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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 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]
In the citing paper
“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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Baude, C., & Pittié, S. (2004) · Douleur et Analgésie · doi:10.1007/bf03016185 · Cited by 2
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Diagnosing and Treating Fibromyalgia
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Uplifts and hassles are related to worsening in chronic fatigue syndrome: a prospective study
Friedberg, F., Adamowicz, J. L., Bruckenthal, P., Milazzo, M. C., Ramjan, S., Zhang, X., & Yang, J. (2023) · Journal of Translational Medicine · doi:10.1186/s12967-023-04412-z · Cited by 1
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Personality’s interaction with the pain experience
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Evaluation of health care innovations in fibromyalgia
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Histologische und immunhistologische Untersuchungen zum Krankheitsbild der Fibromyalgie
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Patient fibromyalgique et activité physique
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“Nonpharmacologic therapies include education, physical therapy, massage and exercise-based treatments [7,10,11,12], and psychological- or cognitive-based therapies [13].”
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Torres, X., & Nogués, J. (2007) · Medicina Clínica · doi:10.1157/13102065
Cognitieve gedragstherapie bij fibromyalgie?
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Metadata
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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