[Medium-term effects of a multimodal therapy on patients with fibromyalgia. Results of a controlled efficacy study].
OBJECTIVE
Fibromyalgia shows a chronic course of the disease in most cases. Multimodal therapy has short-term effects but only intensive forms of therapy attain long-term effects. As part of an inpatient rehabilitation program a multimodal pain treatment including cognitive-behavioral therapy was conducted in order to evaluate medium-term effects.


METHODS
The German pain questionnaire (DSF), the hospital anxiety and depression scale (HADS-D), the chronic pain questionnaire (FESV), the short form questionnaire on indicators of rehabilitation status (IRES-24) and the self-efficacy scale (ASES-D) were distributed to 166 fibromyalgia patients (intervention group n=116; control group n=50) before and after rehabilitation as well as 6 months after treatment.


RESULTS
The intervention group showed better results regarding symptoms (pain intensity, anxiety, depression), state of health (somatic health, psychological well-being, functioning in everyday life) and self-efficacy.


CONCLUSIONS
Based on the positive medium-term effects on functioning in everyday life and self-efficacy there is evidence that patients benefit from multimodal rehabilitation programs including integrative patient education.
Zentrum für Klinische Psychologie und Rehabilitation, Universität Bremen, Grazer Str. 6, 28359 Bremen, Deutschland. meilange@uni-bremen.de
M
M
Lange
B
B
Krohn-Grimberghe
F
F
Petermann
D000328:Adult; D000368:Aged; D015928:Cognitive Behavioral Therapy; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005260:Female; D005356:Fibromyalgia / Q000523:psychology / Q000534:rehabilitation*; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D006979:Hyperthermia, Induced; D008297:Male; D008875:Middle Aged; D009126:Muscle Relaxation; D009788:Occupational Therapy; D010147:Pain Measurement; D010343:Patient Admission; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D012047:Rehabilitation Centers; D011795:Surveys and Questionnaires; D016138:Walking
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