Cognitive behavioral therapy for the treatment of fibromyalgia syndrome: A randomized controlled trial
Data
2008-01-01
Autores
Falcao, Dircilene M. 
Sales, Luciane
Leite, Jose R.
Pollak, Daniel Feldman
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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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Journal of Musculoskeletal Pain. Binghamton: Haworth Press Inc, v. 16, n. 3, p. 133-140, 2008.