The influence of Pain Neuroscience Education associated with Meditation on sleep and functional capacity of adults with Fibromyalgia

INTERVENTION: Education Meditation Other The study is structured in two groups. The Meditation Group: formed by 10 women aged 40 years or older with fibromyalgia who underwent 13 Mindfulness sessions and the Meditation and Education Group in Neuroscience of Pain (GMEND); formed by 12 women 40 years old or more who underwent 13 Mindfulness sessions, with the difference of participating in 3 individual pain neuroscience classes before starting the meditation intervention. The intervention consisted of 13 meditation sessions twice a week for both groups. And the three individual classes of END were held with an interval of 3 days between sessions. Both groups were evaluated before and after the interventions in relation to sleep quality, pain intensity, catastrophization, kinesiophobia, anxiety, depressive symptoms, perception of fibromyalgia pain, basic and instrumental daily life activities. CONDITION: Fibromyalgia Fibromyalgia ; Fibromyalgia M00‐M99 PRIMARY OUTCOME: Assess the performance of participants in activities of daily living before and after the intervention using the Katz Scale of Independence in Activities of Daily Living. Conduct the participants' sleep quality assessment with the Pittsburgh Sleep Quality Index before and after interventions. Evaluate the performance of participants in instrumental activities of daily living before and after interventions using the Lawton and Brody Instrumental Activities of Daily Living Scale. SECONDARY OUTCOME: Assess pain intensity using the Numerical Scale for Pain Classification for the pre and post‐intervention moments Compare the participants' cognitive status before and after the interventions using the Mini‐Mental State Examination. Conduct an assessment of the mood of the participants using the Geriatric Depression Scale and the Hospital Anxiety and Depression Rating Scale before and after the interventions. Evaluate the impact of Fibromyalgia on the participant's health status through the Fibromyalgia Impact Questionnaire in the pre and post‐intervention moments for both groups. To assess the degree of pain catastrophization in the participants of both groups before and after the proposed interventions using the Pain Catastrophization Scale. To verify the level of pain interference in the ability to walk, in activities of daily living, at work, in social activities, in mood and sleep with the use of the Brief Pain Inventory. The pre and post measurements showed differences in some of the questionnaire items. Verify kinesiophobia before and after interventions using the Tampa Scale for Kinesiophobia. INCLUSION CRITERIA: Being 40 years of age or older, having a medical diagnosis of fibromyalgia, with pain intensity classified as moderate or severe by the Numerical Pain Rating Scale, 0 being considered painless, 1 to 3 mild pain, 4 to 6 moderate pain and 6 to 10 severe pain.