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

@article{Bernardy2010EfficacyOC,
  title={Efficacy of Cognitive-Behavioral Therapies in Fibromyalgia Syndrome — A Systematic Review and Metaanalysis of Randomized Controlled Trials},
  author={Kathrin Bernardy and Nicole F{\"u}ber and Volker K{\"o}llner and Winfried H{\"a}user},
  journal={The Journal of Rheumatology},
  year={2010},
  volume={37},
  pages={1991 - 2005}
}
Objective. We performed the first systematic review with metaanalysis of the efficacy of cognitive-behavioral therapies (CBT) in fibromyalgia syndrome (FM). Methods. We screened Cochrane Library, Medline, PsychINFO, and Scopus (through June 2009) and the reference sections of original studies and systematic reviews for CBT in FM. Randomized controlled trials (RCT) comparing CBT to controls were analyzed. Primary outcomes were pain, sleep, fatigue, and health-related quality of life (HRQOL… 

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TLDR
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TLDR
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TLDR
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Efficacy, Tolerability, and Safety of Hypnosis in Adult Irritable Bowel Syndrome: Systematic Review and Meta-Analysis

TLDR
It is demonstrated that hypnosis was safe and provided long-term adequate symptom relief in 54% of patients with irritable bowel syndrome refractory to conventional therapy.

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TLDR
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.

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Systematic Review of Psychological Treatment in Fibromyalgia

TLDR
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Effectiveness of Occupational Therapy Interventions for Adults With Fibromyalgia: A Systematic Review

  • J. PoolePatricia Siegel
  • Medicine, Psychology
    The American journal of occupational therapy : official publication of the American Occupational Therapy Association
  • 2017
TLDR
Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia, few interventions were occupation based and there was limited to no evidence for self-management, and few interventions resulted in better sleep.
...

References

SHOWING 1-10 OF 72 REFERENCES

Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials.

TLDR
There is strong evidence that multicomponents treatment has beneficial short-term effects on the key symptoms of FMS and strategies to maintain the benefits of multicomponent treatment in the long term need to be developed.

Treatment of fibromyalgia syndrome with antidepressants: a meta-analysis.

TLDR
Antidepressant medications are associated with improvements in pain, depression, fatigue, sleep disturbances, and health-related quality of life in patients with FMS.

Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments

TLDR
It is suggested that both OBT and CBT are effective in treating patients with FMS with some differences in the outcome measures specifically targeted by the individual treatments compared with an unstructured discussion group.

Efficacy of cognitive-behavioral intervention for juvenile primary fibromyalgia syndrome.

TLDR
CST can lead to improved functioning among JPFM patients, and although some of the improvement may be due to increased monitoring and attention, CST provides the specific benefit of improving adolescents' ability to cope with pain.

Efficacy of hydrotherapy in fibromyalgia syndrome--a meta-analysis of randomized controlled clinical trials.

TLDR
There is moderate evidence that hydrotherapy has short-term beneficial effects on pain and HRQOL in FMS patients and there is a risk to over-estimate the effects of hydroTherapy due to methodological weaknesses of the studies and to small trials included in meta-analysis.

Long-term efficacy of therapy in patients with fibromyalgia: a physical exercise-based program and a cognitive-behavioral approach.

TLDR
PE and CBT improve clinical manifestations in FM patients only for short periods of time, and improvement in self efficacy and physical fitness are not associated with improvement in clinical manifestations.

Behavioral insomnia therapy for fibromyalgia patients: a randomized clinical trial.

TLDR
Cognitive-behavioral therapy represents a promising intervention for sleep disturbance in FM patients and larger clinical trials of this intervention with FM patients seem warranted.

Differential efficacy of a cognitive – behavioral intervention versus pharmacological treatment in the management of fibromyalgic syndrome

TLDR
It is concluded that cognitive – behavioral interventions must be considered a primary treatment of fibromyalgia syndrome.

Improving physical functional status in patients with fibromyalgia: a brief cognitive behavioral intervention.

TLDR
The data suggest that the inclusion of CBT to a standard medical regimen for FM can favorably influence physical functioning in a subset of patients.
...