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 .
Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: a randomised controlled trial
Introduction No r and omised , controlled trials have been conducted to date on the efficacy of psychological and pharmacological treatments of pain catastrophising ( PC ) in patients with fibromyalgia . Our aim in this study was to assess the effectiveness of cognitive-behaviour therapy ( CBT ) and the recommended pharmacological treatment ( RPT ) compared with treatment as usual ( TAU ) at the primary care level for the treatment of PC in fibromyalgia patients . Methods We conducted a six-month , multicenter , r and omized , blinded , parallel group , controlled trial in which patients were r and omly assigned to one of three study arms : CBT ( n = 57 ) , RPT ( n = 56 ) and TAU at the primary care level ( n = 56 ) . The major outcome of this study was PC in patients with fibromyalgia .  The secondary variables were pain acceptance , depression , anxiety , pain , global function and quality of life . Results CBT significantly decreased global PC at the six-month follow-up examination with effect sizes of Cohen 's d = 0.73 and 1.01 compared with RPT and TAU , respectively . CBT was also more effective than RPT and TAU at increasing pain acceptance at the six-month follow-up examination ( effect sizes of Cohen 's d = 0.77 and 0.80 , respectively ) . Compared with RPT and TAU , CBT was more effective at improving global function based on the Fibromyalgia Impact Question naire ( six-month effect sizes Cohen 's d = 0.44 and 0.53 , respectively ) and quality of life based on the European Quality of Life Scale ( six-month effect sizes Cohen 's d = 0.11 and 0.40 , respectively ) . There were no differences among the three treatments with regard to pain and depression . Conclusions CBT shows higher efficacy than RPT and TAU not only in key outcomes in FM , such as function and quality of life , but also in relevant mediators of treatment effects , such as pain catastrophising and pain acceptance . Trial registration IS RCT N : IS RCT
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 .