While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .
Effectiveness of multidisciplinary therapy on symptomatology and quality of life in women with fibromyalgia.
OBJECTIVES To study the effects of a 3-month multidisciplinary intervention based on exercise and psychological therapy on symptomatology and quality of life in women with fibromyalgia . METHODS Seventy-five women with fibromyalgia volunteered to participate and were allocated to a 3-month ( 3-times/week ) multidisciplinary ( pool , l and -based and psychological session based on the Acceptance and Commitment Therapy ) intervention ( n=41 ) , or to a usual care group ( n=34 ) . Sixty-five women with fibromyalgia completed the study protocol ( n=33 multidisciplinary intervention , aged 51.4±7.4 years and n=32 usual care group , aged 50.0±7.3 years ) . The outcomes variables were Fibromyalgia Impact Question naire ( FIQ ) , Short Form Health Survey 36 ( SF-36 ) , Hospital Anxiety and Depression Scale , V and erbilt Pain Management Inventory and Rosenberg Self-Esteem Scale . RESULTS We observed a significant interaction effect ( group*time ) for the FIQ total score , the subscales fatigue , stiffness , anxiety and depression , and the subscales of SF-36 physical role , bodily pain , vitality and social functioning . Post-hoc analysis revealed significant improvements in total score of FIQ ( p<0.001 ) , fatigue ( p=0.001 ) , stiffness ( p<0.001 ) , anxiety ( p=0.011 ) , depression ( p=0.008 ) , physical role ( p=0.002 ) , bodily pain ( p<0.001 ) , vitality ( p<0.001 ) and social functioning ( p<0.001 ) in the intervention group , whereas in the control group , there was a significant worsening in the subscale depression ( p=0.006 ) and social functioning ( p=0.019 ) . CONCLUSIONS A 3-month low-moderate intensity multidisciplinary intervention improved fibromyalgia symptomatology and quality of life in women with fibromyalgia
While no clinical trial to date has specifically targeted fatigue , r and omized controlled trials , systematic review s , and meta-analyses indicate that treatment modalities studied in the context of other fibromyalgia symptoms could also improve fatigue .
Fatigue is a disabling , multifaceted symptom that is highly prevalent and stubbornly persistent .
Although fatigue is a frequent complaint among patients with fibromyalgia , it has not received the same attention as pain .
Reasons for this include lack of st and ardized nomenclature to communicate about fatigue , lack of evidence -based guidelines for fatigue assessment , and a deficiency in effective treatment strategies .
Fatigue does not occur in isolation ; rather , it is present concurrently in varying severity with other fibromyalgia symptoms such as chronic widespread pain , unrefreshing sleep , anxiety , depression , cognitive difficulties , and so on .
Survey-based and preliminary mechanistic studies indicate that multiple symptoms feed into fatigue and it may be associated with a variety of physiological mechanisms .