Comparison of integrated group therapy and group relaxation training for fibromyalgia.
OBJECTIVE
The efficacy of an integrated, psychological treatment program was tested in a controlled study involving 27 patients with chronic musculoskeletal pain (fibromyalgia).


METHODS
The experimental treatment program consisted of instruction in various self-help techniques (e.g., cognitive behavioral strategies, relaxation, physical exercises) as well as information on chronic pain. Control groups were instructed only in autogenic training. Measures of pain, daily activities, general symptoms, and psychological functioning were assessed before and after treatment, as well as at 4 months after termination of therapy (follow-up).


RESULTS
At the end of treatment, 7 patients from the experimental group and 2 from the control group showed significant clinical improvement in 3 of 6 parameters (NS). At follow-up, the improvement was still present in 5 experimental cases but in none of the controls (p = 0.024). Successful patients had been sick for a shorter period of time and were less impaired by their condition.


CONCLUSIONS
Psychological interventions in combination with physiotherapy can be effective in treating fibromyalgia patients, especially if applied early.
Keel
P J
PJ
University Psychiatric Outpatient Clinic, Basel, Switzerland.
Bodoky
C
C
Gerhard
U
U
Müller
W
W
D005260:Female; D005356:Fibromyalgia / Q000523:psychology / Q000628:therapy*; D006801:Humans; D007389:Internal-External Control; D008297:Male; D008875:Middle Aged; D010556:Personality Tests; D011581:Psychological Tests; D011615:Psychotherapy, Group; D012064:Relaxation Therapy; D012890:Sleep; D016896:Treatment Outcome