An Online Mindfulness Intervention Targeting Socioemotional Regulation in Fibromyalgia: Results of a Randomized Controlled Trial
Abstract
BACKGROUND: Patients with fibromyalgia (FM) experience pain as well as deficits in positive affect and social relations that are not explicitly addressed in most behavioral treatments. PURPOSE: The purpose of this study is to compare the effects of a 12-module online intervention targeting socioemotional regulation via mindful awareness/acceptance (MSER) with those of an attention-control treatment, healthy lifestyle tips (HT). METHODS: Seventy-nine FM patients were randomly assigned to MSER or HT, with outcomes assessed via online diary reports of pain, coping efficacy, affect, and social relations. Multilevel analyses revealed greater improvements in social functioning, positive affect, and coping efficacy for pain and stress (all ps < .05) in MSER versus HT across the 6-week trial. CONCLUSIONS: FM patients experience increases in self-efficacy for coping with pain and positive engagement in relationships, marginal increases in positive affect, and decreases in relationship stress from an automated online intervention that targets socioemotional regulation skills. Findings highlight the potential utility of widely accessible, low-cost intervention methods for fibromyalgia (Clinicaltrials.gov number NCT01748786).
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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”
From Mindfulness is associated with psychological health and moderates the impact of fibromyalgia (2019) · cites this paper as [44]
Mindfulness meditation-based interventions improve chronic pain symptomology across a wide range of pain conditions, including fibromyalgia, headache disorders, chronic pelvic pain, irritable bowel syndrome, and chronic lower back pain.
“Mindfulness meditation-based interventions improve chronic pain symptomology across a wide range of pain conditions, including fibromyalgia,29,48 headache disorders,130 chronic pelvic pain,38 irritable bowel syndrome,41,44 and chronic lower back pain19,56,58,82,83—the most prevalent and financially burdensome chronic pain disorder.”
From The neural mechanisms of mindfulness-based pain relief: a functional magnetic resonance imaging-based review and primer (2019) · cites this paper as [29]
Interventions based on mindfulness meditation alleviate symptoms across many pain-related conditions.
“Mindfulness meditation–based interventions improve pain symptomology across a wide spectrum of pain-related disorders, including fibromyalgia,14, 67 migraine,68 chronic pelvic pain,61 irritable bowel syndrome,12, 13 and other conditions.69”
From Mindfulness meditation-based pain relief: a mechanistic account (2016) · cites this paper as [67]
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- Authors
- Davis, M. C., & Zautra, A. J.
- Affiliations
- Arizona State University (US)
- Corresponding author
- Davis, Mary C.
- ORCID
- Davis, Mary C.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-05-14
- Volume
- 46
- Issue
- 3
- Pages
- 273-284
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2081985664
- Cited by
- 151
- References
- 48
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 10 · 2022: 12 · 2021: 14 · 2020: 12 · 2019: 16 · 2018: 17 · 2017: 17 · 2016: 15 · 2015: 11 · 2014: 7 · 2013: 2
- FWCI
- 12.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pfizer
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- fibromyalgia, mindfulness-based interventions, online intervention, positive affect, social functioning, coping self-efficacy, pain, relationship stress, self-efficacy
- MeSH terms
- Adult, Aged, Aged, 80 and over, Emotions, Female, Fibromyalgia, Humans, Male, Middle Aged, Social Behavior, Social Control, Informal, Internet, Pain Management, Mindfulness
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