quality of life offibromyalgia patients. Specifically, levels of gratitude and mental health and quality of life in fibromyalgia patients were compared tohealthy controls, and the extent to which patient-control differences in gratitude explained differences in mental health and quality of lifewere also examined.Method: A cross-sectional survey was completed by 173 fibromyalgia patients and 81 healthy controls. Patients and controls wereresidents of Germany recruited with the support of the German Fibromyalgia Patient Association and several self-help groups. FMSpatients and controls were about 53 years of age, mostly married (70%), Christians (81%), with levels of education ranging from 9 years to13+. All participants completed assessments of gratitude, depression, anxiety, and quality of life.Results: A structural equation model showed that patients were lower than controls on a latent composite variable comprised of mentalhealth and quality of life (Beta = -.57, p < .001), and that patients were on average lower on gratitude (Beta = -.41, p < .001). Gratitude(Beta = .30, p < .001) was positively related to mental health and quality of life in the combined sample. An indirect effect (Beta = -.12, p< .01) revealed that part of the difference between fibromyalgia patients and healthy controls on mental health and quality of life wasexplained by differences in levels of gratitude.Conclusion: To our knowledge, this is the first study to examine gratitude, mental health and quality of life in fibromyalgia. Althoughpatients reported lower average level of gratitude relative to controls, gratitude was positively linked to mental health and quality of lifefor both samples. Interventions aimed at enhancing gratitude levels in FMS patients could therefore have important benefits for wellbeingand adjustment in these patients. Future research is needed to confirm these findings and to examine other positive states andtraits that may help explain differences between fibromyalgia patients and healthy controls on important mental health and quality of lifeoutcomes. Keywords • Fibromyalgia, gratitude, chronic pain, coping, stress References: 1. Chida Y, Steptoe A. Positive psychologicalwell-being and mortality: a quantitative review of prospective observational studies. Psychosom Med 2008 Sep;70(7):741-56.2. Ng MY, Wong WS. The differential effects of gratitude and sleep on psychological distress in patients with chronic pain. J HealthPsychol 2013 Feb;18(2):26371.3. Wood AM, Froh JJ, Geraghty AW. Gratitude and well-being: a review and theoretical integration. Clin Psychol Rev 2010 Nov;30(7):890-905.
POT081 - Emotional regulation imporvement with electrodermal activity biofeedback training in refractoryepilepsy with stress-triggered seizures. J.-A. Micoulaud-Franchi, M. Bastien-Toniazzo, F. BartolomeiUSR CNRS 3413 SANPSY, CHU Pellegrin, Université de Bordeaux, FranceLaboratoire Parole et Langage UMR 7309, Aix-Marseille Université, Marseille, FranceService de Neurophysiologie Clinique, Centre Hospitalo Universitaire de la Timone, 264, Rue Saint-Pierre, 13005 Marseille, France Stress is the first precipitant factors of seizures reported by patients with refractory epilepsy (PWRE). Depression and anxiety are themain comorbid disorders associated with epilepsy and are associated with dysfunction in emotion regulation . From the patients pointof view they negatively impact their quality of life more than the seizures themselves. Biological feedback approaches (called biofeedback)have already shown their efficacy in the self-management of seizures. Electrodermal activity (EDA) biofeedback (BFK) aims to increase thelevels of peripheral sympathetic arousal in order to reduce cortical excitability. As evidence of clinical efficacy in the management ofepileptic seizures, a mean reduction of seizures of about 50 % in the BFK group, whereas no difference in the control group have beenreported . A positive correlation between the reduction in seizure frequency and the degree of patients’ improvement in EDA BFKperformance was observed. Similar results, associated with a positive effect on psychometric evaluation of depression were reported inpatients with stresstriggered seizures , suggesting the interest of this method on emotional regulation in PWRE. This study aims toevaluate whether EDA BFK training is associated with improvement in emotion regulation in PWRE and stresstriggered seizures.12 patients with refractory epilepsy assessed on psychological evaluations with the Neurological Disorders Depression Inventory forEpilepsy, the Stait and Trait Anxiety Inventory, the Emotional Regulation Profile-Revised, the Dispositional Resilience Hardiness Scale andthe Perceived Stress Scale, in order to evaluate their psychological statement. These evaluations were conducted before and after 12sessions of EDA BFK and compared with a control group of 12 patients who had not followed the 12 BFK sessions.Data analyses are currently in process but some trends emerge from the 8 patients who finished all BFK sessions. For these 8 patientsthere is a difference in depression, regulation of negative emotion and perceived stress between before and after the therapy indicatingan improvement in emotion regulation. This method aim to control the seizure onset itself but can also target emotion regulationmanagement, when stress and emotional distress are precipitant