Tailored cognitive-behavioral therapy for fibromyalgia: Two case studies

Koulil, Saskia van; Lankveld, W.G.J.M. van; Kraaimaat, Floris W.; Helmond, T. van; Vedder, A.; Hoorn, H. van; Cats, H.; Riel, P.L.C.M. van; Evers, Andrea W M

doi:10.1016/j.pec.2007.11.025

Cited by 30 publications

(28 citation statements)

References 49 publications

(52 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients with FM were referred by their rheumatologists from 6 regional hospitals in the area of Nijmegen, The Netherlands. To ensure a relatively early intervention (6,25,26), the inclusion criterion was a relatively recent diagnosis of FM (diagnosis Ͻ5 years previously by the American College of Rheumatology criteria [1]). Exclusion criteria were age Ͻ18 years, severe physical and psychological comorbidity that might interfere with the study protocol, FM secondary to another rheumatic condition, pregnancy, illiteracy and difficulty/ inability to communicate in Dutch, participation in other clinical trials, and current psychological treatments.…”

Section: Methodsmentioning

confidence: 99%

“…In both the pain-avoidance and pain-persistence treatments, the patients received consolidating homework assignments (e.g., performing exercises at home, working on the individual goals, reading texts) supporting the CBT and exercise sessions, which took ϳ1.5 hours a day. The booster session focused on relapse prevention and a further improvement of the attained goals (for a more detailed treatment description, see the article by van Koulil et al [25]). …”

Section: Tailored Treatmentmentioning

confidence: 99%

“…All of the therapists were experienced in CBT for rheumatologic conditions, including FM, and were specifically trained in our tailored multidisciplinary treatment using an elaborated written manual (25) and regular supervision throughout the trial by senior cognitive-behavioral therapists. Additionally, an independent judge experienced with the treatment protocol performed an integrity check of a random sample of 5% of all audio-recorded CBT sessions.…”

Section: Tailored Treatmentmentioning

confidence: 99%

See 2 more Smart Citations

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

Koulil¹,

Lankveld²,

Kraaimaat³

et al. 2010

Arthritis Care & Research

127

101

View full text Add to dashboard Cite

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.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Tailored Treatmentmentioning

confidence: 99%

Section: Tailored Treatmentmentioning

confidence: 99%

See 1 more Smart Citation

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

Koulil¹,

Lankveld²,

Kraaimaat³

et al. 2010

Arthritis Care & Research

127

101

View full text Add to dashboard Cite

show abstract

“…for fibromyalgia was found to reduce pain symptoms in this study. The effect size was determined to be large, which was unexpected given that both reviews of CBT for fibromyalgia were skeptical of any effect CBT might have on pain (Bennett & Nelson, 2006;van Koulil et al, 2008). This review offers new evidence that CBT may reduce pain in people with fibromyalgia.…”

Section: Descriptive Resultsmentioning

confidence: 99%

“…A group of researchers from the Netherlands utilized a case study design to better understand the effects of customizing treatment for different groups of patients (van Koulil et al, 2008). They differentiated between patients with fibromyalgia based on two patterns of psychosocial and behavioral responses to pain: the pain-avoidant pattern and the pain-persistence pattern.…”

mentioning

confidence: 99%

Cognitive behavior therapy for fibromyalgia: a meta analysis

Gritzner

Antick

Michael

et al. 2012

The Journal of Pain

View full text Add to dashboard Cite

Cognitive–behavioral mechanisms in a pain‐avoidance and a pain‐persistence treatment for high‐risk fibromyalgia patients

Koulil

Kraaimaat

Lankveld

et al. 2011

Arthritis Care & Research

Self Cite

View full text Add to dashboard Cite

Objective. The heterogeneity of cognitive-behavioral patterns in patients with fibromyalgia (FM) has been proposed to underlie the variability in treatment outcomes. It has previously been shown that pain-avoidance and pain-persistence treatments tailored to the patient's pattern are effective in improving physical and psychological functioning and overall impact in high-risk patients with heigthened psychological distress. In the present study, the cognitive-behavioral effects of these treatments were evaluated to provide insight into the main proposed mechanisms, specifically pain-avoidance behaviors and activity pacing in the pain-avoidance and pain-persistence treatments, respectively. Methods. High-risk FM patients were classified into 2 groups, pain avoidance and pain persistence, and randomized in groups to the relevant treatment or waiting-list control condition. The pain-avoidance and pain-persistence treatments both comprised 16 twice-weekly sessions of cognitive-behavioral therapy and exercise training. Cognitive-behavioral factors assessed at pre-and posttreatment and 6 months of followup were evaluated using linear mixed models. Results. A significant treatment effect was found for pain-avoidance behavior in the pain-avoidance treatment and for activity pacing in the pain-persistence treatment, showing improvements in the treatment condition relative to the controls. Furthermore, the effect on functioning was mediated by changes in pain-avoidance behavior in the painavoidance treatment and by changes in activity pacing in the pain-persistence treatment. Both treatments also showed significant improvements in other relevant cognitive-behavioral factors. Conclusion. Both the pain-avoidance and pain-persistence treatments are effective in improving cognitive-behavioral factors in high-risk FM patients. Pain-avoidance behavior and activity pacing might be important mediating mechanisms for beneficial outcomes in pain-avoidance and pain-persistence treatments, respectively.

show abstract

Tailored cognitive-behavioral therapy for fibromyalgia: Two case studies

Cited by 30 publications

References 49 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

Cognitive behavior therapy for fibromyalgia: a meta analysis

Cognitive–behavioral mechanisms in a pain‐avoidance and a pain‐persistence treatment for high‐risk fibromyalgia patients

Contact Info

Product

Resources

About