Volume 6, Issue 4 (2021)                   IJMPP 2021, 6(4): 564-572 | Back to browse issues page

Research code: 137568

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Jahanshahi Hesari N, Asgari P, Naderi F, Heidari A. Effectiveness of Positive Mindfulness Therapy and Emotion-Focused Cognitive-Behavioral Therapy in Improving Pain Perception and Sleep Quality in Fibromyalgia Patients. IJMPP 2021; 6 (4) :564-572
URL: http://ijmpp.modares.ac.ir/article-32-53737-en.html
1- Department of Health Psychology, Khorramshahr International Branch, Islamic Azad University, Khorramshahr, Iran.
2- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran , paskarii45@gmail.com
3- Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
Abstract:   (1573 Views)
Aim: Pain is the most common mental pressure facing humans and one of the most common  complaints among fibromyalgia patients. The present study aimed to investigate the effectiveness of Positive Mindfulness Therapy (PMT) and Emotion-Focused Cognitive-Behavioral  Therapy (EFCBT) in improving pain perception and sleep quality in patients with fibromy-algia.
Method and Instruments: This study is a quasi-experimental research in which 60 referees  who visiting Red Cross affiliated physiotherapy clinics in Tehran in 2020 were selected by  convenience sampling and randomly divided into two experimental groups (positive mind- fulness therapy and emotion-focused cognitive-behavioral therapy) and a control group (N=  20 individuals per each group). . The research instruments included the Pittsburgh Sleep quality Index (PSQI) and the McGill Pain Questionnaire (MPQ). Data were analyzed using  SPSS software version 20.
Findings: The results showed that PMT produced significant improvements in pain perception (P< 0.001) and sleep quality (P= 0.013) in the patients compared to the control group. Furthermore, EFCBT was effective in improving pain perception (P< 0.001) and sleep quality (P = 0.015) in fibromyalgia patients. The results did not imply a significant difference be-tween the two treatment interventions.
Conclusions: Using PMT and EFCBT are effective in attenuating pain perception and improv-ing sleep quality in fibromyalgia patients.
Full-Text [PDF 517 kb]   (456 Downloads)    
Article Type: Original Research | Subject: Musculoskeletal Pain Prevention
Received: 2021/07/1 | Accepted: 2021/09/11 | Published: 2021/10/9

1. Woolfolk RL, Allen LA, Apter JT. Affective-cognitive behavioral therapy for fibromyalgia: a randomized controlled trial. Pain Res Treat. 2012;2012:937873. [DOI:10.1155/2012/937873]
2. Parra-Delgado M, Latorre-Postigo JM. Effectiveness of Mindfulness-Based Cognitive Therapy in the Treatment of Fibromyalgia: A Randomised Trial. Cognit Ther Res. 2013;37(5):1015-26. [DOI:10.1007/s10608-013-9538-z]
3. Lattanzio SM, Imbesi F. Fibromyalgia Syndrome: A Case Report on Controlled Remission of Symptoms by a Dietary Strategy. Front. Med. 2018;5:94. [DOI:10.3389/fmed.2018.00094]
4. Arnold LM, Gebke KB, Choy EH. Fibromyalgia: management strategies for primary care providers. Int J Clin Pract. 2016;70(2):99-112. [DOI:10.1111/ijcp.12757]
5. Keskindag B, Karaaziz M. The association between pain and sleep in fibromyalgia. Saudi Med J. 2017;38(5):465-75. [DOI:10.15537/smj.2017.5.17864]
6. Andrade A, Vilarino GT, Sieczkowska SM, Coimbra DR, Bevilacqua GG, Steffens RAK. The relationship between sleep quality and fibromyalgia symptoms. J Health Psychol. 2020;25(9):1176-86. [DOI:10.1177/1359105317751615]
7. Cervilla O, Miró E, Martínez MP, Sánchez AI, Sabio JM, Prados G. Sleep quality and clinical and psychological manifestations in women with mild systemic lupus erythematosus activity compared to women with fibromyalgia: A preliminary study. Mod Rheumatol. 2020;30(6):1016-24. [DOI:10.1080/14397595.2019.1679973]
8. Estévez-López F, Maestre-Cascales C, Russell D, Álvarez-Gallardo IC, Rodriguez-Ayllon M, Hughes CM, et al. Effectiveness of Exercise on Fatigue and Sleep Quality in Fibromyalgia: A Systematic Review and Meta-analysis of Randomized Trials. Arch Phys Med Rehabil. 2021;102(4):752-61. [DOI:10.1016/j.apmr.2020.06.019]
9. Casey KL, Lorenz J, Minoshima S. Insights into the pathophysiology of neuropathic pain through functional brain imaging. Exp Neurol. 2003;184 Suppl 1:S80-8. [DOI:10.1016/j.expneurol.2003.07.006]
10. Zeichner SB, Zeichner RL, Gogineni K, Shatil S, Ioachimescu O. Cognitive Behavioral Therapy for Insomnia, Mindfulness, and Yoga in Patients with Breast Cancer with Sleep Disturbance: A Literature Review. Breast Cancer (Auckl). 2017;11:1178223417745564-. [DOI:10.1177/1178223417745564]
11. Galvez-Sánchez 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]
12. Goodarzi AM, Tavafian SS, Delshad MH. Educational Intervention for Promoting Low Back Pain Preventive Behaviors. IJMPP. 2021;6(3):538-44.
13. Raja SN, Carr DB, Cohen M, Finnerup NB, Flor H, Gibson S, et al. The revised International Association for the Study of Pain definition of pain: concepts, challenges, and compromises. Pain. 2020;161(9):1976-82. [DOI:10.1097/j.pain.0000000000001939]
14. Sollgruber A, Bornemann-Cimenti H, Szilagyi I-S, Sandner-Kiesling A. Spirituality in pain medicine: A randomized experiment of pain perception, heart rate and religious spiritual well-being by using a single session meditation methodology. PLoS One. 2018;13(9):e0203336-e. [DOI:10.1371/journal.pone.0203336]
15. Kohrt BA, Griffith JL, Patel V. Chronic pain and mental health: integrated solutions for global problems. Pain. 2018;159 Suppl 1(Suppl 1):S85-S90. [DOI:10.1097/j.pain.0000000000001296]
16. Kim SY, Busch AJ, Overend TJ, Schachter CL, van der Spuy I, Boden C, et al. Flexibility exercise training for adults with fibromyalgia. Cochrane Database Syst Rev. 2019;9(9):CD013419-CD. [DOI:10.1002/14651858.CD013419]
17. 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.
18. Carpenter JK, Andrews LA, Witcraft SM, Powers MB, Smits JAJ, Hofmann SG. Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Depress Anxiety. 2018;35(6):502-14. [DOI:10.1002/da.22728]
19. David D, Cristea I, Hofmann SG. Why Cognitive Behavioral Therapy Is the Current Gold Standard of Psychotherapy. Front Psychiatry. 2018;9:4-. [DOI:10.3389/fpsyt.2018.00004]
20. 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-e. [DOI:10.1371/journal.pone.0191332]
21. Tickell A, Ball S, Bernard P, Kuyken W, Marx R, Pack S, et al. The Effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in Real-World Healthcare Services. Mindfulness (N Y). 2020;11(2):279-90. [DOI:10.1007/s12671-018-1087-9]
22. Phan HP, Ngu BH, Chen SC, Wu L, Shi S-Y, Lin R-Y, 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]
23. Melton L. Brief Introduction to Cognitive Behavioral Therapy for the Advanced Practitioner in Oncology. J Adv Pract Oncol. 2017;8(2):188-93. [DOI:10.6004/jadpro.2017.8.2.6]
24. Buysse DJ, Reynolds CF, 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. [DOI:10.1016/0165-1781(89)90047-4]
25. Afkham Ebrahimi A, Ghale Bandi, M, Salehi, M, Kafian Tafti, A, Vakili, Y, Akhlaghi Farsi, E. Sleep Parameters and the Factors Affecting the Quality of Sleep in Patients Attending Selected Clinics of Rasoul-e-Akram Hospital. RJMS. 2008;15:31-38.
26. Mahnoosh K, Sanambar S, Shaghayegh M, Kazem Z. Translation, Adaptation and Reliability of Persian-McGill Pain Questionnaire (P-MPQ) in Iranian Cancer Patients. BCCR . 2014;6(3).
27. Khosravi M, Sanambar S, Moradi SH, Zendedel K. Persian-McGill pain questionnaire translation, adaptation and reliability in cancer patients: a brief report. Tehran Univ. Med. J. 2013;71(1):53-58.
28. Ivtzan I, Lomas T. (Eds.). Mindfulness in positive psychology: The science of meditation and wellbeing. Routledge/Taylor & Francis Group. 2016. [DOI:10.4324/9781315747217]
29. 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]
30. Prados G, Miró E, Martínez MP, Sánchez AI, Lami MJ, Cáliz R. Combined cognitive-behavioral therapy for fibromyalgia: Effects on polysomnographic parameters and perceived sleep quality. Int J Clin Health Psychol. 2020;20(3):232-42. [DOI:10.1016/j.ijchp.2020.04.002]
31. Amutio A, Franco C, Sánchez-Sánchez LC, Pérez-Fuentes MdC, Gázquez-Linares JJ, Van Gordon W, et al. Effects of Mindfulness Training on Sleep Problems in Patients with Fibromyalgia. Front. Psychol. 2018;9:1365. [DOI:10.3389/fpsyg.2018.01365]
32. Timulak L, Keogh D, Chigwedere C, Wilson C, Ward F, Hevey D, et al. A comparison of emotion-focused therapy and cognitive-behavioural therapy in the treatment of generalised anxiety disorder: study protocol for a randomised controlled trial. Trials. 2018;19(1):506-. [DOI:10.1186/s13063-018-2892-0]
33. Gibson J. Mindfulness, Interoception, and the Body: A Contemporary Perspective. Front. Psychol. 2019;10:2012-. [DOI:10.3389/fpsyg.2019.02012]
34. Bernardy K, Klose P, Welsch P, Häuser W. Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome - A systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2018;22(2):242-60. [DOI:10.1002/ejp.1121]

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