Van Gordon William, Shonin Edo, Dunn Thomas J, Garcia-Campayo Javier, Griffiths Mark D
Psychology Department, Nottingham Trent University, UK.
Psychology Division, Bishop Grosseteste University, Lincoln, UK.
Br J Health Psychol. 2017 Feb;22(1):186-206. doi: 10.1111/bjhp.12224. Epub 2016 Nov 25.
The purpose of this study was to conduct the first randomized controlled trial (RCT) to evaluate the effectiveness of a second-generation mindfulness-based intervention (SG-MBI) for treating fibromyalgia syndrome (FMS). Compared to first-generation mindfulness-based interventions, SG-MBIs are more acknowledging of the spiritual aspect of mindfulness.
A RCT employing intent-to-treat analysis.
Adults with FMS received an 8-week SG-MBI known as meditation awareness training (MAT; n = 74) or an active control intervention known as cognitive behaviour theory for groups (n = 74). Assessments were performed at pre-, post-, and 6-month follow-up phases.
Meditation awareness training participants demonstrated significant and sustained improvements over control group participants in FMS symptomatology, pain perception, sleep quality, psychological distress, non-attachment (to self, symptoms, and environment), and civic engagement. A mediation analysis found that (1) civic engagement partially mediated treatment effects for all outcome variables, (2) non-attachment partially mediated treatment effects for psychological distress and sleep quality, and (3) non-attachment almost fully mediated treatment effects for FMS symptomatology and pain perception. Average daily time spent in meditation was found to be a significant predictor of changes in all outcome variables.
Meditation awareness training may be a suitable treatment for adults with FMS and appears to ameliorate FMS symptomatology and pain perception by reducing attachment to self. Statement of contribution What is already known on this subject? Designing interventions to treat fibromyalgia syndrome (FMS) continues to be a challenge. There is growing interest into the applications of mindfulness-based interventions for treating FMS. Second-generation mindfulness-based interventions (SG-MBIs) are a key new direction in mindfulness research. What does this study add? Meditation awareness training - an SG-MBI - resulted in significant reductions in FMS symptomatology. SG-MBIs recognize the spiritual aspect of mindfulness and may have a role in the treatment of FMS.
本研究旨在开展首项随机对照试验（RCT），以评估第二代正念干预（SG-MBI）对治疗纤维肌痛综合征（FMS）的有效性。与第一代正念干预相比，第二代正念干预更认可正念的精神层面。
采用意向性分析的随机对照试验。
患有纤维肌痛综合征的成年人接受为期8周的名为冥想觉知训练（MAT；n = 74）的第二代正念干预，或接受名为团体认知行为理论的积极对照干预（n = 74）。在干预前、干预后和6个月随访阶段进行评估。
与对照组参与者相比，冥想觉知训练参与者在纤维肌痛综合征症状、疼痛感知、睡眠质量、心理困扰、不执着（对自我、症状和环境）以及公民参与方面表现出显著且持续的改善。中介分析发现：（1）公民参与部分介导了所有结果变量的治疗效果；（2）不执着部分介导了心理困扰和睡眠质量的治疗效果；（3）不执着几乎完全介导了纤维肌痛综合征症状和疼痛感知的治疗效果。发现每天平均冥想时间是所有结果变量变化的显著预测因素。
冥想觉知训练可能是治疗患有纤维肌痛综合征成年人的一种合适疗法，并且似乎通过减少对自我的执着来改善纤维肌痛综合征症状和疼痛感知。贡献声明 关于该主题已知的信息有哪些？设计治疗纤维肌痛综合征（FMS）的干预措施仍然是一项挑战。基于正念的干预措施在治疗纤维肌痛综合征方面的应用越来越受到关注。第二代基于正念的干预措施（SG-MBIs）是正念研究的一个关键新方向。本研究增加了什么内容？冥想觉知训练——一种第二代正念干预——使纤维肌痛综合征症状显著减轻。第二代正念干预认可正念的精神层面，可能在纤维肌痛综合征的治疗中发挥作用。
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