title: Relationship between changes in coping and treatment outcome in patients with Fibromyalgia Syndrome.
abstract: The present study utilized a sample of 198 individuals with Fibromyalgia Syndrome (FMS) to examine the association between treatment process variables (beliefs, coping strategies) and treatment outcomes (pain severity, activity level, emotional distress and life interference) related to a 4-week multidisciplinary fibromyalgia treatment program. Multiple regression analyses were utilized to evaluate these relationships pretreatment to posttreatment as well as from pretreatment to 3- and 6-month follow-ups. The results indicated that outcomes were most closely related to: (1) an increased sense of control over pain, (2) a belief that one is not necessarily disabled by FM, (3) a belief that pain is not necessarily a sign of damage, (4) decreased guarding, (5) increased use of exercise, (6) seeking support from others, (7) activity pacing and (8) use of coping self-statements. These findings are consistent with a cognitive-behavioural model of fibromyalgia, and suggest targets for therapeutic change.
authors.affiliation: Department of Medicine (Division of Rheumatology), University of Western Ontario, London, Ont. Canada, N6A 5A5 Beryl and Richard Ivey Rheumatology Day Programs, St Joseph's Health Care London, Ont. Canada, N6A 4V2 Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, WA 98195-6490, USA Multidisciplinary Pain Center, University of Washington Medical Center-Roosevelt, 4245 Roosevelt Way, Northeast Seattle, WA 98105-6920, USA.
authors.forename: Warren R
authors.initials: WR
authors.lastname: Nielson
authors.forename: Mark P
authors.initials: MP
authors.lastname: Jensen
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003863:Depression / Q000209:etiology / Q000523:psychology; D005260:Female; D005356:Fibromyalgia / Q000523:psychology* / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000503:physiopathology*; D009864:Ontario; D010043:Outcome and Process Assessment, Health Care; D010146:Pain / Q000523:psychology*; D059408:Pain Management; D010147:Pain Measurement; D016896:Treatment Outcome