Ann Rheum Dis. 2006 Aug 17;

A Review of cognitive behaviour therapies and exercise programmes for fibromyalgia patients: State of the art and future directions.

Koulil SV, Effting M, Kraaimaat FW, Lankveld WV, Helmond TV, Cats H, van Riel P, de Jong A, Haverman J, Evers A. Radboud University Nijmegen Medical Centre, Netherlands.

This review provides an overview of the effects of non- pharmacological treatments for patients with fibromyalgia (FM), including cognitive behaviour therapy, exercise training programmes or a combination of the two. After summarizing and discussing preliminary evidence of the rationale of non-pharmacological treatment in FM, we will review and examine controlled trials for possible predictors of treatment success such as patient and treatment characteristics. Despite support for their suitability in FM, the effects of non- pharmacological interventions are limited and positive outcomes largely disappear in the long term. However, within the various FM populations treatment outcomes showed considerable individual variations. In particular, specific subgroups of patients characterized by relatively high levels of psychological distress seem to benefit most from non-pharmacological interventions. Preliminary evidence of retrospective treatment analyses suggest that the efficacy may be enhanced by offering tailored treatment approaches in an early stage to patients who are at risk of developing chronic physical and psychological impairments.

PMID: 16916856 [PubMed - as supplied by publisher]

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