Internet versus face-to-face group cognitive-behavioral therapy for fibromyalgia: A randomized control trial
Abstract
Background The aim of this study was to explore the effectiveness of Internet-delivered cognitive-behavioral therapy (iCBT) in treating fibromyalgia (FM) compared with an identical protocol using conventional group face-to-face CBT.Methods Sixty participants were assigned to either (a) the waiting list group, (b) the CBT group, or (c) the iCBT group. The groups were assessed at baseline, after 10 weeks of treatment, and at 3-, 6-, and 12-month follow-ups. The primary outcome measured was the impact of FM on daily functioning, as measured by the Fibromyalgia Impact Questionnaire (FIQ). The secondary outcomes were psychological distress, depression, and cognitive variables, including self-efficacy, catastrophizing, and coping strategies.Results In post-treatment, only the CBT group showed improvement in the primary outcome. The CBT and iCBT groups both demonstrated improvement in psychological distress, depression, catastrophizing, and utilizing relaxation as a coping strategy. The iCBT group showed an improvement in self-efficacy that was not obtained in the CBT group. CBT and iCBT were dissimilar in efficacy at follow-up. The iCBT group members improved their post-treatment scores at their 6- and 12-month follow-ups. At the 12-month follow-up, the iCBT group showed improvement over their primary outcome and catastrophizing post-treatment scores. A similar effect of CBT was expected, but the positive results observed at the post-treatment assessment were not maintained at follow-up.Conclusions The results suggest that some factors, such as self-efficacy or catastrophizing, could be enhanced by iCBT. Specific characteristics of iCBT may potentiate the social support needed to improve treatment adherence.
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In one study, individualized guided iCBT was compared with group face-to-face CBT, which may be a complicated comparison (high risk of other bias).
“First, in one study, individualized guided iCBT was compared with group face-to-face CBT (Vallejo et al., 2015), which may be a complicated comparison (high risk of other bias).”
From Guided internet-based cognitive-behavioral therapy for patients with rheumatic conditions: A systematic review (2021) · cites this paper as Vallejo et al., 2015
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Buhler, J. N., Holens, P. L., & Sharpe, D. (2021) · Military Behavioral Health · doi:10.1080/21635781.2021.1982086 · Cited by 2 · see citing works
Fibromiyalji ile İlişkili Psikolojik Faktörler ve Psikolojik Müdahale Alanları
TEZCAN, R. E. K., & Alkar, Ö. Y. (2022) · Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry · doi:10.18863/pgy.972163 · Cited by 2 · see citing works
Home-based pain and fatigue management in fibromyalgia: feasibility of a new intervention
Friedberg, F., Adamowicz, J. L., & Caikauskaite, I. (2019) · Fatigue Biomedicine Health & Behavior · doi:10.1080/21641846.2019.1658988 · Cited by 2 · see citing works
Internet-Delivered Cognitive Behavioural Therapy for the Management of Chronic Non-Cancer Pain
CADTH (2022) · Canadian Journal of Health Technologies · doi:10.51731/cjht.2022.462 · Cited by 1 · see citing works
Enhancing Self-care Among Oral Cancer Survivors: Protocol for the Empowered Survivor Trial
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Stress Management as a Clinical Approach to the Complementary Treatment of Fibromyalgia
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- Authors
- Vallejo, M. A., Ortega, J., Rivera, J., Comeche, M. I., & Vallejo-Slocker, L.
- Affiliations
- Universidad Nacional de Educación a Distancia (ES)
- Hospital General Universitario Gregorio Marañón (ES)
- Universidad Complutense de Madrid (ES)
- Venue
- Journal of Psychiatric Research
- Publisher
- Elsevier BV
- Published
- 2015-09
- Volume
- 68
- Pages
- 106-113
- ISSN
- 0022-3956 (ISSN-L)
- OpenAlex
- W2097927014
- Cited by
- 68
- References
- 52
- Citations by year
- 2026: 5 · 2025: 6 · 2024: 3 · 2023: 8 · 2022: 12 · 2021: 10 · 2020: 8 · 2019: 5 · 2018: 5 · 2017: 4 · 2016: 1 · 2015: 1
- FWCI
- 2.97
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychiatric Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Ministerio de Sanidad, Servicios Sociales e Igualdad (2011-INV-00232)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- fibromyalgia, internet-based cognitive behavioral therapy, group cognitive behavioral therapy, medication adherence, self-efficacy, pain catastrophizing, psychological distress, depression, coping strategies, Fibromyalgia Impact Questionnaire, long-term treatment outcomes
- MeSH terms
- Adult, Aged, Female, Fibromyalgia, Humans, Interview, Psychological, Male, Middle Aged, Pain Measurement, Surveys and Questionnaires, Cognitive Behavioral Therapy, Treatment Outcome, Telemedicine, Internet
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