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 .
Effects of social support and education on health care costs for patients with fibromyalgia.
OBJECTIVE The rising costs of health care are of great concern , particularly for the chronically ill . Interventions that promote health status and well being while teaching appropriate use of the health care system have led to cost savings among patients with osteoarthritis . We carried out social support and education interventions with patients with fibromyalgia ( FM ) and assessed the effect on health care costs , psychosocial variables , and health status . METHODS Participants were 600 patients with FM who were members of a health maintenance organization . They were r and omly assigned to one of 2 experimental groups ( social support ; social support and education ) or to a no-treatment control group . Assessment s were conducted at baseline and following a one year intervention . Health care cost data were obtained directly from participants ' medical records . RESULTS Results indicated significant reductions in all groups ' costs of prescriptions , laboratory tests , and visits to a nurse , nurse practitioner and /or physicians ' assistant . All groups also showed improvements on variables assessing effect of FM , self-efficacy , depression , and knowledge of FM . The social support and education group was less helpless after one year than the other groups ; differential changes for all other variables were not significant . CONCLUSION The study did not reveal differential changes in health care costs among participants in the experimental and control groups . These findings emphasize the importance of using objective health care utilization data when calculating health care costs , as well as the value of including a no-treatment control group to prevent erroneous conclusions about treatment efficacy
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 .