Cognitive Training to Enhance Brain Concordance During Acupuncture

Inclusion Criteria:

• Meet traditional American College of Rheumatology (ACR) criteria for FM as well asthe more recent Wolfe et al 2011 criteria

• Are on stable doses of medication for 30 days prior to entering the study and agreenot to change medications or dosages during the trial

• Ability to fully understand and consent to study procedures

• Baseline pain intensity of at least 4/10

• Pain duration of at least 6 months

Exclusion Criteria:

• Any longer period of work experience involving pain treatment, pain rehabilitationetc.

• Presence of any illness that is judged to interfere with the trial. For example:psychiatric disorder according to the DSM-IV manual

• Presence of any contraindications to fMRI scanning. For example: cardiac pacemaker,metal implants, fear of closed spaces, pregnancy.

• History of significant head injury

• Inability to respond accurately to the pain-relieving intervention in the behavioralpart of the experiment, indicating a lack of response to the expectancymanipulation. If the healthy volunteer or clinician is not a responder to thebehavioral expectancy induction he or she will be excluded.

• Unwillingness to receive brief experimental pain.

• Leg pain or health issues that may interfere with the study procedures.

• Comorbid acute pain condition

• Comorbid chronic pain condition that is rated by the subject as more painful thanfibromyalgia

• Current use of opioid analgesics

• Concurrent inflammatory or autoimmune disease

• Documented peripheral neuropathy

• Pregnant

• Any psychiatric disorder involving a history of psychosis (e. g schizophrenia,bipolar disorder, severe personality disorders)

• History of anxiety disorders or significant anxiety symptoms interfering with fMRIprocedures (e.g., panic)

• Psychiatric hospitalization in the past 6 months

• Unwillingness to withhold from consuming marijuana 12 hours prior to scans

• Unwillingness to withhold from consuming nicotine 4 hours prior to scans

• Any impairment, activity or situation that in the judgment of the Study Coordinatoror Principal Investigator would prevent satisfactory completion of the studyprotocol.

• Is an actual clinical patient of the clinician subject

• Recent history of formal meditation-based training