title: Effectiveness of multidisciplinary therapy on symptomatology and quality of life in women with fibromyalgia.
abstract: OBJECTIVE
  To study the effects of a 3-month multidisciplinary intervention based on exercise and psychological therapy on symptomatology and quality of life in women with fibromyalgia.
  
  
  METHODS
  Seventy-five women with fibromyalgia volunteered to participate and were allocated to a 3-month (3-times/week) multidisciplinary (pool, land-based and psychological session based on the Acceptance and Commitment Therapy) intervention (n=41), or to a usual care group (n=34). Sixty-five women with fibromyalgia completed the study protocol (n=33 multidisciplinary intervention, aged 51.4±7.4 years and n=32 usual care group, aged 50.0±7.3 years). The outcomes variables were Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey 36 (SF-36), Hospital Anxiety and Depression Scale, Vanderbilt Pain Management Inventory and Rosenberg Self-Esteem Scale.
  
  
  RESULTS
  We observed a significant interaction effect (group*time) for the FIQ total score, the subscales fatigue, stiffness, anxiety and depression, and the subscales of SF-36 physical role, bodily pain, vitality and social functioning. Post-hoc analysis revealed significant improvements in total score of FIQ (p<0.001), fatigue (p=0.001), stiffness (p<0.001), anxiety (p=0.011), depression (p=0.008), physical role (p=0.002), bodily pain (p<0.001), vitality (p<0.001) and social functioning (p<0.001) in the intervention group, whereas in the control group, there was a significant worsening in the subscale depression (p=0.006) and social functioning (p=0.019).
  
  
  CONCLUSIONS
  A 3-month low-moderate intensity multidisciplinary intervention improved fibromyalgia symptomatology and quality of life in women with fibromyalgia.
authors.affiliation: Department of Physical Education and Sport, University of Granada, Granada, Spain. anellba@ugr.es
authors.forename: A
authors.initials: A
authors.lastname: Carbonell-Baeza
authors.forename: V A
authors.initials: VA
authors.lastname: Aparicio
authors.forename: P
authors.initials: P
authors.lastname: Chillón
authors.forename: P
authors.initials: P
authors.lastname: Femia
authors.forename: M
authors.initials: M
authors.lastname: Delgado-Fernandez
authors.forename: J R
authors.initials: JR
authors.lastname: Ruiz
mesh_terms: D000203:Activities of Daily Living; D059350:Chronic Pain / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D006304:Health Status; D006801:Humans; D006930:Hyperalgesia / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology; D007596:Joints / Q000473:pathology / Q000503:physiopathology; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D018710:Pain Clinics; D059408:Pain Management; D010173:Palpation; D011613:Psychotherapy / Q000379:methods*; D011788:Quality of Life; D012649:Self Concept; D011795:Surveys and Questionnaires; D013577:Syndrome