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 .
Six-and 12-month follow-up of an interdisciplinary fibromyalgia treatment programme: results of a randomised trial.
OBJECTIVES To assess the efficacy of a 6-week interdisciplinary treatment that combines coordinated psychological , medical , educational , and physiotherapeutic components ( PSYMEPHY ) over time compared to st and ard pharmacologic care . METHODS R and omised controlled trial with follow-up at 6 months for the PSYMEPHY and control groups and 12 months for the PSYMEPHY group . Participants were 153 out patients with FM recruited from a hospital pain management unit . Patients r and omly allocated to the control group ( CG ) received st and ard pharmacologic therapy . The experimental group ( EG ) received an interdisciplinary treatment ( 12 sessions ) . The main outcome was changes in quality of life , and secondary outcomes were pain , physical function , anxiety , depression , use of pain coping strategies , and satisfaction with treatment as measured by the Fibromyalgia Impact Question naire , the Hospital Anxiety and Depression Scale , the Coping with Chronic Pain Question naire , and a question regarding satisfaction with the treatment . RESULTS Six months after the intervention , significant improvements in quality of life ( p=0.04 ) , physical function ( p=0.01 ) , and pain ( p=0.03 ) were seen in the PSYMEPHY group ( n=54 ) compared with controls ( n=56 ) . Patients receiving the intervention reported greater satisfaction with treatment . Twelve months after the intervention , patients in the PSYMEPHY group ( n=58 ) maintained statistically significant improvements in quality of life , physical functioning , pain , and symptoms of anxiety and depression , and were less likely to use maladaptive passive coping strategies compared to baseline . CONCLUSIONS An interdisciplinary treatment for FM was associated with improvements in quality of life , pain , physical function , anxiety and depression , and pain coping strategies up to 12 months after the intervention
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 .