Navegando por Palavras-chave "fibromyalgia syndrome"

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    Cognitive behavioral therapy for the treatment of fibromyalgia syndrome: A randomized controlled trial
    (Haworth Press Inc, 2008-01-01) Falcao, Dircilene M. [UNIFESP]; Sales, Luciane [UNIFESP]; Leite, Jose R. [UNIFESP]; Pollak, Daniel Feldman [UNIFESP]; Valim, Valeria; Natour, Jamil [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Objective: To evaluate the effects of cognitive behavioral therapy [CBT] in the fibromyalgia syndrome [FMS].Method: Sixty females, aged 18 to 65 years, with FMS, without previous treatment were randomized in CBT intervention group [10 structured group sessions once a week] or control group [routine weekly medical visits], for 10 weeks. the following instruments were used: visual analog scale, Medical Outcomes Study 36-item Short form Health Survey [SF-36], subcomponent state of the State-Trait Anxiety Inventory, Beck Depression Inventory, Fibromyalgia Impact Questionnaire, and the average number of paracetamol tablets. Additionally, patients were asked if they had improved much, moderately, a little, nothing, or felt worse on a Likert scale.Results: Patients in the CBT group presented significantly lower depression index and higher mental health score studied by the SF-36. Mean weekly intake of paracetamol tablets for pain control was significantly lower in CBT patients. in both groups, we observed statistically significant improvement in all the parameters over time.Conclusions: Patients under CBT needed significantly less analgesic tablets, and they achieved better responses in respect to depression and mental health than the controls. This result is expected since CBT is a psychological intervention.
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    Prevalência da síndrome do cólon irritável em pacientes com fibromialgia
    (Sociedade Brasileira de Reumatologia, 2006-02-01) Helfenstein Junior, Milton [UNIFESP]; Heymann, Roberto [UNIFESP]; Pollak, Daniel Feldman [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    INTRODUCTION: Fibromyalgia is a prevalent syndrome of widespread pain and multiple tender points, with no inflammatory, dystrophic or degenerative changes, probably related to abnormal central modulation of pain processing. Irritable bowel syndrome is considered a dysfunctional syndrome of visceral pain and/or alteration on gastrointestinal motility, also related to the same central nervous system (CNS) abnormalities. OBJECTIVE: The aim of this study was to evaluate the prevalence of irritable bowel syndrome in patients with fibromyalgia and to establish their clinical characteristics. PATIENTS AND METHODS:Two hundred consecutive patients with fibromyalgia syndrome were studied. RESULTS: These, 134 (67%) had irritable bowel syndrome. The most common presentation was the constipation subtype (121 =90.2%). The majority of patients had high scores of anxiety and/or depression. Conclusion: No differences were noted among patients with fibromyalgia without irritable bowel syndrome, and those with both conditions.