Economic evaluations of educational, physical, and psychological treatments for fibromyalgia: a systematic review with meta-analysis

Cabral, Cristina Maria Nunes; Miyamoto, Gisela Cristiane; Franco, Katherinne Ferro Moura; Bosmans, Judith E.

doi:10.1097/j.pain.0000000000002233

Cited by 15 publications

(12 citation statements)

References 45 publications

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“…This finding supports the model of psychological flexibility that, as mentioned above, emphasizes the importance of developing cognitive skills to accurately explain how other mental or behavioral processes will develop [ 10 ]. This has important clinical repercussions, since it corroborates the importance of carrying out multidisciplinary biopsychosocial treatments in the population with chronic pain [ 37 , 38 , 39 , 40 ]. Thus, combining pharmacological treatment with structured physical exercise therapy and acceptance and commitment therapy (ACT) could be a more beneficial alternative for improving the quality of life of patients in relation to physical and mental health.…”

Section: Discussionmentioning

confidence: 71%

Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Catalá

Gutiérrez

Écija

et al. 2021

IJERPH

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The objective of this study is to explore the mediator role of cognitive fusion and chronic pain acceptance on the effects that the walking pattern, following an established clinical guideline for physical exercise, can have on fatigue (physical and mental) in patients with chronic pain. The sample consisted of a total of 231 women with fibromyalgia with a mean age of 56.91 years (Standard Deviation SD = 9.58 years, range 30−78 years). The results show a significant indirect effect of the walking pattern on both physical and mental fatigue through cognitive fusion and chronic pain acceptance. Specifically, walking predicted less cognitive fusion, which predicted greater chronic pain acceptance, which, in turn, predicted less mental and physical fatigue (Beta-B- = −0.04, Standard Error SE = 0.02, 95% Confidence Interval 95% CI = [−0.09, −0.02]; B = −0.09, SE = 0.05, 95% CI = [−0.22, −0,15], respectively). It can be concluded that the walking pattern is linked to both physical and mental fatigue through cognitive defusion and chronic pain acceptance. These cognitive abilities would allow fibromyalgia patients to perceive an improvement in both physical and mental fatigue by carrying out the walking pattern. Emphasizing the training of cognitive defusion and pain acceptance would improve the adherence of these patients to walking.

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Section: Discussionmentioning

confidence: 71%

Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Catalá

Gutiérrez

Écija

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…Of particular interest, biopsychosocial factors appear to be a strong driver of cognitive complaints in recovering ambulatory patients. These are treatable factors and interventions targeting anxiety, depression, sleep, and pain may prove to be the most efficient and cost-effective treatment approach to avert disability in patients with mild manifestations of COVID-19 [ 24 , 25 ]. Objective neurocognitive deficits were more common in hospitalized patients—a marker of higher overall health comorbidities and COVID-19 disease severity—with predominant deficits in memory and psychomotor speed.…”

Section: Discussionmentioning

confidence: 99%

Neurocognitive screening in patients following SARS-CoV-2 infection: tools for triage

et al. 2022

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Background Cognitive complaints are common in patients recovering from Coronavirus Disease 2019 (COVID-19), yet their etiology is often unclear. We assess factors that contribute to cognitive impairment in ambulatory versus hospitalized patients during the sub-acute stage of recovery. Methods In this cross-sectional study, participants were prospectively recruited from a hospital-wide registry. All patients tested positive for SARS-CoV-2 infection using a real-time reverse transcriptase polymerase-chain-reaction assay. Patients ≤ 18 years-of-age and those with a pre-existing major neurocognitive disorder were excluded. Participants completed an extensive neuropsychological questionnaire and a computerized cognitive screen via remote telemedicine platform. Rates of subjective and objective neuropsychological impairment were compared between the ambulatory and hospitalized groups. Factors associated with impairment were explored separately within each group. Results A total of 102 patients (76 ambulatory, 26 hospitalized) completed the symptom inventory and neurocognitive tests 24 ± 22 days following laboratory confirmation of SARS-CoV-2 infection. Hospitalized and ambulatory patients self-reported high rates of cognitive impairment (27–40%), without differences between the groups. However, hospitalized patients showed higher rates of objective impairment in visual memory (30% vs. 4%; p = 0.001) and psychomotor speed (41% vs. 15%; p = 0.008). Objective cognitive test performance was associated with anxiety, depression, fatigue, and pain in the ambulatory but not the hospitalized group. Conclusions Focal cognitive deficits are more common in hospitalized than ambulatory patients. Cognitive performance is associated with neuropsychiatric symptoms in ambulatory but not hospitalized patients. Objective neurocognitive measures can provide essential information to inform neurologic triage and should be included as endpoints in clinical trials.

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“…Patients report palpitations, chest pain, and back pain at the outpatient cardiology clinic. Patients with FMS who do not have heart pathology are often referred to a physiotherapy and rehabilitation specialist; however, patients with persistent palpitations are re-evaluated by a cardiologist [ 6 ]. ECG parameters are non-invasive predictors of arrhythmia risk [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Cardiac Conduction System in Fibromyalgia Patients With Complaints of Palpitations

Günlü¹,

Aktan²

2022

Cureus

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This study aimed to investigate the influence of fibromyalgia syndrome (FMS) on the cardiac conduction system and assess patients' palpitation complaints using 24-h ambulatory ECG (Holter {Maynard, MA: Northeast Monitoring, Inc.}) monitoring. MethodsNinety patients with FMS and 70 healthy controls were included in this research. ECG was performed on all participants, and ECG parameters were calculated. Holter monitoring was conducted, and the recordings were analyzed. The results of time-domain heart rate variability (HRV) were evaluated. ResultsThe patient group's mean age was 38.3±6.3 years. There were no statistically significant differences in demographic or laboratory parameters across the groups (p>0.05). The findings of a 24-h Holter ECG recording did not vary significantly between the groups (p=0.182). In the study group, the values for the standard deviation of R-R intervals (SDNN), low frequency (LF), and low/high frequency (LF/HF), which are known as HRV indicators, were substantially different between the two groups (p<0.05). ConclusionsThe study indicated that the risk of arrhythmias did not increase even though FM patients complained of palpitations.

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Economic evaluations of educational, physical, and psychological treatments for fibromyalgia: a systematic review with meta-analysis

Cited by 15 publications

References 45 publications

Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Neurocognitive screening in patients following SARS-CoV-2 infection: tools for triage

Evaluation of the Cardiac Conduction System in Fibromyalgia Patients With Complaints of Palpitations

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