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 .
Behavioral insomnia therapy for fibromyalgia patients: a randomized clinical trial.
BACKGROUND Insomnia is common and debilitating to fibromyalgia ( FM ) patients .  Cognitive-behavioral therapy ( CBT ) is effective for many types of patients with insomnia , but has yet to be tested with FM patients . This study compared CBT with an alternate behavioral therapy and usual care for improving sleep and other FM symptoms . METHODS This r and omized clinical trial enrolled 47 FM patients with chronic insomnia complaints . The study compared CBT , sleep hygiene ( SH ) instructions , and usual FM care alone . Outcome measures were subjective ( sleep logs ) and objective ( actigraphy ) total sleep time , sleep efficiency , total wake time , sleep latency , wake time after sleep onset , and question naire measures of global insomnia symptoms , pain , mood , and quality of life . RESULTS Forty-two patients completed baseline and continued into treatment . Sleep logs showed CBT-treated patients achieved nearly a 50 % reduction in their nocturnal wake time by study completion , whereas SH therapy- and usual care-treated patients achieved only 20 % and 3.5 % reductions on this measure , respectively . In addition , 8 ( 57 % ) of 14 CBT recipients met strict subjective sleep improvement criteria by the end of treatment compared with 2 ( 17 % ) of 12 SH therapy recipients and 0 % of the usual care group . Comparable findings were noted for similar actigraphic improvement criteria . The SH therapy patients showed favorable outcomes on measures of pain and mental well-being . This finding was most notable in an SH therapy subgroup that self-elected to implement selected CBT strategies . CONCLUSIONS Cognitive-behavioral therapy represents a promising intervention for sleep disturbance in FM patients . Larger clinical trials of this intervention with FM patients seem warranted
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 .