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 .
Pain Physiology Education Improves Health Status and Endogenous Pain Inhibition in Fibromyalgia: A Double-Blind Randomized Controlled Trial
Objectives : There is evidence that education on pain physiology can have positive effects on pain , disability , and catastrophization in patients with chronic musculoskeletal pain disorders . A double-blind r and omized controlled trial ( RCT ) was performed to examine whether intensive pain physiology education is also effective in fibromyalgia ( FM ) patients , and whether it is able to influence the impaired endogenous pain inhibition of these patients . Methods : Thirty FM patients were r and omly allocated to either the experimental ( receiving pain physiology education ) or the control group ( receiving pacing self-management education ) . The primary outcome was the efficacy of the pain inhibitory mechanisms , which was evaluated by spatially accumulating thermal nociceptive stimuli . Secondary outcome measures included pressure pain threshold measurements and question naires assessing pain cognitions , behavior , and health status . Assessment s were performed at baseline , 2 weeks , and 3 months follow-up . Repeated measures ANOVAS were used to reveal possible therapy effects and effect sizes were calculated . Results : After the intervention the experimental group had improved knowledge of pain neurophysiology ( P<0.001 ) . Patients from this group worried less about their pain in the short term ( P=0.004 ) . Long-term improvements in physical functioning ( P=0.046 ) , vitality ( P=0.047 ) , mental health ( P<0.001 ) , and general health perceptions ( P<0.001 ) were observed . In addition , the intervention group reported lower pain scores and showed improved endogenous pain inhibition ( P=0.041 ) compared with the control group . Discussion : These results suggest that FM patients are able to underst and and remember the complex material about pain physiology . Pain physiology education seems to be a useful component in the treatment of FM patients as it improves health status and endogenous pain inhibition in the long term
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 .