Year: 2020
Type: article
Study design: Systematic Review
Abstract: Considered one of the most common rheumatological clinical conditions, fibromyalgia is characterized by generalized musculoskeletal pain and symptoms such as fatigue, cognitive dysfunction, sleep disorders, anxiety, depression, gastrointestinal discomfort and stiffness, in addition to generalized hypervigilance. However, as it is a heterogeneous condition, diagnosis and treatment are complex for health professionals, considering that exercise is the only recommendation with effective scientific evidence. Despite this, patient education and non-pharmacological therapies are also suggested, and in case of no improvement, psychological therapies, pharmacotherapy and / or a multidisciplinary rehabilitation program. By the way, the interest in Mindfulness-based interventions (IBMs), as one of the possible therapeutic resources, has increased in the last 3 decades, which has Mindfulness as its main component. Thus, the objective of the study was to evaluate what are the effects of IBMs in individuals with fibromyalgia, through an integrative review. The literature search was carried out through the databases of Pubmed / Medline, Lilacs, Cochrane Library and Scielo, resulting in a total of 14 studies. Of these, 57.14% were classified with level of evidence II, 21.43% of studies with level of evidence III, in the same way as level IV (21.43%). The majority (71.42%) consisted of clinical trials, 80% of which were randomized clinical trials. Among the research in this group, 30% of the studies had an active control group, 50% a passive control group and 20% presented both types of control group. The variables that showed effective results were reduction and coping with stress; reduced symptoms of depression, anxiety, sleep disorders and the impact of fibromyalgia; increase in positive affects; improvement in psychological well-being, social functioning, family performance and loneliness; disengagement from the "me"; relationship between the symptoms of fibromyalgia and the practices of Mindfulness and catastrophizing with Mindfulness; improvement of pain and dealing with it. However, no significant changes were found to improve physical functioning or cortisol; cardiac autonomic benefits or changes in the daily activity of fibromyalgia. However, due to the scarcity of studies, more research is essential for there to be consolidated scientific evidence of these effects in people with such a clinical condition.
Author: Bianca Yuri Sakai
Language: Portuguese
Subfield: Clinical Psychology
Field: Psychology
Domain: Social Sciences
Open Access status: green
OpenAlex ID: W3148585777