Development and external validation of a prediction model for patient‐relevant outcomes in patients with chronic widespread pain and fibromyalgia

Moen, VP; Tvedter, AT; Herbert, Robert D.; Hagen, KB

doi:10.1002/ejp.1937

Cited by 5 publications

(2 citation statements)

References 42 publications

(56 reference statements)

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“…Similar results are achieved in other cohorts and from other forms of psychological‐based or interdisciplinary treatment (e.g. Moen et al, 2022; Yu et al, 2017; Yu et al, 2022).…”

Section: Are Psychological Treatments Getting Better?supporting

confidence: 85%

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

McCracken

2023

European Journal of Pain

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Background and ObjectivePsychological treatments for chronic pain have helped many people around the world. They are among the most researched and best evidenced treatments a person can receive when they have persistent, disabling and distressing pain. At the same time, improvements in the effectiveness of these treatments appear to be at a standstill. This may be due to an inherent lack of generalizability from aggregated group data to the individual, limited utility of our current schemes for categorizing people with pain conditions, faced with their inherent heterogeneity, our relatively coarse categories of treatment types and focus on treatment packages rather than individual methods, and our current failures to find adequate predictors of outcome, or to assign people their best‐suited treatment methods, based on group data. In this review, it is argued that the development and examination of truly personalized treatment is a next logical step to create progress and improve the results people achieve.MethodsKey research studies pertaining to psychological treatments, treatment outcome, heterogeneity in chronic pain, prediction of treatment outcome, subtyping and treatment tailoring are reviewed.Results and ConclusionIt is suggested that development of future treatments for chronic pain ought to incorporate an idiographic, process‐based approach, focused on evidence‐based mechanisms of change, individually and dynamically addressed, based on contextually sensitive ongoing assessment. Knowledge and practical solutions needed to make process‐based therapy for chronic pain happen are discussed.

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“…Similar results are achieved in other cohorts and from other forms of psychological‐based or interdisciplinary treatment (e.g. Moen et al, 2022; Yu et al, 2017; Yu et al, 2022).…”

Section: Are Psychological Treatments Getting Better?supporting

confidence: 85%

Personalized pain management: Is it time for process‐based therapy for particular people with chronic pain?

McCracken

2023

European Journal of Pain

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“…Single, strong, reliable predictors of treatment outcome success have been difficult to identify in people with chronic pain [134]. This also appears to be the case in FMS, where highly complex multivariate models can perform reasonably well, but their clinical utility may be limited, and where simpler models do not seem adequate [135]. Similarly, familiar variables such as catastrophizing are shown to significantly predict some outcomes, but not all, and not typically with strong effects [136].…”

Section: The Future Of Psychology In Fibromyalgiamentioning

confidence: 99%

The Contribution of the Psychologist in the Assessment and Treatment of Fibromyalgia

Luciano

Neblett

Peñacoba

et al. 2023

Curr Treat Options in Rheum

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Purpose of review This review focuses on the role of psychologists in the assessment and treatment of fibromyalgia syndrome (FMS), a highly prevalent condition characterized by chronic widespread pain, fatigue, cognitive problems, distress, and disability. Recent findings A large body of work supports the effectiveness and cost-utility of psychological therapies for the improvement of a wide range of symptoms associated with FMS. However, patients with FMS are best assessed and treated by a multidisciplinary team, in which psychologists have an important role. Multidisciplinary treatment, in which each healthcare professional offers his or her own expertise to the patient, has been shown to produce more ubiquitous treatment effects for this complex syndrome than single discipline treatments. Considering the empirical evidence and documented experience of patients, people with FMS can benefit from integrated care, combining education, exercise, and psychotherapeutic approaches, including cognitive-behavioral therapy. Summary There has been a call for more health economics research to demonstrate the cost-effectiveness of psychological therapies. In this paper, we highlight the added value of psychologists as members of multidisciplinary treatment teams, who can assess and treat the maladaptive cognitive, emotional, and behavioral symptoms that are commonly seen in individuals with FMS.

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