Efficacy of “attachment-based compassion therapy” in the treatment of fibromyalgia: A randomized controlled trial
Open accessAbstract
OBJECTIVE: There is a growing interest in evaluating the effectiveness of compassion interventions for treating psychological disorders. The present study evaluated the effectiveness of "attachment-based compassion therapy" (ABCT) in the treatment of fibromyalgia (FM), and the role of psychological flexibility as a mediator of improvements. METHODS: A total of 42 patients with FM were randomly assigned to ABCT or relaxation (active control group). Both the intervention and control condition were combined with treatment as usual (TAU). The primary outcome was functional status (FIQ), and the secondary outcomes were clinical severity (CGI-S), pain catastrophizing (PCS), anxiety (HADS-A), depression (HADS-D), quality of life (EQ-5D), and psychological flexibility (AAQ-II). Differences between the groups were estimated using mixed-effects models, and mediation assessments were conducted using path analyses. RESULTS: = 0.001). The absolute risk reduction in ABCT compared to relaxation increased by 40.0%, with an NNT = 3 based on criteria of ≥50% FIQ reduction after treatment. Psychological flexibility had a significant mediating effect on improvements. CONCLUSION: These results suggest that ABCT combined with TAU appears to be effective in the treatment of FM symptoms. CLINICAL TRIAL REGISTRATION: http://ClinicalTrials.gov, identifier NCT02454244.
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Adherence to the intervention was not enhanced compared with previous studies that used the original ABCT protocol.
“However, adherence to the intervention was not enhanced compared with previous studies that used the original ABCT protocol.”
From Attachment-Based Compassion Therapy for Reducing Anxiety and Depression in Fibromyalgia (2022) · cites this paper as [16]
The Results section, “Participants’ Flow and Compliance” (page unavailable), reports that participants attended a mean of 81.5% of ABCT sessions. It compares attendance with the relaxation group, not with previous studies using the original ABCT protocol, so it does not establish whether adherence was enhanced relative to those studies. (LLM, conf=0.82)
Experimental — accuracy not yet measuredMontero-Marín et al. concluded that ABCT improved fibromyalgia symptomatology compared with a relaxation program and that this effect was maintained at a 3-month follow-up.
“The study conducted by Montero-Marín et al. [16] concluded that ABCT improved fibromyalgia symptomatology compared with a relaxation program and that this effect was maintained at a 3-month follow-up”
From Attachment-Based Compassion Therapy for Reducing Anxiety and Depression in Fibromyalgia (2022) · cites this paper as [16]
Montero-Marín et al. reported an average adherence of 81.5% of sessions attended.
“they reported a notable adherence to the intervention (i.e., 81.5% of sessions attended, on average)”
From Attachment-Based Compassion Therapy for Reducing Anxiety and Depression in Fibromyalgia (2022) · cites this paper as [16]
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- Authors
- Montero-Marín, J., Navarro-Gil, M., Puebla-Guedea, M., Luciano, J. V., Van Gordon, W., Shonin, E., & García-Campayo, J.
- Affiliations
- Red de Investigación en Actividades Preventivas y Promoción de la Salud (ES)
- Venue
- Frontiers in Psychiatry
- Publisher
- Frontiers Media SA
- Published
- 2018-01-16
- Volume
- 8
- Pages
- 307-307
- ISSN
- 1664-0640 (ISSN-L)
- PMC
- PMC5775966
- OpenAlex
- W2784123797
- Cited by
- 61
- References
- 47
- Citations by year
- 2026: 7 · 2025: 1 · 2024: 2 · 2023: 9 · 2022: 8 · 2021: 12 · 2020: 14 · 2019: 7 · 2018: 1
- FWCI
- 6.69
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Frontiers in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Derby Online Research Archive. (University of Derby) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Zaguan (University of Zaragoza Repository) (submittedVersion, cc-by)
- 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
- fibromyalgia, psychological flexibility, pain catastrophizing, mediation, functional status, anxiety, depression, quality of life, usual care
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