The Effect of Physiotherapy Integrated With Yoga and Mindfulness on Individuals With Fibromyalgia

Inclusion Criteria: * Age ≥ 18 years * Presence of clinically diagnosed fibromyalgia according to the American College of Rheumatology Exclusion Criteria: * Other important causes of pain other than FM * Severe osteoarthritis that affects activities of daily living * Severe somatic or psychiatric disorders * Receiving another physiotherapy and/or physical exercise treatment concurrently with this study * Practicing yoga and/or mindfulness regularly * Not having sufficient cognitive level or not being able to participate in the sessions. * History of acute myocardial infarction or heart failure and resulting cardiac capacity limitations. * Uncontrolled hypertension (resting systolic/diastolic blood pressure ≥160/100 mmHg) * Current treatment with medications known to significantly affect HRV (e.g. beta-blockers or antiarrhythmic drugs) * Pregnancy or planned pregnancy during the study period * Severe psychiatric disorders or insufficient cognitive abilities resulting in inability to participate in the study * Participants must either be on a stable treatment for fibromyalgia or not receiving any treatment, with no intention to alter their treatment plan during the study period. Those who do not meet this criterion will be excluded from the study.