Cited by 118Fibromyalgia and Chronic Fatigue Syndrome ResearchMusculoskeletal pain and rehabilitationPsychosomatic Disorders and Their Treatments

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Psychological and behavioural therapies in fibromyalgia and related syndromes.

Williams, David A·2003·Best Practice & Research Clinical Rheumatology

DOI 10.1016/s1521-6942(03)00034-2

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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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See all 118

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)
DOI: 10.1016/s1521-6942(03)00034-2
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
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
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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Psychological and behavioural therapies in fibromyalgia and related syndromes.

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