Is brief psychodynamic psychotherapy in primary fibromyalgia syndrome with concurrent depression an effective treatment? A randomized controlled trial

Scheidt, Carl Eduard; Waller, Elisabeth; Endorf, Katharina; Schmidt, Stefan; König, R.; Zeeck, Almut; Joos, Andreas; Lacour, Michael

doi:10.1016/j.genhosppsych.2012.10.013

Cited by 36 publications

(15 citation statements)

References 33 publications

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“…The majority of psychological treatments evaluated for FM have been varieties of cognitive behavior therapy (CBT), described below. Additional psychological interventions evaluated for FM include mindfulness-based interventions, 81,82 short-term psychodynamic therapy 83 and hypnosis. 84 Apart for a few exceptions (e.g., attention modification training 85 ) most of these studies have had null findings or modest effects.…”

Section: Psychological Treatmentsmentioning

confidence: 99%

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

Hedman-Lagerlöf

Andersson

Hedman‐Lagerlöf

et al. 2019

Behaviour Research and Therapy

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Section: Psychological Treatmentsmentioning

confidence: 99%

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

Hedman-Lagerlöf

Andersson

Hedman‐Lagerlöf

et al. 2019

Behaviour Research and Therapy

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“…An evaluation of 25 sessions of PDT compared to four consultations over 6 months for patients with fibromyalgia found no evidence of superiority of PDT for symptoms specific to this disorder or general psychiatric problems . However, the training offered to the therapists was brief (4 hours) and focused on insight rather than interpersonal emotional awareness, which has been found to be more relevant .…”

Section: Somatic Problemsmentioning

confidence: 99%

The effectiveness of psychodynamic psychotherapies: An update

2015

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This paper provides a comprehensive review of outcome studies and meta-analyses of effectiveness studies of psychodynamic therapy (PDT) for the major categories of mental disorders. Comparisons with inactive controls (waitlist, treatment as usual and placebo) generally but by no means invariably show PDT to be effective for depression, some anxiety disorders, eating disorders and somatic disorders. There is little evidence to support its implementation for post-traumatic stress disorder, obsessive-compulsive disorder, bulimia nervosa, cocaine dependence or psychosis. The strongest current evidence base supports relatively long-term psychodynamic treatment of some personality disorders, particularly borderline personality disorder. Comparisons with active treatments rarely identify PDT as superior to control interventions and studies are generally not appropriately designed to provide tests of statistical equivalence. Studies that demonstrate inferiority of PDT to alternatives exist, but are small in number and often questionable in design. Reviews of the field appear to be subject to allegiance effects. The present review recommends abandoning the inherently conservative strategy of comparing heterogeneous "families" of therapies for heterogeneous diagnostic groups. Instead, it advocates using the opportunities provided by bioscience and computational psychiatry to creatively explore and assess the value of protocol-directed combinations of specific treatment components to address the key problems of individual patients.

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“…Yet rarely do treatments for FM purposely engage avoided emotions related to adversity or conflict. One small trial found that psychodynamic therapy led to some improvement, but not more than a “high-standard” intervention involving health behavior advice and medication [49]. Another small trial of a group intervention found that emotional awareness and written expression techniques led to substantial pain reduction, compared to wait-list controls [30].…”

Section: Introductionmentioning

confidence: 99%

Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial

Lumley

Schubiner

Lockhart

et al. 2017

Pain

177

102

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Patients with FM experience increased lifetime levels of psychosocial adversity, trauma, and emotional conflict. To address these risk factors, we developed Emotion Awareness and Expression Therapy (EAET) and tested its benefits against an active control condition, FM Education, and against the field's gold standard intervention for FM, cognitive-behavioral therapy (CBT) for symptom management. Adults with FM (n = 230) formed 40 treatment groups, which were randomized to EAET, CBT, or Education and given eight, 90-min sessions. Patient-reported outcomes were assessed at baseline, post-treatment, and 6-month follow-up (primary endpoint). Retention of patients to follow-up was excellent (90.4%). Intent-to-treat analyses indicated that, although EAET did not differ from FM Education on pain severity (primary outcome), EAET had significantly better outcomes than FM Education on overall symptoms, widespread pain, physical functioning, cognitive dysfunction, anxiety, depression, positive affect, and life satisfaction (between-condition d's ranging from 0.29 to 0.45 SD), and the percentage of patients improving “much/very much” (34.8% vs. 15.4%). EAET did not differ from CBT on the primary or most secondary outcomes, but compared to CBT, EAET led to significantly lower FM symptoms (d = 0.35) and widespread pain (d = 0.37), and a higher percentage of patients achieving 50% pain reduction (22.5% vs. 8.3%). In summary, an intervention targeting emotional awareness and expression related to psychosocial adversity and conflict was well-received, more effective than a basic educational intervention, and had some advantages over CBT on pain. We conclude that EAET should be considered as an additional treatment option for FM.

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Is brief psychodynamic psychotherapy in primary fibromyalgia syndrome with concurrent depression an effective treatment? A randomized controlled trial

Cited by 36 publications

References 33 publications

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

Approach as a key for success: Reduced avoidance behaviour mediates the effect of exposure therapy for fibromyalgia

The effectiveness of psychodynamic psychotherapies: An update

Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial

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