Examining the effectiveness of amygdala and insula retraining (AIR) program on psychological indicators and sleep patterns in fibromyalgia patients

INTERVENTION: Intervention 1: Intervention group: In the Amygdala and Insula recovery intervention, the hypothesis is that changing emotion and cognition is more effective when the body moves. This psychotherapy approach focuses on improving coping skills and strategies for stressful situations by supposedly interrupting conditioned anxiety or fear responses from the Amygdala. This intervention consists of behavioral and psychological techniques such as cognitive therapy, breathing, meditation and neuro‐linguistic programming. The amygdala and insula recovery technique will be practiced in 8 weeks based on the table below. Intervention 2: Intervention group: The group will receive aerobic exercise in two months. The exercises will include two parts: static aerobic exercise and dynamic aerobic exercise. In general, the exercises will consist of 4 main parts. 1) warm up; It will include stretching movements, hypothetical line movements, cross‐arm movements, arm rotations, neck rotations, cross‐leg movements, sit‐ups, 2) static aerobic exercise; Includes climbers walking, Palank, Palank with knee touch, and ski movement. 3) Dynamic aerobic exercise; It will include jogging at 70% of your maximum heart rate. 4) cooling down; It will include stretching, cross‐linking, sitting, lying down and cradle movement. Exercises are performed with behavioral techniques and with the guidance of sports instructors and in a modified manner in accordance with the physical fitness of patients. The intervention will done in 8 weeks and 2 sessions per week. Patients engage in aerobic exercise for 30 to 45 minutes per session. Intervention 3: Control group: Participants in the control condition meet at least once a week at the research center and can talk about their illness and daily life. If they wish, th CONDITION: Fibromyalgia. ; Fibromyalgia M79.7 PRIMARY OUTCOME: Emotion Regulation. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Emotion Regulation Problems Questionnaire. Perceived Stress. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Cohen Questionnaire. Sleep Pattern. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Insomnia Severity Scale and Sleep tables. Sleep Quality. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Pittsburgh Questionnaire. Symptoms of Anxiety. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Beck Questionnaire. Symptoms of Depression. Timepoint: Before intervention‐ 8 weeks later‐ 4 weeks later. Method of measurement: Beck Questionnaire. INCLUSION CRITERIA: Age between 18 and 70 year Having an FM diagnostic in accordance with the American College of Rheumatology (ACR) 1990 criteria and provided by a rheumatologist working for the Iranian National Health Service Being able to read and understand Persian