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Benefits of a Home Treatment Program Using Guided Imagery Relaxation Based on Audio Recordings for People With Fibromyalgia

Onieva-Zafra, María Dolores, PhD; Parra-Fernández, María Laura, PhD; Fernandez-Martinez, Elia, PhD

doi: 10.1097/HNP.0000000000000317

Despite the plethora of treatments available for patients with fibromyalgia, there is insufficient evidence to date as to what the ideal treatment approach is. This study sought to determine the effectiveness of a home program of audio-recorded guided imagery relaxation on people with fibromyalgia. This experimental 8-week longitudinal trial design was undertaken with 60 people diagnosed with fibromyalgia who were randomly assigned to either a guided imagery intervention group or a control group. Pain at tender points, anxiety, self-efficacy, quality of sleep, quality of life, and the impact of the fibromyalgia were determined at baseline, at 4 weeks, and at 8 weeks. After the guided imagery intervention, we found significant differences regarding trait anxiety, sleep quality, and tenderness at some of the tender points. There is a need, therefore, to develop and evaluate interventions that may enhance the quality of life of those affected by this disorder.

Faculty of Nursing, University of Castilla-La-Mancha, Ciudad Real, Spain (Drs Onieva-Zafra, Parra-Fernández and Fernandez-Martinez).

Correspondence: María Dolores Onieva-Zafra, PhD, Facultad de Enfermería de Ciudad Real, Avenida Camilo José Cela s/n, Facultad de Castilla la Mancha, 13004 Ciudad Real, Spain (

The authors declare no conflicts of interests.

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