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Cognitive behavioral intervention versus pharmacological treatment in fibromyalgia





Psychol Health Med. 2006 Nov;11(4):498-506.


Differential efficacy of a cognitive - behavioral intervention versus pharmacological treatment in the management of fibromyalgic syndrome.


Garcia J, Simon MA, Duran M, Canceller J, Aneiros FJ. Department of Psychology, University of A Coruna, Spain.


Given that studies about the differential efficacy of existing treatments in fibromyalgia syndrome are scarce, the aim of this study was to compare the differential efficacy of a cognitive - behavioral and a pharmacological therapy on fibromyalgia. Using a randomized controlled clinical trial, 28 fibromyalgic patients were assigned to one of following experimental conditions: (a) pharmacological treatment (i.e., cyclobenzaprine), (b) cognitive - behavioral intervention (i.e., stress inoculation training), (c) combined pharmacological and cognitive - behavioral treatment and (d) no treatment. The results show the superiority of cognitive - behavioral intervention to reduce the severity of fibromyalgia both at the end of the treatment and at follow-up. We conclude that cognitive - behavioral interventions must be considered a primary treatment of fibromyalgia syndrome.


PMID: 17129925 [PubMed - in process]










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