Differential efficacy of a cognitive - behavioral intervention versus pharmacological treatment in the management of fibromyalgic syndrome
Authors: García, Jorge1; Simón, Miguel1; Durán, Montserrat1; Canceller, Javier2; Aneiros, Francisco2
Source: Psychology, Health and Medicine, Volume 11, Number 4, November 2006 , pp. 498-506(9)
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Abstract:
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.Keywords: Antidepressant tricycle; fibromyalgia; psychological treatment; randomized controlled clinical trial; stress inoculation treatment
Document Type: Research article
DOI: 10.1080/13548500600745286
Affiliations: 1: Department of Psychology, University of A Coruña, Spain 2: Department of Anaesthetic, Critical Care and Pain Treatment, University Hospital Complex of Santiago de Compostela, Spain
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