{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:15:11Z","timestamp":1791591311667,"version":"4.3.4"},"reference-count":64,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,11,25]],"date-time":"2016-11-25T00:00:00Z","timestamp":1480032000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["British J Health Psychol"],"published-print":{"date-parts":[[2017,2]]},"abstract":"\n Objectives<\/jats:title>\n \n The purpose of this study was to conduct the first randomized controlled trial (RCT) to evaluate the effectiveness of a second\u2010generation mindfulness\u2010based intervention (\n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n ) for treating fibromyalgia syndrome (\n FMS<\/jats:styled-content>\n ). Compared to first\u2010generation mindfulness\u2010based interventions,\n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n s are more acknowledging of the spiritual aspect of mindfulness.\n <\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A RCT employing intent\u2010to\u2010treat analysis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Adults with\n FMS<\/jats:styled-content>\n received an 8\u2010week\n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n known as meditation awareness training (\n MAT<\/jats:styled-content>\n ;\n n\u00a0<\/jats:italic>\n =\n \u00a0<\/jats:italic>\n 74) or an active control intervention known as cognitive behaviour theory for groups (\n n\u00a0<\/jats:italic>\n =\n \u00a0<\/jats:italic>\n 74). Assessments were performed at pre\u2010, post\u2010, and 6\u2010month follow\u2010up phases.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Meditation awareness training participants demonstrated significant and sustained improvements over control group participants in\n FMS<\/jats:styled-content>\n symptomatology, pain perception, sleep quality, psychological distress, non\u2010attachment (to self, symptoms, and environment), and civic engagement. A mediation analysis found that (1) civic engagement partially mediated treatment effects for all outcome variables, (2) non\u2010attachment partially mediated treatment effects for psychological distress and sleep quality, and (3) non\u2010attachment almost fully mediated treatment effects for\n FMS<\/jats:styled-content>\n symptomatology and pain perception. Average daily time spent in meditation was found to be a significant predictor of changes in all outcome variables.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n Meditation awareness training may be a suitable treatment for adults with\n FMS<\/jats:styled-content>\n and appears to ameliorate\n FMS<\/jats:styled-content>\n symptomatology and pain perception by reducing attachment to self.\n <\/jats:p>\n <\/jats:sec>\n \n \n \n \n \n Statement of contribution<\/jats:title>\n <\/jats:caption>\n \n \n What is already known on this subject?<\/jats:bold>\n <\/jats:italic>\n <\/jats:p>\n \n \n \n \n Designing interventions to treat fibromyalgia syndrome (\n FMS<\/jats:styled-content>\n ) continues to be a challenge.\n <\/jats:p>\n <\/jats:list-item>\n \n \n There is growing interest into the applications of mindfulness\u2010based interventions for treating\n FMS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n \n \n Second\u2010generation mindfulness\u2010based interventions (\n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n s) are a key new direction in mindfulness research.\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n \n What does this study add?<\/jats:bold>\n <\/jats:italic>\n <\/jats:p>\n \n \n \n \n Meditation awareness training \u2013 an\n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n \u2013 resulted in significant reductions in\n FMS<\/jats:styled-content>\n symptomatology.\n <\/jats:p>\n <\/jats:list-item>\n \n \n SG<\/jats:styled-content>\n \u2010\n MBI<\/jats:styled-content>\n s recognize the spiritual aspect of mindfulness and may have a role in the treatment of\n FMS<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n <\/jats:boxed-text>\n <\/jats:p>\n 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