What is the role of psychological intervention in fibromyalgia rehabilitation?

Updated: Feb 07, 2019
  • Author: Regina P Gilliland, MD; Chief Editor: Dean H Hommer, MD  more...
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Answer

Answer

A rehabilitation program for fibromyalgia is incomplete without psychological intervention.

Many patients with fibromyalgia have increased levels of stress and feelings of depression, anxiety, and frustration.

Several treatment options are available. According to Buckelew, cognitive behavioral therapy (CBT), relaxation training, group therapy, biofeedback, and stress management are some of the most useful options. [7]

Buckelew and colleagues found that patients receiving aerobic training plus biofeedback had significant improvements in tender-point pain, self-reported physical function, and self-efficacy for function, as compared with a control group. [7]

Farin et al developed the Fibromyalgia Participation Questionnaire to record impairments patients experience in their daily lives. The instrument has psychometric properties and is useful for evaluations and clinical trials. [19]


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