A Randomized, Controlled Comparison of Educational and Behavioural Interventions for Women with Fibromyalgia
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Overall, included patients had long disease duration (more than five years) except in three studies reporting less than five years.
“Overall, the studies included patients with a long disease duration (more than five years) except in three studies (Soares and Grossi, 2002;Falcao et al., 2008;Mir o et al., 2011) which reported a disease duration of <5 years.”
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 Soares and Grossi, 2002
Cognitive behavioural therapy was delivered in groups only in most studies, except three that combined individual and group sessions and one that used single-person therapy.
“CBTs were delivered by all studies in groups only except three studies which combined individual and group sessions (Soares and Grossi, 2002;Kashikar-Zuck et al., 2005;Garcia-Palacios et al., 2015) and one study with single person therapy (Kashikar-Zuck et al., 2012).”
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 Soares and Grossi, 2002
Only one study had total treatment time below 5 h and seven had more than 25 h.
“Only one study had a total treatment time <5 h (Ang et al., 2010) and seven studies had a treatment time of >25 h (Wigers et al., 1996;Soares and Grossi, 2002;Thieme et al., 2003;Thieme et al., 2006;Falcao et al., 2008;Castel et al., 2012;Karlsson et al., 2015).”
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 Soares and Grossi, 2002
According to a recent meta-analysis, only five randomised controlled trials have assessed pain catastrophising as one of the outcomes in fibromyalgia.
“According to a recent meta-analysis of the psychological interventions in FM [24], only five randomised, controlled trials have assessed PC as one of the outcomes [25-29].”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [27]
Only five previous randomised controlled trials assessed the efficacy of treatments on pain catastrophising in fibromyalgia patients, but none of them considered pain catastrophising as the main outcome.
“Only five previous randomised, controlled trials assessed the efficacy of treatments on PC in FM patients [26-30], but none of them considered PC as the main outcome.”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [27]
To detect a difference of 25% or more between any groups with an alpha risk of 0.05 and 80% power in a bilateral contrast, 55 patients per group were required; allowing 5% refusals, 58 per group and 174 total patients with fibromyalgia were needed.
“Accepting an α risk of 0.05 and P = 80% in a bilateral contrast, we needed 55 patients in each group [52]. Calculating 5% of refusals as found in previous studies [25-30], we needed a sample size of 58, which implies a total sample of 174 patients with FM.”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [27]
Pain catastrophising significantly improved after CBT compared with RPT or TAU.
“Our present study confirms that PC, an important outcome in patients with FM [24-29], significantly improved after CBT compared with RPT or TAU.”
From Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: A randomised controlled trial (2011) · cites this paper as [27]
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“Biofeedback training was performed in six studies [24, 38, 44, 46 , 48, 49].”
BackgroundMethodResultInfluentialPsychological treatments for fibromyalgia: A meta-analysis
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Cognitive behavioural therapies for fibromyalgia
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“…studies provided traditional CBT (Burckhardt et al., 1994; Vlaeyen et al., 1996; Wigers et al., 1996; Nicassio et al., 1997; King et al., 2002; Soares and Grossi, 2002; Williams et al., 2002; Redondo et al., 2004; Edinger et al., 2005; Kashikar-Zuck et al., 2005; Thieme et al., 2006; Falcao…”
BackgroundMethodInfluentialSelf-management of rheumatic diseases: state of the art and future perspectives
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“Stockholm (Sweden) Fibromyalgia FM diagnosed in previous 2 years, female, 18–64 years, no other serious illness, no ongoing drug/alcohol abuse, not involved in other therapies.”
BackgroundMethodInfluentialMind and body therapy for fibromyalgia
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“CBT treatment was effective at improving all symptom domains except affective symptoms (Soares, 2002; Edinger et al., 2005; Thieme et al., 2006; Grossman et al., 2007; Falcao, 2008; Lera et al., 2009; Ang et al., 2010; Hsu et al., 2010; van Koulil et al., 2010; Carleton et al., 2011; Miró, 2011;…”
BackgroundInternet-Delivered Exposure Therapy for Fibromyalgia: A Randomized Controlled Trial
Hedman-Lagerlöf, M., Hedman-Lagerlöf, E., Axelsson, E., Ljótsson, B., Engelbrektsson, J., Hultkrantz, S., Lundbäck, K., Björkander, D., Wicksell, R. K., Flink, I., et al. (2018) · The Clinical Journal of Pain · doi:10.1097/ajp.0000000000000566 · Cited by 79 · see citing works
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“Based on titles and abstracts, 102 full articles were retrieved, 33 of which met the inclusion criteria [14-46].”
BackgroundAre psychological treatments effective for fibromyalgia pain?
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“In a methodologically rigorous study by Soares and Grossi [58], a randomized comparison was conducted of an educational intervention (n=18), a behavioural intervention (n=18), and a waiting list control group (n=17).”
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BackgroundMethodCarville, S. F., & Choy, E. (2008) · The Journal of Rheumatology · doi:10.3899/jrheum.080077 · Cited by 53 · see citing works
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“Regarding CBT, it is important to note that in the Cochrane review on CBT by Bernardy et al. [31], while none of the studies assessing sleep using VAS [29, 36, 37] found a significant effect either at post-treatment or long-term followup at 6 months and 1 year [29] or at 4 years [36], studies using sleep-specific ques…”
ResultPsychotherapie von Patienten mit Fibromyalgiesyndrom
Köllner, V., Häuser, W., Klimczyk, K., Kühn-Becker, H., Settan, M., Weigl, M. B., & Bernardy, K. (2012) · Der Schmerz · doi:10.1007/s00482-012-1179-8 · Cited by 47 · see citing works
Psychotherapie bei Patienten mit Fibromyalgiesyndrom
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Non-pharmacological therapy and complementary and alternative medicine in fibromyalgia.
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Psychological approaches for the nursing management of chronic pain: part 2
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“Adherence to treatment is related to the level of appropriate information provided (Shuttleworth 2004) and information can also enhance self-efficacy and the ability to develop coping skills (Scudds & Li 1997, Soares & Grossi 2002).”
BackgroundMusekamp, G., Gerlich, C., Ehlebracht-König, I., Faller, H., & Reusch, A. (2016) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-016-0903-4 · Cited by 21 · see citing works
Romeyke, T., Scheuer, H. C., & Stummer, H. (2014) · Clinical Interventions in Aging · doi:10.2147/cia.s74949 · Cited by 20 · see citing works
Duhn, P. H., Wæhrens, E. E., Pedersen, M., Nielsen, S. M., Locht, H., Bliddal, H., Christensen, R., & Amris, K. (2023) · Scandinavian Journal of Rheumatology · doi:10.1080/03009742.2023.2192450 · Cited by 11 · see citing works
“After full-text screening, five studies were found to be eligible for inclusion; four in English (36–39) and one in Spanish (40).”
BackgroundMethodInfluentialNielsen, S. S., Skou, S. T., Larsen, A. E., Bricca, A., Søndergaard, J., & Christensen, J. R. (2022) · Occupational Therapy International · doi:10.1155/2022/7082159 · Cited by 12 · see citing works
“Study referencea Participants (diagnoses, n randomized/completed, age, gender, pain duration/ intensity, and settings) Intervention and comparators (duration/follow-up, n included in the analyses, treatment contents, and providers) Occupational engagement component explicated, mean (SD), and assessment tools Lifestyle…”
BackgroundMethodInfluentialCliment‐Sanz, C., Gea‐Sánchez, M., Moreno‐Casbas, T., Blanco‐Blanco, J., García‐Martínez, E., & Valenzuela‐Pascual, F. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14333 · Cited by 10 · see citing works
Huang, H.-X., Apriliyasari, R. W., & Tsai, P. (2024) · Health Education Research · doi:10.1093/her/cyae035 · Cited by 5 · see citing works
da Mota, L. M. H. (2011) · Revista Brasileira de Reumatologia · doi:10.1590/s0482-50042011000300001 · Cited by 9 · see citing works
Hedman‐Lagerlöf, M., Hedman‐Lagerlöf, E., Buhrman, M., & Axelsson, E. (2025) · Journal of Pain · doi:10.1016/j.jpain.2025.105375 · Cited by 2 · see citing works
Fibromyalgia: Novel Therapeutic Aspects
Burckhardt, C. S. (2004) · Journal of Musculoskeletal Pain · doi:10.1300/j094v12n03_10 · Cited by 2 · see citing works
“Four randomized controlled trials [RCTs] with FMS patientshave focused specificallyon patienteducationas theexperimental treatment and compared the experimental group to a wait-list control group (11-14).”
MethodResultImamura, M., Robertson, C., Hudson, J., Whibley, D., Aucott, L. S., Gillies, K., Beasley, M., Stevens, M., Manson, P. D., Dulake, D., et al. (2025) · Health Technology Assessment · doi:10.3310/gtbr7561 · Cited by 2 · see citing works
Thieme, K., & Gracely, R. H. (2016) · Springer eBooks · doi:10.1007/978-3-662-50512-0_31 · Cited by 1 · see citing works
Verfügbare Therapiemanuale und ihre Wirksamkeit
von Wachter, M., & Hendrischke, A. (2016) · Springer eBooks · doi:10.1007/978-3-662-47983-4_4
Intervenção comportamental para dor e sono em mulheres com Fibromialgia
Kirchner, L. D. F., & dos Reis, M. D. J. D. (2019) · Acta comportamentalia. · doi:10.32870/ac.v27i3.70629
Thieme, K., & Gracely, R. H. (2010) · Springer eBooks · doi:10.1007/978-3-642-12783-0_26
CHAMBERS, M. A. (2009) · doi:10.1007/978-1-137-11733-5_5
Verfügbare Therapiemanuale und ihre Wirksamkeit
von Wachter, M., & Hendrischke, A. (2021) · Psychotherapie: Praxis · doi:10.1007/978-3-662-62282-7_4
Whale, K., Dennis, J. A., Wylde, V., Beswick, A. D., & Gooberman-Hill, R. (2022) · Figshare · doi:10.6084/m9.figshare.19753278
Whale, K., Dennis, J. A., Wylde, V., Beswick, A. D., & Gooberman-Hill, R. (2022) · Figshare · doi:10.6084/m9.figshare.19753266
Whale, K., Dennis, J. A., Wylde, V., Beswick, A. D., & Gooberman-Hill, R. (2022) · Figshare · doi:10.6084/m9.figshare.19753275
Whale, K., Dennis, J. A., Wylde, V., Beswick, A. D., & Gooberman-Hill, R. (2022) · Figshare · doi:10.6084/m9.figshare.19753269
- Authors
- Soares, J. J. F., & Grossi, G.
- Affiliations
- Karolinska Institutet (SE)
- Stockholm University (SE)
- Venue
- Scandinavian Journal of Occupational Therapy
- Published
- 2002-01
- Volume
- 9
- Issue
- 1
- Pages
- 35-45
- ISSN
- 1103-8128 (ISSN-L)
- 1651-2014
- OpenAlex
- W2158305483
- Cited by
- 50
- References
- 68
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 6 · 2021: 2 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 4 · 2015: 2 · 2014: 2 · 2013: 2 · 2012: 2
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Occupational Therapy (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, women, educational intervention, behavioral interventions, pain coping, functional disability, pain perception, sleep quality, waitlist control, treatment follow-up, McGill Pain Questionnaire, Coping Strategies Questionnaire
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