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 .
A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome
Objective : To examine the effects of a wellness intervention , Lifestyle Counts , for women with fibromyalgia syndrome on the level of self-efficacy for health-promoting behaviours , health-promoting activity and perceived quality of life . Design : A r and omized controlled single-blinded trial with treatment and attention-control groups . Setting : Community in the southwestern United States . Subjects : Convenience sample of 187 women ( 98 treatment , 89 attention control ) with fibromyalgia syndrome ( mean age = 53.08 years , SD 9.86 ) . Intervention : The two-phase Lifestyle Counts intervention programme included lifestyle change classes for eight weeks , with goal - setting and telephone follow-up for three months . Participants in the attention-control group were offered an equivalent amount of contact in classes on general disease-related information and health education topics and unstructured follow-up phone calls . Participants were followed for a total of eight months after baseline . Outcome measures : Self-report instruments measuring self-efficacy for health behaviours , health-promotion behaviours and health-related quality of life ( SF-36 and the Fibromyalgia Impact Question naire ) were completed at baseline , two months ( after the classes ) , five months ( after telephone follow-up ) and at eight months . Results : Both groups improved significantly ( P<0.05 ) over time on the measures of self-efficacy , health behaviours , fibromyalgia impact and quality of life . There were significant group × time interactions for scores on the Health Promoting Lifestyle II subscales of physical activity and stress management . Conclusions : The Lifestyle Counts wellness intervention holds promise for improving health-promoting behaviours and quality of life of women with fibromyalgia syndrome
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 .