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 .
A prospective, longitudinal, multicenter study of service utilization and costs in fibromyalgia.
OBJECTIVE To study , for the first time , service utilization and costs in fibromyalgia , a prevalent syndrome associated with high levels of pain , functional disability , and emotional distress . METHODS Five hundred thirty-eight fibromyalgia patients from 6 rheumatology centers were enrolled in a 7-year prospect i ve study of fibromyalgia outcome . Patients were assessed every 6 months with vali date d , mailed question naires which included questions regarding fibromyalgia symptoms and severity , utilization of services , and work disability . RESULTS Fibromyalgia patients averaged almost 10 outpatient medical visits per year , and when nontraditional treatments were considered , this number increased to approximately 1 visit per month . Patients were hospitalized at a rate of 1 hospitalization every 3 years . In each 6-month study period , patients used a mean of 2.7  fibromyalgia-related drugs . Costs increased over the course of the study . The mean yearly per-patient cost in 1996 dollars was $ 2,274 . However , results were skewed by high utilizers , and many patients used few services and had limited costs . Total costs and utilization were independently associated with the number of self-reported comorbid or associated conditions , functional disability , and global disease severity . Compared with patients with other rheumatic disorders , those with fibromyalgia were more likely to have lifetime surgical interventions , including back or neck surgery , appendectomy , carpal tunnel surgery , gynecologic surgery , abdominal surgery , and tonsillectomy , and were more likely than other rheumatic disease patients to report comorbid or associated conditions . Almost 50 % of hospitalizations occurring during the study were related to fibromyalgia-associated symptoms . CONCLUSION The average yearly cost for service utilization among fibromyalgia patients is $ 2,274 . Fibromyalgia patients have high lifetime and current rates of utilization of all types of medical services . They report more symptoms and comorbid or associated conditions than patients with other rheumatic conditions , and symptom reporting is linked to service utilization and , to a lesser extent , functional disability and global disease severity
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 .