Comparison of Integrated Group Therapy and Group Relaxation Training for Fibromyalgia

Keel, Peter; Bodoky, Colette; Gerhard, Urs; Müller, Wolfgang

doi:10.1097/00002508-199809000-00010

Cited by 146 publications

(88 citation statements)

References 17 publications

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“…Also, with regard to the timing of the treatment, the significance of treatment in an early stage is increasingly recognized as being able to help prevent a worsening of the symptoms and long-term dysfunction. In addition, several studies have shown that patients with chronic pain with a shorter duration of symptoms benefit most from CBT (23,24).…”

Section: Introductionmentioning

confidence: 99%

Tailored cognitive–behavioral therapy and exercise training for high‐risk patients with fibromyalgia

Koulil¹,

Lankveld²,

Kraaimaat³

et al. 2010

Arthritis Care & Research

128

101

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Objective. The treatment of patients with fibromyalgia (FM), a high-prevalence chronic pain condition with a high impact on both patients and society, poses a great challenge to clinicians due to a lack of effective treatments. In view of the large individual variability in outcome, selecting patients at risk of long-term dysfunction and offering tailored treatment may be promising for beneficial treatment effects. Methods. High-risk patients were selected and classified into 2 groups (pain-persistence and pain-avoidance groups) and subsequently randomized in groups to either a treatment condition (TC) or a waiting list control condition (WLC). 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 were assessed at baseline, posttreatment, and 6-month followup. Treatment effects were evaluated using a linear mixed model. Results. The treatment effects were significant for all primary outcomes, showing significant differences in physical (pain, fatigue, and functional disability) and psychological (negative mood and anxiety) functioning, and impact of FM for the TC in comparison with the WLC. Effect sizes in the TC were overall large, and reliable change indices indicated a clinically relevant improvement among the TC. Conclusion. The presented results demonstrate for the first time that tailored CBT and exercise training for high-risk patients with FM is effective in improving short-and long-term physical and psychological functioning, indicating that tailoring treatment is likely to promote beneficial outcomes in FM and reduce the burden for patients and society.

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Section: Introductionmentioning

confidence: 99%

Tailored cognitive–behavioral therapy and exercise training for high‐risk patients with fibromyalgia

Koulil¹,

Lankveld²,

Kraaimaat³

et al. 2010

Arthritis Care & Research

128

101

View full text Add to dashboard Cite

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“…Desses, 12 avaliaram o condicionamento aeróbio (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) , 10 estudaram programas combinados ou associados ao tratamento medicamentoso ou outras intervenções não-farmacológicas (18)(19)(20)(21)(22)(23)(24)(25)(26)(27) . Apenas três envolveram treino de força (28)(29)(30) .…”

Section: Introductionunclassified

Benefícios dos exercícios físicos na fibromialgia

Valim¹

2006

Rev. Bras. Reumatol.

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artigo dE rEvisão rEviEw articlE RESUMO O exercício é uma intervenção de baixo custo que pode promover saúde em vários aspectos e é capaz de reduzir a dor e outros sintomas da fibromialgia (FM). Nos últimos 20 anos, muitos ensaios clínicos sobre exercício para a FM foram publicados. Apesar dos erros metodológicos, há forte nível de evidência de que exercícios aeróbios supervisionados são eficazes na redução da dor, número de pontos dolorosos, qualidade de vida e depressão. Neste artigo de revisão, os ensaios clínicos de exercício no tratamento da FM são relatados e comentados, e orientações para a prescrição de exercícios foram apresentadas. Foram sugeridos que outros estudos sejam desenvolvidos para melhorar a prescrição de exercício para FM, assim como quais são as principais perguntas a serem respondidas e cuidados metodológicos a serem observados.Palavras-chave: fibromialgia, exercícios, atividade física. Benefícios dos Exercícios Físicos na Fibromialgia Benefits of Exercise in the Fibromyalgia AbStRActExercise is an inexpensive intervention that can improve health in several aspects and it can alleviate chronic pain and other symptoms in fibromyalgia (FM). In the last 20 years many trials have been published. In spite of methodological errors, the evidences strongly support a beneficial role for supervised aerobic exercise training toward reducing pain, number of tender point, quality of life and depression. In this review, the trials on exercise for the fibromyalgia treatment are described and orientations of exercise programs in FM patients are presented. Design and aims of further studies are suggested in order to improve exercise prescription to people with FM.Keywords: fibromyalgia, exercise, physical activity. intRODUÇÃOA síndrome da fibromialgia (FM) se caracteriza por dor crônica generalizada, distúrbio do sono e fadiga (1,2) . Estes pacientes, caracteristicamente exibem diminuição da aptidão cardiorrespiratória (3,4) . Há evidência de que a atividade física modula a dor em pacientes com FM. Um dos primeiros investigadores a observar relação entre dor e exercício foi Moldofsky (5) . Este estudo demonstrou que a privação do sono diminuia o limiar de dor em sedentá-rios, mas o mesmo não acontecia em indivíduos treinados. Apenas uma década mais tarde, ensaios clínicos foram publicados demonstrando que exercícios aeróbios diminuem a dor na FM (6) . A Tabela 1 sintetiza os resultados, desenhos, instrumentos e desfechos dos principais estudos sobre exercício na FM, desde 1988FM, desde até 2005 Nos últimos 20 anos, foram publicados 28 ensaios clínicos sobre exercício no tratamento da FM, incluindo aproximadamente 1500 pacientes. Desses, 12 avaliaram o condicionamento aeróbio (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)

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“…In studies combining multi method CBTs and exercises in FMS patients, improvements on pain (confirmed at follow up), disability and mood were shown (Keel et al, 1998;Lemstra et al, 2005). Basing on the literature and on the opinion of the experts, CBTs (together with exercise) are recommended in the global management of the patients with FMS by different sets of recommendations and guidelines (Burckhardt et al, 2005;Carville et al, 2008;Häuser et al, 2005).…”

Section: Multi Methods Cognitive Behavioural Therapiesmentioning

confidence: 99%

Mind Body Therapies in the Rehabilitation Program of Fibromyalgia Syndrome

Bongi¹,

Rosso²

2012

New Insights Into Fibromyalgia

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Comparison of Integrated Group Therapy and Group Relaxation Training for Fibromyalgia

Abstract: Psychological interventions in combination with physiotherapy can be effective in treating fibromyalgia patients, especially if applied early.

Cited by 146 publications

References 17 publications

Tailored cognitive–behavioral therapy and exercise training for high‐risk patients with fibromyalgia

Tailored cognitive–behavioral therapy and exercise training for high‐risk patients with fibromyalgia

Benefícios dos exercícios físicos na fibromialgia

Mind Body Therapies in the Rehabilitation Program of Fibromyalgia Syndrome

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