Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .
Effects of guided imagery on outcomes of pain, functional status, and self-efficacy in persons diagnosed with fibromyalgia.
OBJECTIVES ( 1 ) To investigate the effects of a 6-week intervention of guided imagery on pain level , functional status , and self-efficacy in persons with fibromyalgia ( FM ) ; and ( 2 ) to explore the dose-response effect of imagery use on outcomes . DESIGN Longitudinal , prospect i ve , two-group , r and omized , controlled clinical trial . SETTING AND SUBJECTS The sample included 48 persons with FM recruited from physicians ' offices and clinics in the mid-Atlantic region . INTERVENTION Participants  r and omized to Guided Imagery ( GI ) plus Usual Care intervention group received a set of three audiotaped guided imagery scripts and were instructed to use at least one tape daily for 6 weeks and report weekly frequency of use ( dosage ) . Participants assigned to the Usual Care alone group su bmi tted weekly report forms on usual care . MEASURES All participants completed the Short-Form McGill Pain Question naire ( SF-MPQ ) , Arthritis Self- Efficacy Scale ( ASES ) , and Fibromyalgia Impact Question naire ( FIQ ) , at baseline , 6 , and 10 weeks , and su bmi tted frequency of use report forms . RESULTS FIQ scores decreased over time in the GI group compared to the Usual Care group ( p = 0.03 ) . Ratings of self-efficacy for managing pain ( p = 0.03 ) and other symptoms of FM also increased significantly over time ( p = < 0.01 ) in the GI group compared to the Usual Care group . Pain as measured by the SF-MPQ did not change over time or by group . Imagery dosage was not significant . CONCLUSIONS This study demonstrated the effectiveness of guided imagery in improving functional status and sense of self-efficacy for managing pain and other symptoms of FM . However , participants ' reports of pain did not change . Further studies investigating the effects of mind-body interventions as adjunctive self-care modalities are warranted in the fibromyalgia patient population
Strong evidence was found for interventions categorized for this review as  cognitive – behavioral interventions ; relaxation and stress management ; emotional disclosure ; physical activity ;  and  multidisciplinary interventions for improving daily living , pain , depressive symptoms , and fatigue .
There was limited to no evidence for self-management , and few interventions result ed in better sleep .
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia , few interventions were occupation based
This systematic review addresses the effectiveness of occupational therapy – related interventions for adults with fibromyalgia .