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Guided Imagery Relaxation Can Reduce Pain and Depression in Fibromyalgia Patients

  [ 4 votes ]   [ 2 Comments ]
By Onieva-Zafra, et al. • www.ProHealth.com • December 20, 2014


Effectiveness of guided imagery relaxation on levels of pain and depression in patients diagnosed with fibromyalgia.

Abstract:

AIM: The aim of this study was to evaluate the effects of guided imagery as a nursing intervention for pain management and depression in patients diagnosed with fibromyalgia.

BACKGROUND: Many studies support the use of guided imagery to improve patient outcomes. Guided imagery has been used for different purposes and it is thought to be an effective intervention for people suffering from nonmalignant pain.

DESIGN: A 2-group quasi-experimental study was conducted during 8 weeks by the University of Nursing in Almeria (Spain).

METHODS: Patients diagnosed with fibromyalgia aged 18 to 70 years (n = 60) were randomly assigned to a guided imagery group (n = 30) or a control group (n = 30). The outcomes measures were scores for pain with the McGill Pain Questionnaire long form (MPQ-LF) and the Visual Analogue Scale (VAS) and depression with the Beck Depression Inventory and the VAS for depression. The effects were examined at baseline, postintervention (4th week), and at the end of the study (8th week).

RESULTS: Treatment efficacy was analyzed by using a t test for paired samples. Temporal changes in the scores were examined by using a 2-way repeated-measures analysis of variance. The treatment group reported statistically significantly lower levels of pain (P < .046) and depression (P < .010) than the control group at the week 4 evaluation. A statistically significant effect on pain as measured by the daily VAS diary was also found in the experimental group. At week 8, no significant differences were found for pain.

CONCLUSION: Patients diagnosed with fibromyalgia may benefit from this nursing intervention in terms of relieving pain and depression. Guided imagery relaxation therapy could be incorporated as part of fibromyalgia treatment to promote health among people with fibromyalgia.

RELEVANCE TO CLINICAL PRACTICE: Guided imagery as a nursing intervention can alleviate pain and depression in patients diagnosed with fibromyalgia.

Source: Holistic Nursing Practice, January/February 2015. By Onieva-Zafra, María Dolores PhD; García, Laura Hernandez MSc; del Valle, Mayte Gonzalez RN. Department of Nursing and Physical Therapy, University of Almeria, Almeria, Spain (Dr Onieva-Zafra and Ms García); and Poniente Hospital, El Ejido, Almería, Spain (Ms del Valle).




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Guided Imagery
Posted by: IanH
Dec 21, 2014
They reported: "The treatment group reported statistically significantly lower levels of pain (P < .046) and depression (P < .010) than the control group at the week 4 evaluation. A statistically significant effect on pain as measured by the daily VAS diary was also found in the experimental group. At week 8, no significant differences were found for pain."

Is this supposed to be a serious recommendation for the use of guided imagery for fibromyalgia? A .046 confidence level suggests a very wide response, one typical of placebo. Now how did they do the sham treatment for the controls.

At the same time one would expect any relaxation technique to help reduce pain but it is an ongoing treatment requirement unless the patient is taught self administration.
Reply Reply

Sad, isn't it?!
Posted by: dfwmom
Dec 22, 2014
This is all that the field of medicine really offers for Fibromyalgia at this time, "Close your eyes and imagine that there is no pain."

Yes, it's better than nothing, BUT NOT BY MUCH!!!!

And, it's really a stretch to call this "medicine".
Reply Reply
 
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