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 .
Attention Modification in Persons with Fibromyalgia: A Double Blind, Randomized Clinical Trial
Contemporary models of chronic musculoskeletal pain emphasize the critical roles of fear , anxiety , and avoidance as well as biases in attention in the development and maintenance of chronic pain disability . Evidence supports the influence of individual difference variables such as anxiety sensitivity , pain-related anxiety , and catastrophizing on the pain experience and on pain-related attentional biases . Changes in attentional biases have been associated with treatment gains in patients with clinical ly significant anxiety .  The Attentional Modification Paradigm ( AMP ) is a modification of the dot-probe paradigm used to facilitate such changes in attentional biases . Given the relationship between chronic musculoskeletal pain and anxiety , AMP may be effective in reducing pain as well . Participants included persons ( n = 17 ) with fibromyalgia and were r and omly assigned to either an AMP condition or a control condition . The participants completed two 15-minute AMP sessions per week for 4 weeks . Those in the AMP condition reported statistically significant and substantial reductions on several individual difference variables relative to those in the control condition , and a greater proportion experienced clinical ly significant reductions in pain . These preliminary results offer a promising new avenue for treating  chronic musculoskeletal pain  that warrants additional research . Comprehensive results , limitations , and future directions are discussed
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 .