Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial

  title={Acceptance and commitment therapy for fibromyalgia: A randomized controlled trial},
  author={Rikard K. Wicksell and Mike K Kemani and K. B. Jensen and Eva Kosek and Diana Kadetoff and Kimmo Sorjonen and Martin Ingvar and Gunnar L. Olsson},
  journal={European Journal of Pain},
Fibromyalgia (FM) is characterized by widespread pain and co‐morbid symptoms such as fatigue and depression. For FM, medical treatments alone appear insufficient. Recent meta‐analyses point to the utility of cognitive behaviour therapy (CBT), but effects are moderate. Within the continuous development of CBT, the empirical support for acceptance and commitment therapy (ACT) has increased rapidly. ACT focuses on improving functioning by increasing the patient's ability to act in accordance with… 

Getting close with discomfort : exposure therapy for fibromyalgia

It is found that iExp is an acceptable, effective and cost-effective treatment for FM compared to waitlist control, and that targeting avoidance behavior may be important in exposure therapy for FM.

[Psychotherapeutic procedures for fibromyalgia syndrome].

Cognitive behavioral therapies (e.g. acceptance and commitment therapy, cognitive behavioral therapy and operant therapy) should play an important role in a graduated and individually tailored therapy of FMS patients.

Cognitive behavioural therapies for fibromyalgia.

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.

Preliminary investigation of self-as-context in people with fibromyalgia

Preliminary results show potentially important associations between SAC and functioning in people with FM, and suggest a bi-factor structure, with a general factor underlying all items and two sub-factors, self-as-distinction and self- as-observer.

Brief Acceptance and Commitment Therapy for Fibromyalgia: Feasibility and Effectiveness of a Replicated Single-Case Design

An alternative design to large-scale trials, one that focuses on the individual change, exists and it can be implemented in pain research, and the use of technology simplifies such designs by facilitating ecological momentary assessment.

A group-based, acceptance & commitment therapy intervention for chronic pain

  • D. Cosio
  • Psychology, Medicine
    Social Work with Groups
  • 2019
A group-based, ACT intervention for people who suffer from chronic, non-cancer pain is described, and recommendations intended to increase the intervention’s efficacy are provided.



Efficacy of Cognitive-Behavioral Therapies in Fibromyalgia Syndrome — A Systematic Review and Metaanalysis of Randomized Controlled Trials

CBT can be considered to improve coping with pain and to reduce depressed mood and healthcare-seeking behavior in FM and it is shown that the positive effect on depressed mood could be distinguished from some risks of bias.

Mediators of change in Acceptance and Commitment Therapy for pediatric chronic pain

The fibromyalgia impact questionnaire: development and validation.

An instrument has been developed to assess the current health status of women with the fibromyalgia syndrome and it has sufficient evidence of reliability and validity to warrant further testing in both research and clinical situations.

Cognitive Behavioral Therapy increases pain-evoked activation of the prefrontal cortex in patients with fibromyalgeia

Assessment of anxiety and quality of life in fibromyalgia patients.

FIQ was found to be the most efficient instrument for discriminating and assessing the impact of fibromyalgia on their quality of life and anxiety, and SF-36 was less specific than FIQ, and showed lower efficacy for discriminating the test group from the control group.

Exposure and acceptance in the rehabilitation of adolescents with idiopathic chronic pain – A pilot study

Can Exposure and Acceptance Strategies Improve Functioning and Life Satisfaction in People with Chronic Pain and Whiplash‐Associated Disorders (WAD)? A Randomized Controlled Trial

After treatment, significant differences in favor of the treatment group were seen in pain disability, life satisfaction, fear of movements, depression, and psychological inflexibility, and there is clearly a need for more outcome studies, especially randomized controlled trials.

Fibromyalgia Syndrome Module at OMERACT 9: Domain Construct

A multidimensional symptom core set is proposed for evaluation of FM in clinical trials and research on improved measures of single domains and composite measures is ongoing.