Document Detail


The efficacy of mindfulness meditation plus Qigong movement therapy in the treatment of fibromyalgia: a randomized controlled trial.
MedLine Citation:
PMID:  14528526     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To test the short and longterm benefits of an 8 week mind-body intervention that combined training in mindfulness meditation with Qigong movement therapy for individuals with fibromyalgia syndrome (FM).
METHODS: A total of 128 individuals with FM were randomly assigned to the mind-body training program or an education support group that served as the control. Outcome measures were pain, disability (Fibromyalgia Impact Questionnaire), depression, myalgic score (number and severity of tender points), 6 minute walk time, and coping strategies, which were assessed at baseline and at 8, 16, and 24 weeks.
RESULTS: Both groups registered statistically significant improvements across time for the Fibromyalgia Impact Questionnaire, Total Myalgic Score, Pain, and Depression, and no improvement in the number of feet traversed in the 6 minute walk. However, there was no difference in either the rate or magnitude of these changes between the mind-body training group and the education control group. Salutary changes occurring by the eighth week (which corresponded to the end of the mind-body and education control group sessions) were largely maintained by both groups throughout the 6 month followup period.
CONCLUSION: While both groups showed improvement on a number of outcome variables, there was no evidence that the multimodal mind-body intervention for FM was superior to education and support as a treatment option. Additional randomized controlled trials are needed before interventions of this kind can be recommended for treatment of FM.
Authors:
John A Astin; Brian M Berman; Barker Bausell; Wen-Lin Lee; Marc Hochberg; Kelly L Forys
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of rheumatology     Volume:  30     ISSN:  0315-162X     ISO Abbreviation:  J. Rheumatol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-06     Completed Date:  2004-02-03     Revised Date:  2010-12-01    
Medline Journal Info:
Nlm Unique ID:  7501984     Medline TA:  J Rheumatol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  2257-62     Citation Subset:  IM    
Affiliation:
California Pacific Medical Center Research Institute, 2300 California Street, Room 207, San Francisco, CA 94115, USA. jastin@cooper.cpmc.org
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MeSH Terms
Descriptor/Qualifier:
Breathing Exercises*
Disability Evaluation
Fibromyalgia / physiopathology,  rehabilitation*
Humans
Meditation / methods*
Mind-Body Relations, Metaphysical / physiology
Pain / therapy
Patient Education as Topic
Questionnaires
Treatment Outcome
Grant Support
ID/Acronym/Agency:
5P50 AT 00084-03/AT/NCCAM NIH HHS
Comments/Corrections
Comment In:
J Rheumatol. 2003 Oct;30(10):2088-9   [PMID:  14528498 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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