A Controlled Study of a Stress-Reduction, Cognitive-Behavioral Treatment Program in Fibromyalgia

Objective: To determine the results of a stress-reduction, cognitive behavioral treatment [SR-CBT] program in fibromyalgia. Methods: Seventy-nine patients with fibromyalgia completed a 10 week meditation based SR-CBT program that met once weekly for 2 hours per session. Controls consisted of 42 fibromyalgia patients, 18 of whom had been placed on a waiting list for the treatment program and 24 randomly selected patients who had not expressed an interest in enrolling in the program. Medications and other treatments were not altered during the 10 week study. Fibromyalgia symptoms were evaluated at the beginning and at the end of the study in patients and controls by self-administered visual analog scales [VAS] for global well-being, pain, sleep, fatigue, and tiredness upon awakening. Functional status was evaluated by the Fibromyalgia Impact Questionnaire [FIQ], and psychological status by the SCL-90-R. Participants and controls were comparable at study entry. Results: Fibromyalgia symptoms improved in 67% ...

[1]  R. Bennett,et al.  A comparison of cyclobenzaprine and placebo in the management of fibrositis. A double-blind controlled study. , 1988, Arthritis and rheumatism.

[2]  D. Goldenberg.  A review of the role of tricyclic medications in the treatment of fibromyalgia syndrome. , 1989, The Journal of rheumatology. Supplement.

[3]  H. Haanen,et al.  Controlled trial of hypnotherapy in the treatment of refractory fibromyalgia. , 1991, The Journal of rheumatology.

[4]  G. A. Mccain,et al.  Cognitive behavioral treatment of fibromyalgia syndrome: preliminary findings. , 1992, The Journal of rheumatology.

[5]  G. A. Mccain,et al.  Evaluation of amitriptyline in primary fibrositis. A double-blind, placebo-controlled study. , 1986, Arthritis and rheumatism.

[6]  L. Kirmayer,et al.  Illness Worry and Disability in Fibromyalgia Syndrome , 1990, International journal of psychiatry in medicine.

[7]  Cognitive behavioral treatment of a veteran population with moderate to severe rheumatoid arthritis , 1988 .

[8]  L. Bradley.  Cognitive-behavioral therapy for primary fibromyalgia. , 1989, The Journal of rheumatology. Supplement.

[9]  J. Parker,et al.  Psychological symptoms in primary fibromyalgia syndrome: relationship to pain, life stress, and sleep disturbance. , 2010, Arthritis and rheumatism.

[10]  D. Felson,et al.  Development of preliminary criteria for response to treatment in fibromyalgia syndrome. , 1991, The Journal of rheumatology.

[11]  P. Tugwell,et al.  The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. , 1990, Arthritis and rheumatism.

[12]  P. Keck,et al.  Comorbidity of fibromyalgia with medical and psychiatric disorders. , 1992, The American journal of medicine.

[13]  G. A. Mccain,et al.  A controlled study of the effects of a supervised cardiovascular fitness training program on the manifestations of primary fibromyalgia. , 1988, Arthritis and rheumatism.

[14]  G. Ferraccioli,et al.  EMG-biofeedback training in fibromyalgia syndrome. , 1987, The Journal of rheumatology.

[15]  R M Bennett,et al.  The fibromyalgia impact questionnaire: development and validation. , 1991, The Journal of rheumatology.

[16]  T. Morgan,et al.  Effects of psychological therapy on pain behavior of rheumatoid arthritis patients. Treatment outcome and six-month followup. , 1987, Arthritis and rheumatism.

[17]  R. Brooke,et al.  Biofeedback and a cognitive behavioral approach to treatment of myofascial pain dysfunction syndrome , 1979 .

[18]  E. Tindall,et al.  Clinical characteristics of fibrositis. II. A "blinded," controlled study using standard psychological tests. , 1985, Arthritis and rheumatism.

[19]  D. Felson,et al.  The present and future adequacy of rheumatology manpower. A study of health care needs and physician supply. , 1991, Arthritis and rheumatism.

[20]  D. Felson,et al.  A randomized, controlled trial of amitriptyline and naproxen in the treatment of patients with fibromyalgia. , 1986, Arthritis and rheumatism.

[21]  N. Beck,et al.  Pain management in rheumatoid arthritis patients , 1988 .

[22]  J. Kabat-Zinn,et al.  An outpatient program in behavioral medicine for chronic pain patients based on the practice of mindfulness meditation: theoretical considerations and preliminary results. , 1982, General hospital psychiatry.