Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .
Effects of guided imagery on biobehavioral factors in women with fibromyalgia
Women diagnosed with fibromyalgia ( N = 72 ) participated in a 10-week r and omized trial to examine the effectiveness of guided imagery on self-efficacy , perceived stress , and selected biobehavioral factors ( FMS symptoms ; immune biomarkers ) . Participants in both guided imagery and usual care control conditions  completed measures and donated 3 cc of blood at baseline , 6- and 10-weeks . A mixed effects linear model to test for differences between groups for all behavioral and biologic variables demonstrated that after 10 weeks of daily intervention use , guided imagery participants reported statistically significant increases in self-efficacy and statistically significant decreases in stress , fatigue , pain , and depression . There were no statistically significant changes in biomarker levels , although total group C-reactive protein was elevated at baseline ( 4.7 mg/L ) , indicating an inflammatory process . Subsequent studies should be undertaken to more fully eluci date the biobehavioral aspects of nonpharmacological intervention effectiveness
Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .