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Cognitive behavioral treatment of fibromyalgia (FM) syndrome: a f/u assessment

  [ 49 votes ]   [ Discuss This Article ] • April 2, 1995

OBJECTIVE. In a previous study, we showed that cognitive behavioral
therapy (CBT) was effective in the short term treatment of
fibromyalgia (FMS). We tested the hypothesis that a pooled
index of 10 target psychometric outcomes would show overall
improved outcome at longterm followup versus pretreatment.

METHODS. Using a quasiexperimental design and validated
psychometric instruments, we compared pretreatment
psychometric variables with longterm outcomes in the 25
subjects who had completed the earlier study. A distinction
was made between target variables the program had specifically
addressed and nontarget variables not specifically addressed.

RESULTS. Twenty-two subjects participated at a mean of 30
months after discharge from the program. As at short term
followup, no nontarget variable changed from pretreatment to
longterm assessment. The short term improvement that had been
observed in all 10 target variables was maintained in 3
variables at a Bonferroni corrected alpha level of 0.005:
worry, p < 0.001; observed pain behavior, p < 0.001; and
control over pain, p < 0.002. All 10 target variables changed
in the direction of improvement. A pooled index of these 10
variables showed statistically significant improvement from
baseline (p < 0.002).

CONCLUSION. Our results suggest that CBT
may have a role in the longterm treatment of FMS.

White KP, Nielson WR

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