Psychotherapie bei Patienten mit Fibromyalgiesyndrom

Abstract

Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.

Fibromyalgia

“…including aerobic exercise [64,65], complementary and alternative therapy [66], multicomponent therapy [67], patient education [24], physical therapy and physiotherapy [65], pharmacologic therapy [68], and psychotherapy [69]. The reviews demonstrate that there is no therapy that works in every patient.…”

“…There currently is no evidence of a long-term effectiveness (Ͼ6 months) of pharmacologic and physical therapies. There is only limited evidence for the long-term effectiveness of aerobic exercise [65], multicomponent therapy [67] and cognitive behavioral therapy (CBT) [69], based on follow-up periods ranging from 6 to 24 months. There is limited evidence of the cost-effectiveness of operant pain therapy and spa therapy [72,73].…”

“…Twelve of the 14 studies found a superiority of CBT in most outcomes at the end of the therapy. Nine of the 14 studies performed follow-ups and 5/9 studies reported a persistant reduction of FMS symptoms after 6-24 months [69]. Twenty-two out of 33 relevant studies investigating 1209 subjects could be meta-analyzed.…”

“…In a systematic search of the literature up to December 2006, the German FMS guideline group found six RCT on balneo-and spa therapy, two studies on homeopathy, five studies on hypnotherapy/guided imagery, three studies on patient-centered communication, two RCT on vegetarian diet, three RCT on whole-body heat therapy, two on written emotional disclosure, three on tropisetron, and three on tramadol (one in combination with acetaminophen), fulfilling the criteria defined above [24,65,66,68,69]. Since December 2006 further RCT on pharmacologic, psychotherapeutic and physical treatment have been published which support the efficacy of the interventions mentioned above.…”

“…Furthermore, inconsistent results of five controlled trials each on biofeedback and relaxation therapy (including autogenic training and progressive muscle relaxation) were found [69].…”