Psychoeducation for Patients with Fibromyalgia: A Systematic Review

Gómez-de-Regil, Lizzette

doi:10.3390/healthcare9060737

Cited by 11 publications

(11 citation statements)

References 44 publications

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Section: Discussionmentioning

confidence: 99%

“… 20 Also, they cited well-argued evidence supporting the psychoeducation effectiveness in patients with psychosomatic pathology. 21 Strengths of our study include its randomised controlled trial design and a sufficient study duration to detect the effect of proactive psychological and psychiatric support over time compared with regular treatment.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, a multidisciplinary medical team implemented proactive psychological and psychiatric support by offering different interventions in the inpatient and outpatient treatment stages, including psychoeducation and low-intensity psychological interventions. Based on National Institute for Health and Care Excellence (NICE) recommendations, these methods show promising results in patients with anxiety disorders,20 and the psychoeducational measures have proven effective in treating mental disorders and non-communicable diseases 21…”

Section: Discussionmentioning

confidence: 99%

“…Based on National Institute for Health and Care Excellence (NICE) recommendations, these methods show promising results in patients with anxiety disorders, 20 and the psychoeducational measures have proven effective in treating mental disorders and non-communicable diseases. 21 The selection of the tools used in this study to measure psychological impact was based on a systematic review and meta-analysis of 419 randomised controlled trials (n=53 288) published in 2021. This review focused on the effectiveness of multicomponent low-intensity psychological interventions based on awareness, cognitive-behavioural therapy techniques, acceptance and attachment therapy in both clinical and non-clinical…”

Section: Main Findingsmentioning

confidence: 99%

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Proactive psychological and psychiatric support of patients with chronic non-communicable diseases in a randomised trial: a Ukrainian experience

et al. 2022

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BackgroundPresently, approaches for the early treatment of pathological anxiety in patients with chronic non-communicable diseases are lacking, thus delaying the initiation of symptom management at the early onset of the illness. Proactive psychological and psychiatric support, to alleviate subclinical symptoms of anxiety and to improve the quality of life in patients with chronic non-communicable diseases, is a promising candidate for the role of such therapy.AimsTo investigate and determine the effectiveness of proactive psychological and psychiatric support for alleviating subclinical symptoms of anxiety and improving quality of life, in patients with chronic non-communicable diseases.MethodsThe study design was a monocentric randomised controlled trial with parallel groups. The study, involving 193 inpatients with chronic non-communicable diseases, complied with the ethical and deontological norms in accordance with the principles set out in the Declaration of Helsinki. Instruments used in the study included the Hamilton Anxiety Scale (HAM-A) to assess subclinical symptoms, the Scale of Somatic Symptoms and the Chaban Quality of Life Scale. Block randomisation was used to randomise patients to a 2-month-long study group with a proactive counselling psychiatry model care or a control group with standard regulated treatment for chronic non-communicable diseases. The allocation ratio was 1.15:1 owing to the expectancy of a higher percentage of dropout in the intervention group.ResultsAfter 60 days of treatment (T2), there was a statistically significant difference in all clinical parameters between the study and control groups. The median HAM-A value differed between the groups by 4.87 points, with statistically significant lower results in the study group. The comparison of the study group’s scale values on day 1 and day 60 demonstrated statistically significant changes in all three indicators.ConclusionsOur results support existing evidence for the effectiveness of proactive psychological and psychiatric support to reduce subclinical anxiety and somatisation symptoms and to improve the quality of life for patients with common chronic non-communicable diseases. However, continued research on the effectiveness of proactive psychological and psychiatric support for patients with chronic non-communicable diseases is needed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Main Findingsmentioning

confidence: 99%

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Proactive psychological and psychiatric support of patients with chronic non-communicable diseases in a randomised trial: a Ukrainian experience

et al. 2022

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“…Fibromyalgia treatment includes non pharmacological, 5 , 6 , 7 , 8 , 9 pharmacological, or combined strategies. Non pharmacological treatment includes education, 10 cognitive therapies, 11 , 12 , 13 , 14 , 15 and passive versus active physical therapies. 16 , 17 , 18 , 19 , 20 Passive treatment modalities may include massages, acupuncture, 21 and additional alternative medicine treatments, 8 , 13 , 22 , 23 , 24 while active physical therapies include physiotherapy, hydrotherapy, yoga, Pilates, and aerobic activities.…”

Section: Introductionmentioning

confidence: 99%

The role of cannabis in treatment‐resistant fibromyalgia women

et al. 2022

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Fibromyalgia is a pain-focused syndrome involving diffuse chronic myalgia, somatization, sleep disturbances, and cognitive and functional impairments affecting approximately 3% of the general population, mostly following trauma, motor vehicle accidents, acute febrile disease, or mental illness stress. 1 Women are affected two times more than men. 2 Although extensively investigated, anatomic or pathophysiological causes for fibromyalgia are still obscure. [2][3][4] Fibromyalgia treatment includes non pharmacological, 5-9 pharmacological, or combined strategies. Non pharmacological treatment includes education, 10 cognitive therapies, [11][12][13][14][15] and passive versus active physical therapies. [16][17][18][19][20] Passive treatment modalities may include massages, acupuncture, 21 and additional alternative medicine treatments, 8,13,[22][23][24] while active physical therapies

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Emotion regulation skills‐focused interventions for chronic pain: A systematic review and meta‐analysis

Norman‐Nott,

Hesam‐Shariati,

Wewege

et al. 2024

European Journal of Pain

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ObjectivesTo investigate the effect of emotion regulation skills‐focused (ERSF) interventions to reduce pain intensity and improve psychological outcomes for people with chronic pain and to narratively report on safety and intervention compliance.MethodsSix databases and four registries were searched for randomized controlled trials (RCTs) up to 29 April 2022. Risk of bias was evaluated using the Cochrane RoB 2.0 tool, and certainty of evidence was assessed according to the Grading, Assessment, Development and Evaluation (GRADE). Meta‐analyses for eight studies (902 participants) assessed pain intensity (primary outcome), emotion regulation, affect, symptoms of depression and anxiety, and pain interference (secondary outcomes), at two time points when available, post‐intervention (closest to intervention end) and follow‐up (the first measurement after the post‐intervention assessment).ResultsCompared to TAU, pain intensity improved post‐intervention (weighted mean difference [WMD] = −10.86; 95% confidence interval [CI] [−17.55, −2.56]) and at follow‐up (WMD = −11.38; 95% CI [−13.55, −9.21]). Emotion regulation improved post‐intervention (standard mean difference [SMD] = 0.57; 95% CI [0.14, 1.01]), and depressive symptoms improved at follow‐up (SMD = −0.45; 95% CI [−0.66, −0.24]). Compared to active comparators, anxiety symptoms improved favouring the comparator post‐intervention (SMD = 0.10; 95% CI [0.03, 0.18]), and compared to CBT, pain interference improved post‐intervention (SMD = −0.37; 95% CI [−0.69, −0.04]). Certainty of evidence ranged from very low to moderate.SignificanceThe findings provide evidence that ERSF interventions reduce pain intensity for people with chronic pain compared to usual treatment. These interventions are at least as beneficial to reduce pain intensity as the current gold standard psychological intervention, CBT. However, the limited number of studies and certainty of evidence mean further high‐quality RCTs are warranted. Additionally, further research is needed to identify whether ERSF interventions may be more beneficial for specific chronic pain conditions.

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Psychoeducation for Patients with Fibromyalgia: A Systematic Review

Cited by 11 publications

References 44 publications

Proactive psychological and psychiatric support of patients with chronic non-communicable diseases in a randomised trial: a Ukrainian experience

Proactive psychological and psychiatric support of patients with chronic non-communicable diseases in a randomised trial: a Ukrainian experience

The role of cannabis in treatment‐resistant fibromyalgia women

Emotion regulation skills‐focused interventions for chronic pain: A systematic review and meta‐analysis

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