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• W2922997788 abstract "Fibromyalgia (FM) is characterized by chronic widespread pain, sleep disturbance, fatigue, and catastrophizing. This pilot study explored whether gentle, daily yoga-based exercise practice could improve pain and sleep quality, and whether certain patient phenotypes were associated with greater improvement. Fibromyalgia patients (n = 36) attended a six-week yoga program, with weekly, in-person, pain-tailored group yoga classes, and were sent daily yoga videos to practice for 30 minutes at home. Participants completed the Brief Pain Inventory (BPI), Revised Fibromyalgia Impact Questionnaire (FIQR), Promis-29 scales, Pittsburgh Sleep Quality Index (PSQI), and the Pain Catastrophizing Scale (PCS). Additionally, they completed daily electronic diaries and wore a wrist actigraph to measure sleep efficiency during 3 weeks, at baseline, 2nd, and 6th week of yoga. Pain, fatigue, and sleep quality, although improved overall, varied among participants. Multilevel modeling analysis of daily ratings in week 6 revealed no main effect for baseline anxiety and catastrophizing on pain, fatigue and sleep efficiency. However, a significant interaction between these was observed for all three outcomes (fatigue: B=.060±.022, p=0.01, sleep efficiency: B=-.40±.015, p = 0.01, pain: B=.055±.020, p=0<0.01), such that patients with higher catastrophizing and lower anxiety at baseline showed greatest benefit. Additionally, those with greater decrease in pain catastrophizing throughout the study demonstrated a greater decrease in FIQR (Rho:0.450, p=0.006). Although yoga improved FM symptoms overall, patients with certain psychosocial characteristics may benefit more. In particular, participants who initially exhibited higher catastrophizing and lower anxiety, showed significant improvements in fatigue, sleep efficiency and pain at the end of the intervention. Future studies should include phenotypic characterization of patients undergoing behavioral interventions such as yoga, to help understand which patients benefit most, and guide personalized intervention in future. Fibromyalgia (FM) is characterized by chronic widespread pain, sleep disturbance, fatigue, and catastrophizing. This pilot study explored whether gentle, daily yoga-based exercise practice could improve pain and sleep quality, and whether certain patient phenotypes were associated with greater improvement. Fibromyalgia patients (n = 36) attended a six-week yoga program, with weekly, in-person, pain-tailored group yoga classes, and were sent daily yoga videos to practice for 30 minutes at home. Participants completed the Brief Pain Inventory (BPI), Revised Fibromyalgia Impact Questionnaire (FIQR), Promis-29 scales, Pittsburgh Sleep Quality Index (PSQI), and the Pain Catastrophizing Scale (PCS). Additionally, they completed daily electronic diaries and wore a wrist actigraph to measure sleep efficiency during 3 weeks, at baseline, 2nd, and 6th week of yoga. Pain, fatigue, and sleep quality, although improved overall, varied among participants. Multilevel modeling analysis of daily ratings in week 6 revealed no main effect for baseline anxiety and catastrophizing on pain, fatigue and sleep efficiency. However, a significant interaction between these was observed for all three outcomes (fatigue: B=.060±.022, p=0.01, sleep efficiency: B=-.40±.015, p = 0.01, pain: B=.055±.020, p=0<0.01), such that patients with higher catastrophizing and lower anxiety at baseline showed greatest benefit. Additionally, those with greater decrease in pain catastrophizing throughout the study demonstrated a greater decrease in FIQR (Rho:0.450, p=0.006). Although yoga improved FM symptoms overall, patients with certain psychosocial characteristics may benefit more. In particular, participants who initially exhibited higher catastrophizing and lower anxiety, showed significant improvements in fatigue, sleep efficiency and pain at the end of the intervention. Future studies should include phenotypic characterization of patients undergoing behavioral interventions such as yoga, to help understand which patients benefit most, and guide personalized intervention in future." @default.
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• W2922997788 date "2019-04-01" @default.
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• W2922997788 title "(269) Which Patients for Yoga? Investigating Differential Effects of a Six-Week Daily Yoga Intervention on Pain, Catastrophizing, and Sleep among Women with Fibromyalgia" @default.
• W2922997788 doi "https://doi.org/10.1016/j.jpain.2019.01.191" @default.
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