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Cited by 40Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationPsychosomatic Disorders and Their Treatments

Efficacy of a multidisciplinary fibromyalgia treatment adapted for women with low educational levels: a randomized controlled trial

Castel, Antoni, Fontova, Ramon, Montull, Salvador, Periñán, Rocío, Poveda, Maria José, Miralles, Iris, Cascón‐Pereira, Rosalia, Hernández, Pilar +8 more·2013·Arthritis Care & Research
DOI 10.1002/acr.21818
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Abstract

Objective Multidisciplinary treatments of fibromyalgia (FM) have demonstrated efficacy. Nevertheless, they have been criticized for not maintaining their benefits and for not being studied for specific populations. Our objectives were to determine the efficacy of a multidisciplinary treatment for FM adapted for patients with low educational levels and to determine the maintenance of its therapeutic benefits during a long-term followup period. Methods Inclusion criteria consisted of female sex, a diagnosis of FM (using American College of Rheumatology criteria), age between 18 and 60 years, and between 3 and 8 years of schooling. Patients were randomly assigned to 1 of the 2 treatment conditions: conventional pharmacologic treatment or multidisciplinary treatment. Outcome measures were functionality, sleep disturbances, pain intensity, catastrophizing, and psychological distress. Analysis was by intent-to-treat and missing data were replaced following the baseline observation carried forward method. Results One hundred fifty-five participants were recruited. No statistically significant differences regarding pretreatment measures were found between the 2 experimental groups. Overall statistics comparison showed a significant difference between the 2 groups in all of the variables studied (P Conclusion Multidisciplinary treatment adapted for individuals with low educational levels is effective in reducing key symptoms of FM. Some improvements were maintained 1 year after comple…

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Authors
Castel, A., Fontova, R., Montull, S., Periñán, R., Poveda, M. J., Miralles, I., Cascón‐Pereira, R., Hernández, P., Aragonés, N., Salvat, I., Castro, S., Monterde, S., Padrol, A., Sala, J., Añez, C., & Rull, M.
Affiliations
  • Institut de Recerca Biomèdica Catalunya Sud (ES)
  • Universitat Rovira i Virgili (ES)
  • Hospital Universitari Joan XXIII de Tarragona (ES)
ORCID
Salvat, Isabel
Venue
Arthritis Care & Research
Publisher
Wiley
Published
2013-02-26
Volume
65
Issue
3
Pages
421-431
ISSN
  • 0893-7524 (ISSN-L)
  • 2151-464X
  • 2151-4658
DOI
10.1002/acr.21818
OpenAlex
W2095037226
Cited by
40
References
8
Citations by year
2026: 2 · 2025: 2 · 2023: 5 · 2022: 2 · 2021: 6 · 2020: 3 · 2019: 4 · 2017: 5 · 2016: 3 · 2015: 1 · 2014: 5 · 2013: 1 · 2012: 1
FWCI
1.82
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Arthritis Care & Research (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
fibromyalgia, multidisciplinary treatment, low educational attainment, women, maintenance therapy, sleep disorders, pain catastrophizing, psychological distress, functional capacity, long-term follow-up
MeSH terms
Adult, Analgesics, Antidepressive Agents, Combined Modality Therapy, Educational Status, Female, Fibromyalgia, Humans, Middle Aged, Pain Measurement, Patient Education as Topic, Cognitive Behavioral Therapy, Treatment Outcome, Physical Therapy Modalities

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