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Mind-body therapy for treating fibromyalgia: a systematic review
Jeremy P Steen1,2,3, Vivek Kannan2,3, Abdullah Zaidi2,3
1Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, ON M5T 3M6, Canada.
Pain Medicine (Malden, Mass.)
|August 2, 2024
Summary
Mind-body therapies show promise for managing fibromyalgia symptoms like pain and fatigue. Further research is needed to confirm long-term benefits for this chronic condition.
Area of Science:
- Integrative Medicine
- Chronic Pain Management
- Psychoneuroimmunology
Background:
- Fibromyalgia is a complex, disabling chronic pain condition.
- Current management presents significant challenges for patients and healthcare providers.
- Evidence on complementary therapies is crucial for comprehensive care.
Purpose of the Study:
- To systematically review the effectiveness and safety of mind-body therapies for fibromyalgia.
- To synthesize current research on interventions such as guided imagery, mindfulness, qi gong, tai chi, and yoga.
- To evaluate the impact of these therapies on pain, fatigue, function, and sleep.
Main Methods:
- Searched multiple databases (MEDLINE, EMBASE, PsycINFO, AMED, CINAHL) up to December 2023.
- Included randomized controlled trials and quasi-experimental studies of adults with fibromyalgia from 2012 onwards.
- Assessed study quality using Joanna Briggs Institute Critical Appraisal Checklists.
Main Results:
- 27 studies (30 articles) were included, predominantly randomized controlled trials.
- Guided imagery, qi gong, tai chi, biofeedback, and yoga demonstrated improvements in pain.
- Guided imagery, qi gong, and tai chi showed significant benefits in pain, fatigue, function, and sleep.
Conclusions:
- Mind-body therapies appear beneficial for adults experiencing fibromyalgia.
- Positive post-intervention effects warrant further investigation for sustained impact.
- These therapies offer a potentially valuable addition to fibromyalgia management strategies.

