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

  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},
  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… 

Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review

A literature search of articles from 2002-2019 was performed using Medline, Embase, Cochrane, LILACS, IBECS, CRD, and Epistemonikos databases, to analyze the effects of Cognitive-Behavioral Therapy

Efficacy of hypnosis/guided imagery in fibromyalgia syndrome - a systematic review and meta-analysis of controlled trials

The significant effect on pain at final treatment was associated with low methodological and low treatment quality, and further studies with better treatment quality and adequate methodological quality assessing all key domains of FMS are necessary to clarify the efficacy of H/GI in FMS.

Cognitive Behavioral Therapy for the Treatment of Juvenile Fibromyalgia:

CBT was found to be a safe and effective treatment for reducing functional disability and symptoms of depression in adolescents with juvenile FMS in a multisite, single-blind, randomized clinical trial.

Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: a randomised controlled trial

CBT shows higher efficacy than RPT and TAU not only in key outcomes in FM, such as function and quality of life, but also in relevant mediators of treatment effects, suchAs pain catastrophising and pain acceptance.

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

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.

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.

Efficacy of Combined Cognitive-Behavioral Therapy for Insomnia and Pain in Patients with Fibromyalgia: A Randomized Controlled Trial

This controlled trial aims to analyze the efficacy of cognitive-behavioral therapy for insomnia and pain (CBT-IP) compared to cognitive-behavioral therapy for pain (CBT-P) and usual medical care

Systematic Review of Psychological Treatment in Fibromyalgia

A comprehensive analysis of the empirical studies about psychological treatment of FM that have been published over the last twenty years is presented and a description of the interventions developed in order to improve FM symptoms is presented.

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
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.



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

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.

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

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.

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.

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.

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.

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

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.

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.