Evaluation of the Interdisciplinary PSYMEPHY Treatment on Patients with Fibromyalgia: A Randomized Control Trial

Martín, Josune; Torre, F.; Aguirre, Urko; González, Nerea; Padierna, Ángel; Matellanes, Begoña; Quintana, José M.

doi:10.1111/pme.12375

Cited by 28 publications

(24 citation statements)

References 40 publications

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“…There is a benefit associated with the intervention because the scores in the FIQR subscale for symptoms revealed a global decrease in intensity, specifically pointing to significant differences in anxiety and pain items. Other studies showed similar findings of patient improvement after conducting different types of physical exercises [ 30 – 32 ]. However, the progress observed in our study cannot be attributed to physical exercise in the forest, given that all participants performed the same activity.…”

Section: Discussionsupporting

confidence: 61%

Sense of Well-Being in Patients with Fibromyalgia: Aerobic Exercise Program in a Mature Forest—A Pilot Study

López-Pousa

Pagès

Monserrat

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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Background and Objective. Most patients with fibromyalgia benefit from different forms of physical exercise. Studies show that exercise can help restore the body's neurochemical balance and that it triggers a positive emotional state. So, regular exercise can help reduce anxiety, stress, and depression. The aim of this study was to analyze the benefits of moderate aerobic exercise when walking in two types of forests, young and mature, and to assess anxiety, sleep, pain, and well-being in patients with fibromyalgia. Secondary objectives included assessing (i) whether there were differences in temperature, sound, and moisture, (ii) whether there was an improvement in emotional control, and (iii) whether there was an improvement in health (reduction in pain) and in physical and mental relaxation. Patients and Methods. A study involving walking through two types of forests (mature and young) was performed. A total of 30 patients were randomly assigned to two groups, mature and young forests. The participants were administered the following tests: the Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR) at baseline and the end-point of the study, the State-Trait Anxiety Inventory (STAI) after each walk, and a series of questions regarding symptomatic evolution. Several physiological parameters were registered. Results. FIQR baseline and end-point scores indicated a significant decrease in the symptomatic subscale of the FIQ (SD = 21.7; z = −2.4; p = 0.041). The within-group analysis revealed that differences were significant with respect to days of intense pain, insomnia, and days of well-being only in the group assigned to the mature forest, not in the group assigned to the young forest. No differences were found with respect to anxiety. Conclusions. Although the main aim of this research was not achieved, as the results revealed no differences between the groups in the two forest types, authors could confirm that an aerobic exercise program consisting of walking through a mature forest can provide the subjective perception of having less days of pain and insomnia and more days of wellness, in patients with fibromyalgia.

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Section: Discussionsupporting

confidence: 61%

Sense of Well-Being in Patients with Fibromyalgia: Aerobic Exercise Program in a Mature Forest—A Pilot Study

López-Pousa

Pagès

Monserrat

et al. 2015

Evidence-Based Complementary and Alternative Medicine

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“…Subjects in the FMS sample scored an average of 88.38 (SEM 2.72) on the FIQ (data summarized in Table 1 ), which was slightly above the reported values of ca. 76 by studies in this geographic area [ 61 – 62 ]. Ongoing pain intensity was 8.89 (SEM .98) on the VAS, and scores on the Brief Pain Inventory averaged 7.39 (SEM .37), which can be considered as indicative of severe clinical pain with high interference with daily function.…”

Section: Resultsmentioning

confidence: 99%

Embodied pain in fibromyalgia: Disturbed somatorepresentations and increased plasticity of the body schema

et al. 2018

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Fibromyalgia syndrome (FMS) is a highly prevalent, chronic musculoskeletal condition characterized by widespread pain and evoked pain at tender points. This study evaluated various aspects of body awareness in a sample of 14 women with FMS and 13 healthy controls, such as plasticity of the body schema, body esteem, and interoceptive awareness. To this end, the Rubber Hand Illusion (RHI), the Body Esteem Scale (BES), and the Body Perception Questionnaire (BPQ) were used, respectively. Consistent with increased plasticity of the body schema, FMS patients scored higher, with large or very large effect sizes, across all three domains evaluated in the RHI paradigm, namely proprioceptive drift and perceived ownership and motor control over the rubber hand. Scores on all items addressed by the BES were consistently lower among FMS subjects (2.52, SEM .19 vs 3.89, SEM .16, respectively, p < .01, Cohen’s d = .38-.66). In the FMS sample, BES scores assigned to most painful regions also were lower than those assigned to the remaining body sites (1.58, SEM .19 vs 2.87, SEM .18, respectively, p < .01). Significantly higher scores (p < .01, Cohen’s d = .51-.87) were found in the FMS sample across awareness (3.57 SEM .15 vs 1.87 SEM .11), stress response (3.76 SEM .11 vs 1.78 SEM .11), autonomic nervous system reactivity (2.59 SEM .17 vs 1.35 SEM .07), and stress style 2 (2.73 SEM .27 vs 1.13 SEM .04) subscales of the BPQ. Intensity of ongoing clinical pain was found to be strongly correlated with interoceptive awareness (r = .75, p = .002). The results suggest a disturbed embodiment in FMS, characterized by instability of the body schema, negatively biased cognitions regarding one’s own body, and increased vigilance to internal bodily cues. These manifestations may be interpreted as related with the inability of incoming sensory inputs to adequately update negatively biased off-line somatorepresentations stored as long-term memory.

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“…Several studies have shown the existence of a relationship and reciprocal influence between sleep disorders and the pain threshold increased widespread pain, more fatigue, and negative mood . Research has shown the efficacy of psychological treatments improving several clinical manifestations of pain . Several intervention programs have been developed for the simultaneous treatment for insomnia and pain, and these have shown positive results in sleep quality, pain interference, fatigue, and depression .…”

Section: Introductionmentioning

confidence: 99%

Gender Differences in Patients with Fibromyalgia Undergoing Cognitive‐Behavioral Therapy for Insomnia: Preliminary Data

et al. 2016

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Evaluation of the Interdisciplinary PSYMEPHY Treatment on Patients with Fibromyalgia: A Randomized Control Trial

Cited by 28 publications

References 40 publications

Sense of Well-Being in Patients with Fibromyalgia: Aerobic Exercise Program in a Mature Forest—A Pilot Study

Sense of Well-Being in Patients with Fibromyalgia: Aerobic Exercise Program in a Mature Forest—A Pilot Study

Embodied pain in fibromyalgia: Disturbed somatorepresentations and increased plasticity of the body schema

Gender Differences in Patients with Fibromyalgia Undergoing Cognitive‐Behavioral Therapy for Insomnia: Preliminary Data

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