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

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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