Operant behavioral treatment of fibromyalgia: a controlled study
Abstract
OBJECTIVE: To evaluate the efficacy of operant pain treatment for fibromyalgia syndrome (FMS) in an inpatient setting. METHODS: Sixty-one patients who fulfilled the American College of Rheumatology criteria for FMS were randomly assigned to the operant pain treatment group (OTG; n = 40) or a standardized medical program with an emphasis on physical therapy (PTG; n = 21). Pain assessments were performed before, immediately after, 6 months after, and 15 months after treatment. RESULTS: The OTG patients reported a significant and stable reduction in pain intensity, interference, solicitous behavior of the spouse, medication, pain behaviors, number of doctor visits, and days at a hospital as well as an increase in sleeping time. Sixty-five percent of the OTG compared with none of the patients in the PTG showed clinically significant improvement. CONCLUSION: These results suggest that operant pain treatment provided in an inpatient setting is an effective treatment for FMS, whereas a purely somatically oriented program may lead to a deterioration of the pain problem.
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All included studies except one were outpatient-based.
“All studies but one (Thieme et al., 2003) were outpatient-based.”
From Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials (2018) · cites this paper as Thieme et al., 2003
Two studies each provided self-management education and operant therapy.
“two studies each provided self management education (Oliver et al., 2001;Rooks et al., 2007) and operant therapy (Thieme et al., 2003(Thieme et al., , 2006)).”
From Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials (2018) · cites this paper as Thieme et al., 2003
In Analysis 7.4, removal of Thieme 2003 reduced heterogeneity to 0% and strengthened the result (Z = 2.41, P < 0.05; SMD -0.34, 95% CI -0.62 to -0.06), now based on two studies.
“In Analysis 7.4, again removal of a single study (Thieme 2003) reduced heterogeneity to 0% and strengthened the result, although this was now only produced by two studies: Z = 2.41 P < 0.05; the effect size was SMD -0.34 (95% CI -0.62 to -0.06).”
From Psychological therapies for the management of chronic pain (excluding headache) in adults (2012) · cites this paper as Thieme 2003
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- Authors
- Thieme, K., Gromnica‐Ihle, E., & Flor, H.
- Affiliations
- Heidelberg University (DE)
- Corresponding author
- Thieme, Kati
- Venue
- Arthritis Care & Research
- Publisher
- Wiley
- Published
- 2003-06-03
- Volume
- 49
- Issue
- 3
- Pages
- 314-320
- ISSN
- 0893-7524 (ISSN-L)
- 1529-0123
- OpenAlex
- W2085179733
- Cited by
- 181
- References
- 27
- Citations by year
- 2025: 3 · 2023: 2 · 2022: 2 · 2021: 12 · 2020: 5 · 2019: 8 · 2018: 9 · 2017: 12 · 2016: 9 · 2015: 3 · 2014: 7 · 2013: 8 · 2012: 15
- FWCI
- 6.13
- Type
- journal article
- Language
- en
- Open access
- closed
- 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
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Myofascial pain diagnosis and treatment
- Keywords
- fibromyalgia, operant conditioning, pain behavior, inpatient care, physiotherapy, pain intensity, pain interference, sleep duration, somatic treatment
- MeSH terms
- Behavior, Cognition, Emotions, Female, Fibromyalgia, Humans, Inpatients, Middle Aged, Pain, Palliative Care, Cognitive Behavioral Therapy, Cluster Analysis, Treatment Outcome, Spouses, Physical Therapy Modalities
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