Effects of guided imagery on biobehavioral factors in women with fibromyalgia

Women diagnosed with fibromyalgia (N = 72) participated in a 10-week randomized trial to examine the effectiveness of guided imagery on self-efficacy, perceived stress, and selected biobehavioral factors (FMS symptoms; immune biomarkers). Participants in both guided imagery and usual care control co...

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Bibliographic Details
Published in:Journal of behavioral medicine 2014-02, Vol.37 (1), p.70-80
Main Authors: Menzies, Victoria, Lyon, Debra E., Elswick, R. K., McCain, Nancy L., Gray, D. Patricia
Format: Article
Language:English
Subjects:
Adult
Behavioral health care
Biological markers
Biomarkers
C-Reactive Protein
Care and treatment
Chronic pain
Complications and side effects
Cytokines
Cytokines - blood
Depression - blood
Depression - psychology
Depression - therapy
Family Medicine
Fatigue
Fatigue - blood
Fatigue - psychology
Fatigue - therapy
Female
Fibromyalgia
Fibromyalgia - blood
Fibromyalgia - psychology
Fibromyalgia - therapy
General Practice
Guided imagery
Health aspects
Health Psychology
Humans
Imagery, Psychotherapy - methods
Intervention
Medicine
Medicine & Public Health
Middle Aged
Pain - blood
Pain - psychology
Physiology
Proteins
Psychological aspects
Self Efficacy
Selfefficacy
Stress
Stress, Psychological - blood
Stress, Psychological - psychology
Stress, Psychological - therapy
Treatment Outcome
Women
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Summary:Women diagnosed with fibromyalgia (N = 72) participated in a 10-week randomized trial to examine the effectiveness of guided imagery on self-efficacy, perceived stress, and selected biobehavioral factors (FMS symptoms; immune biomarkers). Participants in both guided imagery and usual care control conditions completed measures and donated 3 cc of blood at baseline, 6- and 10-weeks. A mixed effects linear model to test for differences between groups for all behavioral and biologic variables demonstrated that after 10 weeks of daily intervention use, guided imagery participants reported statistically significant increases in self-efficacy and statistically significant decreases in stress, fatigue, pain, and depression. There were no statistically significant changes in biomarker levels, although total group C-reactive protein was elevated at baseline (4.7 mg/L), indicating an inflammatory process. Subsequent studies should be undertaken to more fully elucidate the biobehavioral aspects of nonpharmacological intervention effectiveness.
ISSN:0160-7715
1573-3521
DOI:10.1007/s10865-012-9464-7