang, Y., Price, L. L., Bannuru, R. R., & Wang, C. (2019) · International Journal of Rheumatic Diseases · doi:10.1111/1756-185x.13756 · Cited by 19 · see citing works
Self-citationBarcaccia, B., Medvedev, O. N., Pallini, S., Mastandrea, S., & Fagioli, S. (2024) · Mindfulness · doi:10.1007/s12671-024-02331-8 · Cited by 21 · see citing works
“); it has been found to be significantly and positively associated with measures of adjustment and negatively with measures of maladjustment (Barcaccia et al., 2020, 2022; Pleman et al., 2019; Schneider et al., 2019; Wilson et al., 2020).”
Zargar, F., Rahafrouz, L., & Tarrahi, M. J. (2021) · Advanced Biomedical Research · doi:10.4103/abr.abr_111_19 · Cited by 15 · see citing works
“[15] There are some evidence associated with the effectiveness of MBSR on psychological problems, such as quality of life, sleep disturbance disorders, mood disorders, fatigue, and stress level in different medical conditions, including rheumatoid arthritis,[16] fibromyalgia,[17] cancer,[18] chronic pain,[19] and mult…”
BackgroundASSOCIATION OF DEPRESSION IN PATIENTS WITH FIBROMYALGIA SYNDROME
Tahir, A., Fatima, A., & Khan, M. T. (2022) · Pakistan Journal of Rehabilitation · doi:10.36283/pjr.zu.11.1/021 · Cited by 14 · see citing works
Haddad, H. W., Mallepalli, N. R., Scheinuk, J. E., Bhargava, P., Cornett, E. M., Urits, I., & Kaye, A. D. (2021) · Pain and Therapy · doi:10.1007/s40122-021-00266-9 · Cited by 17 · see citing works
Aldbyani, A., & Al‐Abyadh, M. H. A. (2022) · Islamic Guidance and Counseling Journal · doi:10.25217/igcj.v5i1.2642 · Cited by 13 · see citing works
“Studies also indicated that high mindfulness scores might associate with lowering fibromyalgia impact, pain interference, stress, anxiety, depression, and better mental health-related quality of life (Pleman et al., 2019) buffering the effects of perceived stress on anxiety and depression (Bergin and Pakenham, 2016) a…”
BackgroundEarly diagnostics of fibromyalgia: an overview of the challenges and opportunities
Malluru, N., Abdullah, Y., & Hackshaw, K. V. (2025) · Expert Review of Molecular Diagnostics · doi:10.1080/14737159.2025.2450793 · Cited by 12 · see citing works
“In fact, the current Food and Drug Administration–approved therapies for FM have not shown superiority over mindfulness techniques or health coaching with respect to FM quality of life [138–140].”
de Azevedo, M. L., & Menezes, C. B. (2020) · SMAD Revista Eletrônica Saúde Mental Álcool e Drogas (Edição em Português) · doi:10.11606/issn.1806-6976.smad.2020.165513 · Cited by 10 · see citing works
Serpas, D. G., Zettel‐Watson, L., & Cherry, B. J. (2021) · Journal of Health Psychology · doi:10.1177/13591053211009286 · Cited by 9 · see citing works
“…with the use of cognitive-behavioral interventions (De La Vega et al., 2018; Zareen, & Jahangir, 2019), mindfulness practices (Amutio et al., 2015; Pleman et al., 2019; Verkaik et al., 2014), motivational interviewing (Steiner et al., 2013), and acceptance and commitment therapies delivered…”
MethodGuelmami, N., Fekih‐Romdhane, F., Ghouili, H., Jelleli, H., Rebhi, M., Saidane, M., Bouzouraa, M. M., Noureddine, G., Aissa, M. B., Bonsaksen, T., et al. (2024) · Cogent Social Sciences · doi:10.1080/23311886.2024.2306919 · Cited by 8 · see citing works
Perceived Stress and Life Stressors in Adults with and without Fibromyalgia
Nguyen, H. M., Cherry, B. J., & Zettel‐Watson, L. (2024) · Biomedicines · doi:10.3390/biomedicines12061233 · Cited by 8 · see citing works
“Mindfulness interventions in those with FM or chronic pain have also been shown to be effective in alleviating depressive symptoms and pain interference while improving psychological health and quality of life [45–48].”
Navarrete, J., González-Moret, R., Cortés, X., Lisón, J. F., Soria, J. M., Baños, R., & Cebolla, A. (2021) · Mindfulness · doi:10.1007/s12671-021-01620-w · Cited by 8 · see citing works
Azizi, Z., Jandaghi, G., Firoozi, M., Zia-Tohidi, A., & Ebnerasouli, S. (2022) · Mindfulness · doi:10.1007/s12671-022-01862-2 · Cited by 6 · see citing works
Bonhof, C. S., van de Poll-Franse, L. V., de Hingh, I. H. J. T., Vreugdenhil, G., & Mols, F. (2022) · Supportive Care in Cancer · doi:10.1007/s00520-022-07340-8 · Cited by 6 · see citing works
Psychological flexibility in somatic symptom and related disorders: A case control study
Selker, R. J. D. M., Koppert, T. Y., Houtveen, J. H., & Geenen, R. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.03.036 · Cited by 8 · see citing works
Stevenson, J. C., Emerson, L. M., McKinnon, K., & Millings, A. (2024) · Psychological Reports · doi:10.1177/00332941221119409 · Cited by 5 · see citing works
“Facet level research has identified that acting with awareness and non-judgment of one’s present experience a significantly associated with perceived mental health, quality of life, and lower levels of depression (Branstrom et al., 2011; Cash & Whittingham, 2010; Pleman et al., 2019).”
BackgroundInfluentialFerrández-Gómez, J. É., Gacto‐Sánchez, M., Nouni-García, R., Gascón-Jaén, J., Lozano-Quijada, C., & Baño-Alcaraz, A. (2024) · Rheumatology International · doi:10.1007/s00296-024-05630-4 · Cited by 6 · see citing works
Psychological Flexibility and Parenting Stress in Divorced Parents
Güngör, A., & Avcı, Ö. H. (2024) · Uluslararası Türk Eğitim Bilimleri Dergisi · doi:10.46778/goputeb.1515745 · Cited by 5 · see citing works
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Life is pain: Fibromyalgia as a nexus of multiple liability distributions
Moscati, A., Faucon, A. B., Arnaiz, C., Lönn, S. L., Sundquist, J., Sundquist, K., Belbin, G. M., Nadkarni, G. N., Cho, J. H., Loos, R. J. F., et al. (2023) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.32949 · Cited by 4 · see citing works
“There is growing evidence that despite the diverse manifestations of fibromyalgia, treatment strategies that focus broadly on overall wellbeing are associated with better outcomes (Carson et al., 2010; Nadal-Nicolas et al., 2021; Pleman et al., 2019; Sosa-Reina et al., 2017).”
BackgroundDispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299879 · Cited by 4 · see citing works
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The Impact of Customer Psychological Price on Audit Pricing in the Start-Up Company Market
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“In FM patients specifically, lower mindfulness is associated with more severe FM impact [27], and higher mindfulness is associated with lower pain interference and better quality of life [28].”
The Moderating Effects of Cognitive Processes on Pain-related Outcomes
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“…have revealed consistent evidence of the unidimensional structure of the MAAS in general population (e.g., Kotzé & Nel, 2016; Rayan & Ahmad, 2018), psychiatric outpatients (Inchausti et al., 2014), patients with fibromyalgia (Pleman et al., 2019), and patients with cancer (Carlson & Brown, 2005).”
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“In agreement with previous observations of moderation (Gloster et al., 2017; Leonidou et al., 2019; Pleman et al., 2019), the significant interaction suggested that psychological flexibility had a stronger role in preserving mental well-being in case of high than low symptom severity.”
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“One factor that has consistently correlated with comorbid FM and depression is the perception of how much FM negatively affects daily life and well-being (Hirsch et al., 2020; Seto et al., 2019; Pleman et al., 2019; Puente et al., 2015; Lee et al., 2017 ).”
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“114 Implementing shorter mindfulness interventions, Amutio and colleagues investigated the effects of a 7-week MBI in FM. Patients exhibited reduced state anxiety, depression levels, and internal expression of anger as well as a higher control of anger, with effects lasting up to 3 months…”
Comparison of Drug and Non-Drug Treatment Options of Fibromyalgia
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“Higher mindfulness is associated with less pain interference, lower impact of fibromyalgia, and better psychological health and quality of life in people with FM [97].”
BackgroundThe Application of Mindfulness in the Doctor-Patient Population
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Drug and Non-Drug Treatment Options of Fibromyalgia
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Positive Association between Dispositional Mindfulness and Knee OsteoarthritisCommon Health ProblemsPreprint
Chu, S., Chiu, A., & Wang, H. (2023) · Research Square · doi:10.21203/rs.3.rs-2798757/v1
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Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?Preprint
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · Research Square · doi:10.21203/rs.3.rs-2798757/v2
Dispositional mindfulness: Is it related to knee osteoarthritis population’s common health problems?Preprint
Chu, S., Lin, L., Chiu, A., & Wang, H. (2024) · Research Square · doi:10.21203/rs.3.rs-2798757/v3
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“A priori power analysis (using G*Power) based on comparable clinical samples (Pleman et al., 2019) indicated the minimum sample size required for the proposed confirmatory analyses was 43 participants (moderate effect size, α = 0.05, power [1 − β] = 0.80).”
InfluentialParisi, A. B., Johnson, M., Zgierska, A. E., Barrett, B. P., Edwards, R. R., & Garland, E. L. (2026) · Journal of Pain · doi:10.1016/j.jpain.2026.106219
- Authors
- Pleman, B., Park, M., Han, X., Price, L. L., Bannuru, R. R., Harvey, W. F., Driban, J. B., & Wang, C.
- Affiliations
- Tufts University (US)
- Corresponding author
- Wang, Chenchen
- ORCID
- Venue
- Clinical Rheumatology
- Published
- 2019-01-14
- Volume
- 38
- Issue
- 6
- Pages
- 1737-1745
- ISSN
- 0770-3198 (ISSN-L)
- 1434-9949
- PMC
- PMC6545163
- OpenAlex
- W2909824044
- Cited by
- 49
- References
- 45
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 14 · 2023: 6 · 2022: 7 · 2021: 7 · 2020: 4 · 2019: 4
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Center for Complementary and Integrative Health (R01AT006367, K24AT007323, K23AT009374)
- National Center for Research Resources (UL1RR025752)
- National Center for Advancing Translational Sciences (UL1TR000073, UL1TR001064)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- mindfulness, fibromyalgia, pain interference, health-related quality of life, mental health, anxiety, depression, stress, self-efficacy, physical function, fibromyalgia impact, moderation, mind-body interventions, Five Facet Mindfulness Questionnaire
- MeSH terms
- Patient Reported Outcome Measures, Adult, Anxiety, Cross-Sectional Studies, Depression, Female, Fibromyalgia, Humans, Male, Mental Health, Middle Aged, Quality of Life, Surveys and Questionnaires, Multivariate Analysis, Linear Models, Randomized Controlled Trials as Topic, Self Efficacy, Tai Ji, Mindfulness
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