title: Six-and 12-month follow-up of an interdisciplinary fibromyalgia treatment programme: results of a randomised trial.
abstract: OBJECTIVE
  To assess the efficacy of a 6-week interdisciplinary treatment that combines coordinated psychological, medical, educational, and physiotherapeutic components (PSYMEPHY) over time compared to standard pharmacologic care.
  
  
  METHODS
  Randomised controlled trial with follow-up at 6 months for the PSYMEPHY and control groups and 12 months for the PSYMEPHY group. Participants were 153 outpatients with FM recruited from a hospital pain management unit. Patients randomly allocated to the control group (CG) received standard pharmacologic therapy. The experimental group (EG) received an interdisciplinary treatment (12 sessions). The main outcome was changes in quality of life, and secondary outcomes were pain, physical function, anxiety, depression, use of pain coping strategies, and satisfaction with treatment as measured by the Fibromyalgia Impact Questionnaire, the Hospital Anxiety and Depression Scale, the Coping with Chronic Pain Questionnaire, and a question regarding satisfaction with the treatment.
  
  
  RESULTS
  Six months after the intervention, significant improvements in quality of life (p=0.04), physical function (p=0.01), and pain (p=0.03) were seen in the PSYMEPHY group (n=54) compared with controls (n=56). Patients receiving the intervention reported greater satisfaction with treatment. Twelve months after the intervention, patients in the PSYMEPHY group (n=58) maintained statistically significant improvements in quality of life, physical functioning, pain, and symptoms of anxiety and depression, and were less likely to use maladaptive passive coping strategies compared to baseline.
  
  
  CONCLUSIONS
  An interdisciplinary treatment for FM was associated with improvements in quality of life, pain, physical function, anxiety and depression, and pain coping strategies up to 12 months after the intervention.
authors.affiliation: Research Unit, Hospital Galdakao-Usansolo, Bizkaia, Spain. josune.martincorral@osakidetza.net
authors.forename: Josune
authors.initials: J
authors.lastname: Martín
authors.forename: Fernando
authors.initials: F
authors.lastname: Torre
authors.forename: Angel
authors.initials: A
authors.lastname: Padierna
authors.forename: Urko
authors.initials: U
authors.lastname: Aguirre
authors.forename: Nerea
authors.initials: N
authors.lastname: González
authors.forename: Susana
authors.initials: S
authors.lastname: García
authors.forename: Begoña
authors.initials: B
authors.lastname: Matellanes
authors.forename: José M
authors.initials: JM
authors.lastname: Quintana
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000553:Ambulatory Care; D001007:Anxiety / Q000209:etiology; D016009:Chi-Square Distribution; D059350:Chronic Pain / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D003299:Cooperative Behavior; D003863:Depression / Q000209:etiology; D005260:Female; D005356:Fibromyalgia / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018710:Pain Clinics; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010348:Patient Care Team; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D013030:Spain; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome