Attachment-based compassion therapy for ameliorating fibromyalgia: mediating role of mindfulness and self-compassion
Van Gordon, William
Luciano, Juan V.
AffiliationUniversity of Oxford
University of Derby
Primary Care Prevention and Health Promotion Research Network, RedIAPP, Zaragoza, Spain
Parc Sanitari Sant Joan de Déu, St Boi de Llobregat, Spain
Instituto de Investigación Sanitaria Aragón, Hospital Miguel Servet, Zaragoza, Spain
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AbstractThe aim of this study was to evaluate the efficacy of Attachment-Based Compassion Therapy (ABCT)—a standardised programme that includes practices to improve compassionate awareness with the aim of addressing maladaptive attachment—for improving mindfulness and self-compassion in fibromyalgia (FM) patients, and to determine whether gains in mindfulness and self-compassion mediate improvements in FM functional status together with comorbid anxiety and depression. The study comprised a randomised controlled trial of individuals undergoing ABCT, with a Relaxation condition as an active control group. Baseline, post-test, and 3-month follow-up assessments were included. Participants (n = 42) were FM patients randomly assigned to ABCT or relaxation. Outcomes were functional status (FIQ), anxiety (HADS-A), depression (HADS-D), mindfulness (FFMQ), and self-compassion (SCS). Differences between groups were estimated using mixed-effects regression models, and mediation analyses were conducted using path analyses. Compared with the Relaxation condition, the ABCT group was more effective for improving mindfulness and self-compassion, as it observed through changes in the FFMQ and SCS subscales. Effect sizes were in the moderately large to large range (Cohen’s d between 0.60–2.20). Reductions in FM functional status were not mediated by either mindfulness or self-compassion. However, the self-compassion facet of common humanity was a mediator for reductions in both anxiety (B = − 2.04; bootstrapped 95% CI = − 4.44, − 0.04) and depression (B = − 2.12; bootstrapped 95% CI = − 4.40, − 0.45). The improvement of common humanity via ABCT might be an active component for the reduction of comorbid anxiety and depression in FM patients.
CitationMontero-Marin, J., Van Gordon, W., Shonin, E., Navarro-Gil, M., Gasión, V., López-del-Hoyo, Y., Luciano, J.V. and Garcia-Campayo, J. (2020). 'Attachment-Based Compassion Therapy for Ameliorating Fibromyalgia: Mediating Role of Mindfulness and Self-Compassion'. Mindfulness, pp.1-13. DOI: 10.1007/s12671-019-01302-8
PublisherSpringer Science and Business Media LLC