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This study compares the impact of cognitive-behavioral therapy for pain (CBT-P), mindful awareness and acceptance treatment (M), and arthritis education as an active control condition (E) on mental and physical health outcomes among adults with chronic pain due to fibromyalgia (FM).
Both cognitive-behavioral and mindful-acceptance based treatments impact pain and disability in people with chronic pain conditions like fibromyalgia. However, these treatments target different mechanisms. The focus of CBT is on helping individuals manage their thoughts and behaviors related to pain. In contrast, the focus of M is on improving individuals' ability be aware of and accept their experiences, and to develop their positive emotional resources.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cognitive-Behavioral Therapy | Experimental | Group-based cognitive-behavioral manualized treatment |
|
| Mindfulness-acceptance Therapy | Experimental | Group-based mindfulness-acceptance manualized treatment |
|
| Education | Active Comparator | Group-based manualized pain education |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cognitive-behavioral | Behavioral | Seven sessions of group-based treatment targeting skills to improve dysfunctional pain-related thoughts and behaviors |
|
| Measure | Description | Time Frame |
|---|---|---|
| Physical Functioning | Assessed via the SF-36 physical functioning subscale (Reference: Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36: I. conceptual framework and item selection. Med Care 1992; 30(6):473-83. | Change from baseline, 6-mo followup, and 12-mo followup |
| Bodily Pain | Assessed via the SF-36 Bodily Pain subscale (Reference: Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. conceptual framework and item selection. Med Care 1992; 30(6):473-83. | Change from baseline, 6-mo followup, and 12-mo followup |
| Vitality | Assessed via the SF-36 Vitality subscale (Reference: Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. conceptual framework and item selection. Med Care 1992; 30(6):473-83. | Change from baseline, 6-mo followup, and 12-mo followup |
| Depressive symptoms | Assessed via the Hamilton Depression Inventory (Reference: Reynolds WM, Kobak KA. Reliability and validity of the Hamilton Depression Inventory: A paper-and-pencil version of the Hamilton Depression Rating Scale Clinical Interview. Psychological Assessment 1995; 7(4): 472-83. | Change from baseline, 6-mo followup, 12-mo followup |
| Social Functioning | Assessed via the SF-36 Social Functioning subscale (Reference: Ware JE, Sherbourne CD. The MOS 36-Item Short-Form Health Survey (SF-36): I. conceptual framework and item selection. Med Care 1992; 30(6):473-83. | Change from baseline, 6-mo followup, and 12-mo followup |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mary Davis, Ph.D. | Arizona State University | Principal Investigator |
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| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
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| Mindfulness-acceptance | Behavioral | Seven sessions of group-based treatment targeting skills to improve mindful awareness and acceptance of pain and stress, and increase positive emotional experiences |
|
| Pain Education | Other | Seven sessions of group-based education to provide information regarding managing a chronic pain condition, but with no exercises to promote skill development |
|
| D009422 |
| Nervous System Diseases |