title: Differential efficacy of a cognitive-behavioral intervention versus pharmacological treatment in the management of fibromyalgic syndrome.
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.
authors.affiliation: Department of Psychology, University of A Coruña, and Department of Anaesthetic, Critical Care and Pain Treatment, University Hospital Complex of Santiago de Compostela, Spain.
authors.forename: Jorge
authors.initials: J
authors.lastname: García
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Simón
authors.forename: Montserrat
authors.initials: M
authors.lastname: Durán
authors.forename: Javier
authors.initials: J
authors.lastname: Canceller
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Aneiros
mesh_terms: D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D005260:Female; D005356:Fibromyalgia / Q000188:drug therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013030:Spain; D016896:Treatment Outcome