Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review

Heller, Heloisa Lima; Borges, Aline Rizzo; Franco, Luís Otávio Amarante; Aucélio, João Pedro de Oliveira; Vargas, Marcos Igor Albanaz; Lorga, Rebeca Naoum; Sales, Mirella Bastos; Nascimento, Natália Vargas do; Netto, Gabriela Furlan Ribeiro Barbosa; Passos, Beatriz Carneiro; Paes, Beatriz Pires; Mendes, Beatriz Toledo; Lyra, Bruna de Paula Gonçalves Sousa; Santos, Ciro Moisés Oliveira Vieira dos; Santos, Gustavo Araújo do Nascimento; Oliveira, Maria Luiza Pimentel de; Silva, Matheus Macêdo da; Jesus, Maurício Silva de; Storni, Paulo Ricardo Guimarães Rocha; Ferraz, Tamires Martinelli de Oliveira; Peterle, Viviane Cristina Uliana; Reis, Ana

doi:10.4236/ojra.2021.114018

Cited by 7 publications

(5 citation statements)

References 35 publications

(69 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sleep hygiene interventions, such as cognitive behavioral therapy for insomnia (CBT-I) and sleep hygiene education, have shown promise in improving sleep quality and reducing fibromyalgia symptoms [ 89 , 90 ]. Future research could investigate the effectiveness of these interventions in larger and more diverse populations, and explore their potential long-term benefits.…”

Section: Reviewmentioning

confidence: 99%

Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment

Ram,

Jeyaraman,

Jeyaraman

et al. 2023

Cureus

View full text Add to dashboard Cite

Fibromyalgia is a complex chronic pain disorder that significantly impacts the quality of life of affected individuals. The etiology of fibromyalgia remains elusive, necessitating effective treatment options. This review aims to provide an overview of current treatment options for fibromyalgia and highlight recent updates in managing the condition. The methodology employed in this systematic review comprised the following key steps. We conducted a comprehensive search across various databases to identify pertinent studies published between 2000 and 2023. Inclusion criteria were defined to specifically target studies involving adult individuals diagnosed with fibromyalgia, with a focus on both pharmacological and non-pharmacological interventions for managing the condition. The review encompassed a range of study types, including randomized controlled trials, observational studies, and systematic reviews. To ensure the quality of the selected studies, we employed appropriate assessment tools, and data extraction and synthesis adhered to established guidelines. This rigorous approach allowed for a robust analysis of the literature on fibromyalgia management. In the course of our review, it became evident that a spectrum of treatment approaches holds significant promise in the management of fibromyalgia. Specifically, pharmacological interventions, including selective serotonin-norepinephrine reuptake inhibitors, anticonvulsants, cannabinoids, tropisetron, and sodium oxybate, have exhibited substantial potential in alleviating fibromyalgia symptoms. Concurrently, non-pharmacological strategies, such as cognitive-behavioral therapy, exercise regimens, and complementary and alternative therapies, have yielded positive outcomes in improving the condition's management. Recent developments in the field have introduced innovative pharmacological agents like milnacipran and pregabalin, in addition to non-pharmacological interventions like mindfulness-based stress reduction and aquatic exercise, expanding the array of options available to enhance fibromyalgia care and alleviating patient symptoms. Fibromyalgia necessitates a multidisciplinary approach to treatment, encompassing both pharmacological and non-pharmacological interventions. Recent updates in fibromyalgia management offer additional options to alleviate symptoms and improve the quality of life for individuals with fibromyalgia. Healthcare professionals should remain informed about these advancements to provide evidence-based care, addressing the complex symptoms associated with fibromyalgia and enhancing patient outcomes.

show abstract

Section: Reviewmentioning

confidence: 99%

Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment

Ram,

Jeyaraman,

Jeyaraman

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…In addition, this program will be based on the cognitive behavioral therapy model, which is one of the therapies that act on the effects regarding behavior, emotions, and symptoms. This approach has an emphasis on the current situation of the individual rather than on past situations [ 36 – 38 ]. Thoughts may represent cognitive changes that directly influence the health condition of the individual.…”

Section: Interventionsmentioning

confidence: 99%

“…The sample size was based on the assumptions of group educational interventions, where it is not necessary to formally calculate the sample size due to the characteristics of the intervention [ 27 , 38 , 78 , 82 – 84 ]. The size of the group should consider that the number of participants allows everyone to manifest and feel tended to.…”

Section: Interventionsmentioning

confidence: 99%

A web-based educational therapy intervention associated with physical exercise to promote health in fibromyalgia in Brazil: the Amigos De Fibro (Fibro Friends) study protocol

Antunes,

da Rocha Loures,

de Souza

et al. 2023

Trials

View full text Add to dashboard Cite

Background Health education is one of the main items to enable health promotion to patients with fibromyalgia. The objective of the study “Amigos de Fibro (Fibro Friends)” is to evaluate the impact of an educational intervention associated with physical exercise based on the web in promoting health and quality of life of patients with fibromyalgia in Brazil. Methods A study with a randomized controlled trial approach will be carried out. The sample will consist of 24 participants, divided into two groups, with 12 individuals each. The experimental group will participate in meetings with lectures, debates, conversation rounds and exercises by a multidisciplinary team. Physical exercises will also be performed in an online environment. On the other hand, the control group will receive an e-book of education and self-care. Primary outcomes will be quality of life. The secondary outcomes will be sociodemographic and health profile, pain intensity, sleep quality, self-care agency, usage and costs of health and social care services, viability of the program and program participation. In addition, a qualitative evaluation process will be carried out with the participants. After the intervention, the data of both groups will be collected again, as well as after 3, 6, and 12 months to verify the effect and the maintenance of the intervention. Discussion The results will provide data for studies to consider the use of this tool in the future by professionals working in the field of rheumatology. Trial registration The protocol was registered in the Brazilian Registry of Clinical Trials RBR-3rh759 (https://trialsearch.who.int/Trial2.aspx?TrialID=RBR-3rh759). Date of registration: 07/02/2020].

show abstract

“… 14 , 22 Typically, this includes cognitive restructuring techniques, stress management techniques, applied relaxation, physical exercise, and pacing: balancing activity and rest. 10 , 20 Traditional cognitive behavior therapy yields small between-group effects on pain (d = −0.30), disability (d = −0.31), and negative mood (d = −0.34) as compared to mostly rudimentary control conditions, such as no treatment, treatment as usual, and placebo. 6 More high-quality trials that compare T-CBT with other active treatments 8 , 36 , 48 are needed to move the field forward and learn how to produce larger effects.…”

Section: Introductionmentioning

confidence: 99%

Effect of exposure-based vs traditional cognitive behavior therapy for fibromyalgia: a two-site single-blind randomized controlled trial

Hedman-Lagerlöf,

Gasslander,

Ahnlund Hoffmann

et al. 2023

Pain

View full text Add to dashboard Cite

Fibromyalgia is a debilitating pain condition for which treatment effects are typically modest. The most evaluated psychological treatment is traditional cognitive behavior therapy (T-CBT), but promising effects have recently been seen in exposure-based cognitive behavior therapy (Exp-CBT). We investigated whether Exp-CBT was superior to T-CBT in a randomized controlled trial. Self-referred participants with fibromyalgia (N = 274) were randomized (1:1) to 10 weeks of Exp-CBT or T-CBT. Treatments were delivered online and presented as “CBT for fibromyalgia.” Participants were assessed at baseline, weekly during treatment, posttreatment, and at 6- and 12-month follow-up. Primary outcome was the difference in reduction in fibromyalgia severity as measured using the Fibromyalgia Impact Questionnaire (FIQ) over 11 assessment points from baseline to posttreatment, modelled within an intention-to-treat framework using linear mixed effects models fitted on multiple imputed data. Approximately 91% of weekly FIQ scores were collected over the main phase. There was no significant difference between Exp-CBT and T-CBT in the mean reduction of fibromyalgia severity from pretreatment to posttreatment (b = 1.3, 95% CI −3.0 to 5.7, P = 0.544, d = −0.10). Minimal clinically important improvement was seen 60% in Exp-CBT vs 59% in T-CBT. Effects were sustained up to 12 months posttreatment. This well-powered randomized trial indicated that Exp-CBT was not superior to T-CBT for fibromyalgia. Both treatments were associated with a marked reduction in fibromyalgia severity, and the online treatment format might be of high clinical utility. T-CBT can still be regarded a reference standard treatment that remains clinically relevant when compared to novel treatment approaches.

show abstract

Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review

Cited by 7 publications

References 35 publications

Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment

Beyond the Pain: A Systematic Narrative Review of the Latest Advancements in Fibromyalgia Treatment

A web-based educational therapy intervention associated with physical exercise to promote health in fibromyalgia in Brazil: the Amigos De Fibro (Fibro Friends) study protocol

Effect of exposure-based vs traditional cognitive behavior therapy for fibromyalgia: a two-site single-blind randomized controlled trial

Contact Info

Product

Resources

About