Mindfulness based interventions: What are their effects on depression and anxiety in fibromyalgia patients? A structured review of randomised control trials.
Item
- Title
- Mindfulness based interventions: What are their effects on depression and anxiety in fibromyalgia patients? A structured review of randomised control trials.
- Author(s)
- Wakefield, O
- Abstract
- Background Fibromyalgia syndrome (FMS) presents a treatment and management challenge to physicians due to a poor understanding of its pathophysiology and high prevalence of anxiety and depression. Mindfulness based therapies (MBTs) have been developed for the treatment and management of FMS with some positive findings, however their efficacy regarding anxiety anddepression outcomes is uncertain. Objective To review randomised control trials of MBTs in order to establish a better understanding of their efficacy in the treatment and management of symptoms of anxiety and depression in a FMS population and to evaluate the consistency of study outcomes and research quality. Design A structured literature review. Methods Randomised control trials addressing depression and anxiety in patients with FMS utilising a variety of MBTs were selected for review in accordance with predefined inclusion/exclusion criteria. The Pubmed, Cochrane, Google scholar, PEDro and Science direct databases were searched from inception between 1216116 and 1818116. Study quality was assessed according to the JADAD scale and the Cochrane risk of bias tool. Results The search yielded 11 trials with varying interventions, timescales and outcomes. Most studies reported small to moderate effect sizes of MBTs for the reduction of anxiety and depression symptoms. A moderate to high risk of bias was detected in most studies and several issues regarding methodology were also present. Discussion The results show some promising short and long term findings regarding the efficacy of MBTs for the treatment of anxiety and depression in FMS patients. However, various methodological issues and risk of bias across most studies draw into doubt the significance of the findings and the realworld applicability of MBTs for the treatment of FMS. ConclusionThis literature review found generally low quality evidence for a moderate effect of MBTs on the symptoms of depression and anxiety in a population with FMS, when compared to either wait-list or active control groups with results maintained at follow-up. However, the presence of significant methodological weaknesses and high risk of bias in many of the studies means it is difficult to draw strong conclusions about the effects of MBTs on depression and anxiety in FMS patients, underscoring the need for further research.
- presented at
- European School of Osteopathy
- Date Accepted
- 2017
- Date Submitted
- 4.12.2017 17:06:21
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16072
- Inst-Identifier
- 1229
- Keywords
- Anxiety, depression, fibromyalgia, mindfulness
- Recommended
- 0
- Item sets
- Thesis
Wakefield, O, “Mindfulness based interventions: What are their effects on depression and anxiety in fibromyalgia patients? A structured review of randomised control trials.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.com/s/orw/item/259