Cognitive behavioral therapy for the treatment of fibromyalgia syndrome: A randomized controlled trial

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dc.contributor.authorFalcao, Dircilene M. [UNIFESP]
dc.contributor.authorSales, Luciane [UNIFESP]
dc.contributor.authorLeite, Jose R. [UNIFESP]
dc.contributor.authorPollak, Daniel Feldman [UNIFESP]
dc.contributor.authorValim, Valeria
dc.contributor.authorNatour, Jamil [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T13:49:25Z
dc.date.available2016-01-24T13:49:25Z
dc.date.issued2008-01-01
dc.description.abstractObjective: 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.en
dc.description.affiliationUniversidade Federal de São Paulo, Disciplina Reumatol, Escola Paulista Med, Div Rheumatol, BR-04023900 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Escola Paulista Med, Dept Psychobiol, BR-04023900 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Disciplina Reumatol, Escola Paulista Med, Div Rheumatol, BR-04023900 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Escola Paulista Med, Dept Psychobiol, BR-04023900 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent133-140
dc.identifierhttp://dx.doi.org/10.1080/10582450802161796
dc.identifier.citationJournal of Musculoskeletal Pain. Binghamton: Haworth Press Inc, v. 16, n. 3, p. 133-140, 2008.
dc.identifier.doi10.1080/10582450802161796
dc.identifier.issn1058-2452
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/30327
dc.identifier.wosWOS:000258634400003
dc.language.isoeng
dc.publisherHaworth Press Inc
dc.relation.ispartofJournal of Musculoskeletal Pain
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.subjectfibromyalgia syndromeen
dc.subjectcognitive behavioral therapyen
dc.subjectchronic painen
dc.subjectpsychological interventionen
dc.titleCognitive behavioral therapy for the treatment of fibromyalgia syndrome: A randomized controlled trialen
dc.typeinfo:eu-repo/semantics/article
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