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Self-management of fibromyalgia (FM): the role of formal coping skills training & physical exercise training programs

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By Sandstrom MJ, Keefe FJ • www.ProHealth.com • December 5, 1998


There has been growing interest in the use of formal self-management
training programs for people with fibromyalgia (FM). In these
programs, health care professionals serve as trainers and
provide education about FM and guided instruction in specific
self-management strategies. A review of the literature on
formal self-management training programs for FM suggests that
they can be divided into groups: 1) those emphasizing training
in coping skills (e.g., relaxation, activity pacing, and
problem-solving techniques), and 2) those emphasizing training
in physical exercise (e.g., cardiovascular fitness, strength,
and endurance training). In this article, we review studies
that have tested the efficacy of both types of programs. In
addition, we identify key individual and contextual variables
that are related to outcome and highlight future directions in
the research and development of self- management programs.




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