CBTs provided a small incremental benefit over control interventions in reducing pain , negative mood and disability at the end of treatment and at long-term follow-up .
The dropout rates due to any reason did not differ between CBTs and controls
BACKGROUND Fibromyalgia ( FM ) is a clinical ly well-defined chronic condition of unknown aetiology characterized by chronic widespread pain that often co-exists with sleep disturbances , cognitive dysfunction and fatigue .
Patients often report high disability levels and negative mood .
Psychotherapies focus on reducing key symptoms , improving daily functioning , mood and sense of personal control over pain .
OBJECTIVES To assess the benefits and harms of cognitive behavioural therapies ( CBTs ) for treating FM at end of treatment and at long-term ( at least six months ) follow-up .
Responder criteria for operant and cognitive-behavioral treatment of fibromyalgia syndrome.
OBJECTIVE To predict the effects of cognitive-behavioral therapy ( CBT ) and operant-behavioral therapy ( OBT ) in fibromyalgia syndrome ( FMS ) . METHODS A total of 125 patients who fulfilled the American College of Rheumatology FMS criteria were r and omly assigned to CBT ( n = 42 ) , OBT ( n = 43 ) , or attention placebo ( AP ; n = 40 ) . The pretreatment to 12-month followup reliability change index was used to determine clinical ly meaningful changes in pain intensity and physical impairment . Multinominal logistic regression analyses were used to determine the predictors of improvement in pain intensity and physical impairment for the entire sample . Analyses of variance were computed to compare the characteristics of responders and nonresponders in each of the 3 interventions . RESULTS At the 12-month followup , 53.5 % , 45.2 % , and 5 % of patients in the OBT , CBT , and AP groups , respectively , reported clinical ly meaningful improvements in pain intensity . Similarly , 58.1 % , 38.1 % , and 7.5 % of patients treated with OBT , CBT , and AP , respectively , reported clinical ly significant improvements in physical impairment . Prior to treatment , the OBT physical impairment responders displayed significantly more pain behaviors , physical impairment , physician visits , solicitous spouse behaviors , and level of catastrophizing compared with nonresponders . The CBT physical impairment responders , compared with nonresponders , reported higher levels of affective distress , lower coping , less solicitous spouse behavior , and lower pain behaviors . CONCLUSION The results of this study suggest that pretreatment patient characteristics are important predictors of treatment response and may serve as a basis for matching treatments to patient characteristics . Prospect i ve outcome studies are needed to confirm whether the tailoring of treatment actually leads to better outcomes for patients with FMS
CBTs provided a small incremental benefit over control interventions in reducing pain , negative mood and disability at the end of treatment and at long-term follow-up .
The dropout rates due to any reason did not differ between CBTs and controls
BACKGROUND Fibromyalgia ( FM ) is a clinical ly well-defined chronic condition of unknown aetiology characterized by chronic widespread pain that often co-exists with sleep disturbances , cognitive dysfunction and fatigue .
Patients often report high disability levels and negative mood .
Psychotherapies focus on reducing key symptoms , improving daily functioning , mood and sense of personal control over pain .
OBJECTIVES To assess the benefits and harms of cognitive behavioural therapies ( CBTs ) for treating FM at end of treatment and at long-term ( at least six months ) follow-up .