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 .
Sleep problems and risk of fibromyalgia: longitudinal data on an adult female population in Norway.
OBJECTIVE Sleep problems are common among patients with fibromyalgia ( FM ) . However , it is not known whether poor sleep is a contributing factor in FM or a consequence of the illness . The aim of the current study was to prospect ively investigate the association between self-reported sleep problems and risk of FM among adult women . METHODS We longitudinally studied 12,350 women who did not have FM , musculoskeletal pain , or physical impairments at baseline ( 1984 - 1986 ) . A generalized linear model was used to calculate the adjusted relative risk ( RR ) of FM at followup in 1995 - 1997 . RESULTS Incident FM was reported by 327 women at followup . A dose-dependent association was found between sleep problems and risk of FM ( P for trend<0.001 ) , with an adjusted RR of 3.43 ( 95 % confidence interval [ 95 % CI ] 2.26 - 5.19 ) among women who reported having sleep problems often or always , compared to women who never experienced sleep problems . Age-stratified analysis showed that women age≥45 years who reported having sleep problems often or always had an adjusted RR of 5.41 ( 95 % CI 2.65 - 11.05 ) , whereas the corresponding RR for women ages 20 - 44 years who reported having sleep problems often or always was 2.98 ( 95 % CI 1.76 - 5.05 ) . CONCLUSION These prospect i ve data indicate a strong dose-dependent association between sleep problems and risk of FM . The association is somewhat , although not significantly , stronger in middle-aged and older women than in younger women
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 .