Effectiveness of a Psychoeducational Treatment Program Implemented in General Practice for Fibromyalgia Patients: A Randomized Controlled Trial
Abstract
Objectives A recent meta-analysis concluded that multicomponent treatments are effective for some fibromyalgia (FM) symptoms. The objective of this study was to examine whether a psychoeducational intervention implemented in primary care is more effective than usual care for improving the functional status of patients with FM. Methods This study was based on a randomized controlled trial. The 484 patients with FM included in a database of the Viladecans Hospital (Barcelona, Spain) were eligible for screening. Finally, 108 patients were randomly assigned to the intervention and 108 patients were assigned to usual care. The intervention comprised nine 2-hour sessions (5 sessions of education and 4 sessions of autogenic relaxation). The patients were assessed before and after the intervention with a battery of instruments (measuring sociodemographic data, medical comorbidities, functional status, trait anxiety, and social desirability). Results The posttreatment drop-out rate was 9.7% (intervention: 6.5%; control: 13%). The intention-to-treat analyses showed significant differences between the groups at posttreatment: the intervention group improved in physical impairment, days not feeling well, pain, general fatigue, morning fatigue, stiffness, anxiety, and depression (medium effect size in most cases). The patients who responded to the intervention reported less trait anxiety at baseline than nonresponders. The absolute risk reduction with the intervention was 36.1% (95% confi…
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Five included studies were classified as high quality with low overall risk of bias.
“According to the predefined categories five studies were high-quality studies (low risk of bias overall) (Alda et al., 2011;Luciano et al., 2011Luciano et al., , 2014;;Kashikar-Zuck 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 Luciano et al., 2011
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“In addition, educating FM patients about the prevalence of psychiatric comorbidity may normalize a patient’s experience and potentially function to help patients’ pains, anxieties, and other concerns feel validated (56).”
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“Other briefer interventions have been studied in primary care, such as those based on the reattribution model (Goldberg, Gask & O’Dowd, 1989; Morriss et al., 2010), and psycho-education (Luciano et al., 2011).”
Method
- Authors
- Luciano, J. V., Martínez, N., Peñarrubia-María, M. T., Fernández-Vergel, R., García-Campayo, J., Verduras, C., Blanco, M. E., Jiménez, M., Ruiz, J. M., del Hoyo, Y. L., & Serrano-Blanco, A.
- Affiliations
- Instituto de Salud Carlos III (ES)
- Institut Català de la Salut (ES)
- Hospital de Viladecans (ES)
- Corresponding author
- Luciano, Juan V.
- ORCID
- Luciano, Juan V.
- Venue
- The Clinical Journal of Pain
- Published
- 2011-06
- Volume
- 27
- Issue
- 5
- Pages
- 383-391
- ISSN
- 0749-8047 (ISSN-L)
- OpenAlex
- W2112817816
- Cited by
- 65
- References
- 43
- Citations by year
- 2025: 1 · 2024: 2 · 2023: 5 · 2022: 3 · 2021: 8 · 2020: 4 · 2019: 7 · 2018: 1 · 2017: 4 · 2016: 5 · 2015: 4 · 2014: 7 · 2013: 6 · 2012: 5
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agència de Gestió d'Ajuts Universitaris i de Recerca (FI_B 00754, 2017 FI_B 00754)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, psychoeducational intervention, autogenic relaxation, primary care, functional status, pain, fatigue, trait anxiety, depression, treatment response, social desirability bias, usual care
- MeSH terms
- Combined Modality Therapy, Female, Fibromyalgia, Humans, Male, Middle Aged, Patient Education as Topic, Spain, Cognitive Behavioral Therapy, Prevalence, Treatment Outcome, General Practice
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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