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 .
Improving physical functional status in patients with fibromyalgia: a brief cognitive behavioral intervention.
OBJECTIVE Sustained improvement in physical functional status was the primary goal of a brief , 6 session cognitive behavioral therapy ( CBT ) protocol for fibromyalgia ( FM ) . METHODS One hundred forty-five patients with FM were r and omly assigned to either ( 1 ) st and ard medical care that included pharmacological management of symptoms and suggestions for aerobic fitness , or ( 2 ) the same st and ard medical treatment plus 6 sessions of CBT aim ed at improving physical functioning . Outcome measures included the Medical Outcome Study Short Form-36 Physical Component Score and McGill ratings of pain . Outcomes were treated dichotomously using a preestablished criterion for clinical ly significant success based upon the reliability of change index from baseline to one year posttreatment . RESULTS Twenty-five percent of the patients receiving CBT were able to achieve clinical ly meaningful levels of longterm improvement in physical functioning , whereas only 12 % of the patients receiving st and ard care achieved the same level of improvement . There were no lasting differences on pain ratings between groups . CONCLUSION Lasting improvements in physical functioning have been among the most difficult outcomes to obtain in studies of FM . These data suggest that the inclusion of CBT to a st and ard medical regimen for FM can favorably influence physical functioning in a subset of patients
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 .