Effects of Mindfulness Training on Sleep Problems in Patients With Fibromyalgia
Open accessAbstract
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 seven-week 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 three-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.
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Flow meditation is a mindfulness-based intervention developed in Spain.
“flow meditation (Meditación-Fluir)—a mindfulness-based intervention developed in Spain (Amutio et al., 2018; Franco, 2009; Franco, Amutio, Mañas, Gázquez, & PérezFuentes, 2017)”
From Improving Psychosocial Functioning in Mastectomized Women Through a Mindfulness-Based Program: Flow Meditation. (2020) · cites this paper as Amutio et al., 2018
The Introduction and Methods (Procedure; page unavailable) identify Flow Meditation (Meditación-Fluir) as a mindfulness-based intervention. Our copy does not state that it was developed in Spain, so that part of the claim is unsupported. (LLM, conf=0.86)
Experimental — accuracy not yet measuredFatigue and sleep disturbances are common in FM, and can lower the pain threshold, trigger musculoskeletal pain and increase emotional distress.
“Fatigue and sleep disturbances are common in FM [1], and can lower the pain threshold, trigger musculoskeletal pain and increase emotional distress [46].”
From Mindfulness- And acceptance-based interventions for patients with fibromyalgia - A systematic review and meta-analyses (2019) · cites this paper as [46]
The Introduction states that sleep impairment can lower the pain threshold and trigger musculoskeletal pain and emotional distress. It does not say that fatigue has those effects, although the citing sentence grammatically attributes them to both fatigue and sleep disturbances. The separate claim that both are common in fibromyalgia is attached to citation [1], not this source. (LLM, conf=0.84)
Experimental — accuracy not yet measuredThe effectiveness of flow meditation has been tested in various treatment studies with acceptable size effects.
“The effectiveness of flow meditation has been tested in various treatment studies with acceptable size effects (Amutio, Franco, Pérez-Fuentes, Gázquez, & Mercader, 2015; Amutio et al., 2018; Franco, Amutio, López-González, Oriol, & MartínezTaboada, 2016; Franco et al., 2017).”
From Improving Psychosocial Functioning in Mastectomized Women Through a Mindfulness-Based Program: Flow Meditation. (2020) · cites this paper as Amutio et al., 2018
A possible mechanism of action is stress reduction.
“stress reduction (Amutio, Franco, 2015; Amutio et al., 2018; Amutio, Martínez-Taboada, et al., 2015; Reich et al., 2017; Smith, 2017)”
From Improving Psychosocial Functioning in Mastectomized Women Through a Mindfulness-Based Program: Flow Meditation. (2020) · cites this paper as Amutio et al., 2018
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“However, despite these promising findings, to date studies evaluating the effectiveness of mindfulness as a treatment for FMS have principally focused on dimensions of pain as the primary outcome with sleep problems either not being assessed or included as a secondary consideration in conjunction with other outcomes r…”
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Mindfulness as a Symptom Management Strategy for Fibromyalgia: An Integrative Review.
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Estimulando la inteligencia emocional de los adolescentes
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Flow Meditation Improves Emotion Regulation and Pain Management in Female Fibromyalgia Patients
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Meditation, Mindfulness, and Mental Health
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“Breathing a Lullaby”: Shaping Pre-Sleep Relaxation Through Multimodal Biofeedback
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- Authors
- Amutio, A., Franco, C., Sánchez-Sánchez, L. C., Pérez-Fuentes, M. D. C., Gázquez-Linares, J. J., Van Gordon, W., & Molero-Jurado, M. D. M.
- Affiliations
- University of the Basque Country (ES)
- University of Almería (ES)
- Venue
- Frontiers in Psychology
- Publisher
- Frontiers Media SA
- Published
- 2018-08-03
- Volume
- 9
- Pages
- 1365-1365
- ISSN
- 1664-1078 (ISSN-L)
- PMC
- PMC6096902
- OpenAlex
- W2887419134
- Cited by
- 60
- References
- 67
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 3 · 2023: 3 · 2022: 14 · 2021: 8 · 2020: 8 · 2019: 14 · 2018: 1
- FWCI
- 9.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Psychology (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Repository of the University of Granada (University of Granada) (submittedVersion, cc-by-nc-nd)
- Communities in ADDI (Universidad del Pais Vasco) (submittedVersion, other-oa)
- University of Derby Online Research Archive. (University of Derby) (submittedVersion, cc-by)
- LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hispana (submittedVersion, cc-by)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- fibromyalgia, mindfulness training, sleep disorders, insomnia, sleep quality, sleepiness, fatigue, women, pain disorders
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