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Appendix F: Information Sheet and Consent Form for Study Two Sleep and Fibromyalgia Syndrome Information Sheet Thank you for your interest in this study on sleep and Fibromyalgia Syndrome. Please read the following information carefully and feel free to ask me if anything is unclear or if there is anything else you would like to know about the study. Please take time to decide if you would like to participate, although you may withdraw from this study at any time. The study This study is investigating the beliefs people with Fibromyalgia have about their sleep, their sleep patterns, and their experience of Fibromyalgia Symptoms. The study will be conducted by myself (Alice Theadom), a Health Psychologist working, under the supervision of Mark Cropley at the University of Surrey and Kirsty- Louise Humphrey, a postgraduate student at the University of Surrey. Instructions If you wish to participate please complete both copies of the consent form attached, returning one copy to us with your questionnaire and retaining one copy for your yourself. You will be given a questionnaire to complete at your own pace. It is 10 pages long and takes approximately 15-20 minutes to complete. There will be detailed instructions on how to complete each section of the questionnaire. There are no right or wrong answers to these questions and you may choose not to respond to any questions you do not wish to answer. Benefits and Risks Participating in this study will contribute to the understanding of Fibromyalgia. It is hoped that the findings of the study will help to provide information for practitioners in the field, with the aim to improve the quality of life for individuals with this health condition. You may find answering questions about your illness or some specific questions are upsetting or distressing for you. You are under no pressure to participate in the study and you may choose not to answer specific questions or to withdraw from the study at any time. This study has received ethical approval from by the departmental ethics committee. All information will be completely anonymous and confidential. Please return all questionnaires by April 25 th 2005. Many Thanks. Contact Details Alice Theadom Kirsty-Louise Humphrey alice.theadom@camdenpct.nhs.uk K.Humphrey@surrey.ac.uk 020 7530 6334 Mark Cropley Mark.Cropley@surrey.ac.uk 207
Sleep and Fibromyalgia Syndrome Consent Form I agree to take part in the study on sleep and Fibromyalgia syndrome. I have read and understood the information sheet provided. I have been given the opportunity to ask questions on all aspects of the study and I have understood the advice and information given. I understand that any information I provide will be anonymous and treated as confidential. I understand that I may withdraw from the study at any time without reason or needing to justify my decision. I confirm that I have read and understood the above and freely consent to participate in the study. I have been given adequate time to consider my participation and I agree to follow the instructions and restrictions of the study. Name of volunteer___________________________ (Block Capitals) Signature of volunteer________________________ Date______________ 208
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Sick and Tired: Understanding and M
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Chapter Four. The Nature and Effect
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References ........................
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List of Tables Table 1. Participant
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Co-authored Works Although the stud
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Acknowledgments This thesis would n
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Intellectual Property Rights There
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Confidential Material No participan
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The role of sleep in FMS appears to
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little information was available as
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Psychophysiologic insomnia which is
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and are less able to inhibit the pa
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widely applied in clinical practice
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of fewer tender points; usually bet
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Current Management Strategies The t
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also likely to depend on a number o
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deep sleep (stages three and four)
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Although sleep moves through the sl
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Figure 3. The Integrative Model of
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However, conducting a blood test is
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As sleep is a complex process invol
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Sleep Diaries Sleep diaries are a k
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pain). Lentz et al (1999) revealed
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These results have also been suppor
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(McCracken & Iverson, 2002) which s
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Figure 4. Conceptual model of the d
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Clinical Implications Despite the p
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Chapter Three. Sleep in FMS As high
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& Penzien, 2003), although alpha wa
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pauses in breathing indicative of s
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Relationships between Sleep and Pai
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Managing Sleep Disturbance in FMS D
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may be possible to help patients im
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person to initiate an action (such
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and Nicassio et al (1995) only expl
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1) Poor sleep quality, defined by t
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elow 0.7 are acceptable. Therefore
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heart disease (Epstein et al., 1999
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In order to explore the links betwe
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questionnaire 78 (77.2%) of the par
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efficiency, suggesting that partici
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Older age and longer length of illn
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Table 2. Correlations between demog
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Logistic Regression As 97% of the s
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in bed, participants may have devel
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Relationship between Negative Affec
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participants, who may be less likel
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emotional problems, increased pain
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eactions are most likely to be detr
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It has been suggested that the auto
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For both groups, participants were
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with and without chronic medical co
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As previously described on page 61,
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Figure 7. Scree plot for the explor
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Figure 8. Scree plot for the explor
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Table 6. Participant characteristic
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Table 7. Measures of central tenden
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CON = DBAS-10 Dysfunctional beliefs
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The Exp (B) values revealed that hi
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has explored the use of napping on
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It became clear, through the analys
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interventions. With this in mind, t
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The philosophy of phenomenology was
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Methods Participants were given a w
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Table 11. Interview schedule for th
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Rigour The interview transcripts we
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“The main symptom is this overwhe
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Theme Two. Inter-relationship betwe
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where I live, so I don‟t know, I
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Participants also described how the
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“XXXX (name of person) planned a
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A strong theme that emerged in this
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conducted at several time points, w
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Chapter Seven. Investigating the Ef
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activities because they no longer f
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Therefore as this was a feasibility
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Self-reported sleep quality was ass
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The progressive muscle relaxation (
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Exploring the baseline data, there
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Consequently, univariate analysis w
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There was no significant correlatio
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people with FMS (Perlis, Giles, Men
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The aim of this study was to explor
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observed in perceived overall sleep
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elaborated on in Chapter Six, which
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Four) revealed that global sleep qu
Page 173 and 174: Modifications to the Call-Schmidt a
Page 175 and 176: MBSR programme in people with FMS (
Page 177 and 178: diagnostic criteria for these sleep
Page 179 and 180: comprehensive measures to look at t
Page 181 and 182: References Abad, V. C., Sarinas, P.
Page 183 and 184: Brand, S., Gerber, M., Beck, J., Ha
Page 185 and 186: Crofford, L. J., & Demitrack, M. A.
Page 187 and 188: Goldenberg, D. L., Kaplan, K. H., N
Page 189 and 190: Johns, M. W. (2002). Sleep propensi
Page 191 and 192: Leung, Y. Y., Ho, K. W., Zhu, T. Y.
Page 193 and 194: Mease, P. J. (2005). Fibromyalgia s
Page 195 and 196: symptoms in healthy subjects; Corre
Page 197 and 198: approach with illustration to the h
Page 199 and 200: Thomas, E. N., & Blotman, F. (2010)
Page 201 and 202: Yunus, M. B., Masi, A. T., & Aldag,
Page 203 and 204: Appendices Appendix A: Search Strat
Page 205 and 206: Sleep and Fibromyalgia Syndrome Con
Page 207 and 208: 190
Page 209 and 210: The following questions relate to y
Page 211 and 212: There are lots of ways to try to de
Page 213 and 214: 42. I try hard to prevent other thi
Page 215 and 216: During the past month have you had
Page 217 and 218: Appendix E: Published paper of Stud
Page 219 and 220: 202
Page 221 and 222: 204
Page 223: 206
Page 227 and 228: Appendix H: Participant Questionnai
Page 229 and 230: Below are 10 statements reflecting
Page 231 and 232: The questions in this scale ask you
Page 233 and 234: Appendix I. Published Paper for Stu
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Page 237 and 238: 220
Page 239 and 240: 222
Page 241 and 242: Appendix K. Information Sheet and C
Page 243 and 244: Sleep in Fibromyalgia Syndrome Cons
Page 245 and 246: Appendix L: Letter of Ethical Appro
Page 247 and 248: Appendix M. Letter to GPs for Study
Page 249 and 250: What are the side effects of any tr
Page 251 and 252: Appendix O: Poster Advertising Stud
Page 253 and 254: Appendix Q: Participant Questionnai
Page 255 and 256: HAD Scale Read each item and place
Page 257 and 258: During the past month have you had
Page 259 and 260: Appendix R. Letter from Dr Mark Cro
Page 261 and 262: PUBLICATIONS Peer Reviewed Journal
Page 263: and panic-like episodes, Faculty of
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