Mindfulness Is Associated with Sleep Quality Among Patients with Fibromyalgia

Michelle Park¹, Yuan Zhang², Lori Lyn Price^3,4, Raveendhara R. Bannuru¹ and Chenchen Wang¹, ¹Division of Rheumatology, Center for Complementary and Integrative Medicine, Tufts Medical Center, Boston, MA, ²Susan and Alan Solomont School of Nursing, University of Massachusetts Lowell, Lowell, MA, ³Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, ⁴Tufts Clinical and Translational Science Institute, Tufts University, Boston, MA

Meeting: 2018 ACR/ARHP Annual Meeting

Keywords: depression, fibromyalgia, mindfulness, pain and sleep

Session Information

Date: Sunday, October 21, 2018

Title: Fibromyalgia and Other Clinical Pain Syndromes Poster – ARHP

Session Type: ACR Poster Session A

Session Time: 9:00AM-11:00AM

Background/Purpose: Poor and disturbed sleep is an important disabling feature of fibromyalgia. Previous studies suggest higher mindfulness may be associated with better sleep quality in people with chronic health problems. However, the role of mindfulness in sleep problems in fibromyalgia remains understudied. We examine the relationships between mindfulness and sleep, psychological health, and pain interference in fibromyalgia patients.

Methods: A cross-sectional analysis of baseline data from a randomized controlled trial in fibromyalgia patients was performed. Measures included mindfulness (Five Facet Mindfulness Questionnaire), sleep quality (Pittsburgh Sleep Quality Index), sleep disturbance (PROMIS Sleep Disturbance), pain interference (PROMIS Pain Interference), anxiety, and depression (Hospital Anxiety and Depression Scale). Pearson correlations were used to examine associations among mindfulness, sleep quality, sleep disturbance, anxiety, depression, and pain interference. Mediation analysis was conducted to assess whether anxiety, depression, and pain interference mediated the association between mindfulness and sleep quality, and the association between mindfulness and sleep disturbance.

Results: A total of 177 patients with fibromyalgia were included (93% female, mean age: 52±12 years, 59% white, BMI: 30±7 kg/m²). Higher mindfulness in patients was associated with better sleep quality (r = -0.23, p = 0.002) as well as less sleep disturbance (r = -0.24, p = 0.002), pain interference (r = -0.31, p < 0.0001), anxiety (r = -0.58, p < 0.0001), and depression (r = -0.54, p < 0.0001). In addition, pain interference, depression, and anxiety mediated the association between mindfulness and sleep quality (Figure A), and the association between mindfulness and sleep disturbance (Figure B).

Conclusion: Higher mindfulness is associated with better sleep quality and less sleep disturbance, pain interference, anxiety, and depression in people with fibromyalgia. Further, higher mindfulness has a significant indirect effect on better sleep in fibromyalgia patients by way of lowering pain interference, depression, and anxiety.

Disclosure: M. Park, None; Y. Zhang, None; L. L. Price, None; R. R. Bannuru, Fidia, 8; C. Wang, None.

To cite this abstract in AMA style:

Park M, Zhang Y, Price LL, Bannuru RR, Wang C. Mindfulness Is Associated with Sleep Quality Among Patients with Fibromyalgia [abstract]. Arthritis Rheumatol. 2018; 70 (suppl 9). https://acrabstracts.org/abstract/mindfulness-is-associated-with-sleep-quality-among-patients-with-fibromyalgia-2/. Accessed .

« Back to 2018 ACR/ARHP Annual Meeting

ACR Meeting Abstracts - https://acrabstracts.org/abstract/mindfulness-is-associated-with-sleep-quality-among-patients-with-fibromyalgia-2/