‘TAILORED’ CBT PLUS EXERCISE FOR FIBROMYALGIA

A combination of cognitive behavioral therapy (CBT) and exercise tailored for patients’ individual needs significantly diminishes symptoms of fibromyalgia (FM), say researchers.

According to the report, “high-risk patients were selected and classified into two groups (pain-persistence and pain-avoidance) and subsequently randomized in groups to either a treatment or a waiting list control condition. Treatment consisted of 16 sessions of cognitive behavioral therapy (CBT) and exercise training in groups, tailored to the patient’s specific cognitive behavioral pattern, delivered within 10 weeks. Physical and psychological functioning and impact of FM was assessed at baseline, post-treatment and 6 months follow-up. Treatment effects were evaluated using a linear mixed model.”

Treatment resulted in clinically significant improvements. Specifically, 66% enjoyed significant improvements in pain, fatigue or disability, compared with 33% of control subjects. In addition, 62% of the intervention group had lower anxiety or depression, compared with 33% of control subjects.

Arthritis Care and Research – June 2, 2010;9999:Epub.

www.interscience.wiley.com

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