Psychological and behavioural therapies in fibromyalgia and related syndromes.
Abstract
Psychological and behavioural therapies are being applied to patients with fibromyalgia (FM) with increasing frequency. The rationale for including psychological therapies is not for the treatment of co-morbid mood disorders, but rather to manage the many non-psychiatric psychological and social factors that comprise pain perception and its maintenance. This chapter reviews the involvement of mental health professionals under both the biomedical and biopsychosocial models of illness and describes cognitive behavioural therapy (CBT), a commonly used form of psychological therapy in the management of chronic pain conditions. The empirical literature supports the use of CBT with FM in producing modest outcomes across multiple domains, including pain, fatigue, physical functioning and mood. Greatest benefits appear to occur when CBT is used adjunctively with exercise. While the benefits are not curative or universally obtained by all patients, the benefits are sufficiently large to encourage future refinement of CBT for this population of patients.
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Evidence supporting the efficacy of non-pharmacological treatment in fibromyalgia is strong.
“Evidence supporting the efficacy of non-pharmacological treatment in FM is strong (e.g., [67; 61; 11; 12; 15; 62])”
From Internet-enhanced management of fibromyalgia: A randomized controlled trial (2010) · cites this paper as [67]
These findings are consistent with previous studies demonstrating benefits of cognitive and behaviorally oriented approaches to managing fibromyalgia delivered in traditional face-to-face formats.
“These findings are consistent with previous studies demonstrating the benefits of cognitive and behaviorally oriented approaches to managing FM delivered in traditional face-to-face formats [40; 68; 67; 61].”
From Internet-enhanced management of fibromyalgia: A randomized controlled trial (2010) · cites this paper as [67]
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- Authors
- Williams, D. A.
- Affiliations
- University of Michigan (US)
- Corresponding author
- Williams, David A
- ORCID
- Williams, David A
- Venue
- Best Practice & Research Clinical Rheumatology
- Publisher
- Elsevier BV
- Published
- 2003-08
- Volume
- 17
- Issue
- 4
- Pages
- 649-665
- ISSN
- 1521-6942 (ISSN-L)
- OpenAlex
- W2162376749
- Cited by
- 118
- References
- 72
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2019: 2 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 2 · 2014: 2 · 2013: 6 · 2012: 6
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Best Practice & Research Clinical Rheumatology (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, psychotherapy, behavior therapy, cognitive behavioral therapy, chronic pain, pain perception, biopsychosocial model, exercise therapy, fatigue, mood disorders
- MeSH terms
- Fibromyalgia, Humans, Relaxation Therapy, Social Support, Cognitive Behavioral Therapy, Treatment Outcome
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