Date: Sunday, October 21, 2018
Session 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.
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 10). https://acrabstracts.org/abstract/mindfulness-is-associated-with-sleep-quality-among-patients-with-fibromyalgia-2/. Accessed December 10, 2019.
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