[Psychotherapy in patients with fibromyalgia syndrome].
BACKGROUND
A guideline for the treatment and diagnostic procedures in fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.


METHODS
A systematic literature search including all controlled studies of evaluated multicomponent therapy was performed in the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/ 2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.


RESULTS
Cognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B).


CONCLUSIONS
Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.
Thieme
K
K
Institut für Neuropsychologie und Klinische Psychologie, Zentralinstitut für Seelische Gesundheit Mannheim, Universität Heidelberg , J5, 68159 Mannheim. thieme@zi-mannheim.de
Häuser
W
W
Batra
A
A
Bernardy
K
K
Felde
E
E
Gesmann
M
M
Illhardt
A
A
Settan
M
M
Wörz
R
R
Köllner
V
V
D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005858:Germany; D006801:Humans; D006990:Hypnosis; D011575:Psychoanalytic Therapy; D011613:Psychotherapy; D012064:Relaxation Therapy; D016896:Treatment Outcome