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 .
Mail-delivered arthritis self-management tool kit: a randomized trial and longitudinal followup.
OBJECTIVE To determine the effectiveness of an intervention Tool Kit of arthritis self-management material s to be sent once through the mail , and to describe the population s reached . METHODS Spanish speakers ( n = 335 ) , non-Hispanic English-speaking African Americans ( n = 156 ) , and other non-Hispanic English speakers ( n = 404 ) were recruited separately and r and omized within each of the 3 ethnic/racial categories to immediately receive the intervention Tool Kit  ( n = 458 ) or to a 4-month wait-list control status ( n = 463 ) . At the end of 4 months , controls were sent the Tool Kit . All subjects were followed in a longitudinal study for 9 months . Self-administered measures included health status , health behavior , arthritis self-efficacy , medical care utilization , and demographic variables . Using analyses of covariance and t-tests , analyses were conducted for all participants and for Spanish- and English- language groups . RESULTS At 4 months , comparing all intervention subjects with r and omized wait-list controls , there were significant ( P < 0.01 ) benefits in all outcomes except medical care utilization and self-rated health . The results were maintained at 9 months compared with baseline . On average , the Tool Kit reached persons ages 50 - 56 years with 12 - 15 years of schooling . There were few differences between English- and Spanish- language participants in either the effectiveness or reach variables . CONCLUSION A mailed Arthritis Self-Management Tool Kit proved effective in improving health status , health behavior , and self-efficacy variables for up to 9 months . It also reached younger persons in both English- and Spanish- language groups and Spanish speakers with higher education levels than previous studies of the small-group Arthritis Self-Management Program
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 .