65586 20250210083427.0 doi 10.3389/fpsyt.2017.00307 sideral 104181 ART-2018-104181 eng Montero-Marín, J. (orcid)0000-0001-5677-1662 Efficacy of "attachment-based compassion therapy" in the treatment of fibromyalgia: A randomized controlled trial 2018 Access copy available to the general public Unrestricted Objective: There is a growing interest in evaluating the effectiveness of compassion interventions for treating psychological disorders. The present study evaluated the effectiveness of "attachment-based compassion therapy" (ABCT) in the treatment of fibromyalgia (FM), and the role of psychological flexibility as a mediator of improvements. Methods: A total of 42 patients with FM were randomly assigned to ABCT or relaxation (active control group). Both the intervention and control condition were combined with treatment as usual (TAU). The primary outcome was functional status (FIQ), and the secondary outcomes were clinical severity (CGI-S), pain catastrophizing (PCS), anxiety (HADS-A), depression (HADS-D), quality of life (EQ-5D), and psychological flexibility (AAQ-II). Differences between the groups were estimated using mixed-effects models, and mediation assessments were conducted using path analyses. Results: The ABCT group demonstrated superior outcomes compared to the relaxation group, including better FIQ values after treatment (B = -3.01; p = 0.003). Differences in FIQ were maintained at 3-month follow-up (B = -3.33; p = 0.001). The absolute risk reduction in ABCT compared to relaxation increased by 40.0%, with an NNT = 3 based on criteria of =50% FIQ reduction after treatment. Psychological flexibility had a significant mediating effect on improvements. Conclusion: These results suggest that ABCT combined with TAU appears to be effective in the treatment of FM symptoms. Clinical Trial Registration: http://ClinicalTrials.gov, identifier NCT02454244. info:eu-repo/grantAgreement/ES/ISCIII/RD12-0005-0001 info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.161 2018 PSYCHIATRY 37 / 142 = 0.261 2018 Q2 T1 PSYCHIATRY 54 / 146 = 0.37 2018 Q2 T2 1.222 2018 Psychiatry and Mental Health 2018 Q1 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Navarro-Gil, M. Universidad de Zaragoza (orcid)0000-0003-4842-0453 Puebla-Guedea, M. (orcid)0000-0002-8862-7240 Luciano, J.V. Van Gordon, W. Shonin, E. García-Campayo, J. Universidad de Zaragoza (orcid)0000-0002-3797-4218 1007 745 Universidad de Zaragoza Dpto. Medicina, Psiqu. y Derm. Area Psiquiatría 4009 735 Universidad de Zaragoza Dpto. Psicología y Sociología Área Psicolog.Evolut.Educac 8 (2018), 307 [11 pp.] Frontiers in Psychiatry 1664-0640 200636 http://zaguan.unizar.es/record/65586/files/texto_completo.pdf Versión publicada 100494 http://zaguan.unizar.es/record/65586/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:65586 articulos driver 2025-02-10-08:31:11 ARTICLE