title: Evaluation of the interdisciplinary PSYMEPHY treatment on patients with fibromyalgia: a randomized control trial.
abstract: OBJECTIVE
  Fibromyalgia (FM) is a chronic disorder that can have a devastating effect on patients' lives. This study assessed the efficacy of a 6-week interdisciplinary treatment that combines coordinated PSYchological, Medical, Educational, and PHYsiotherapeutic interventions (PSYMEPHY) compared with standard pharmacologic care.
  
  
  METHODS
  The study was a randomized controlled trial (54 participants in the PSYMEPHY group and 56 in the control group [CG] ) with follow-up at 6 months. PSYMEPHY patients were also assessed at 12 months. The main outcomes were changes in total Fibromyalgia Impact Questionnaire (FIQ) score, pain, fatigue, morning tiredness, anxiety, and use of pain coping strategies as measured by the FIQ, the visual analog scale, and the Coping with Chronic Pain Questionnaire. After the 6-month assessment, patients in the CG were offered the PSYMEPHY treatment, and completed all of the instruments immediately after treatment, and at 6- and 12-month follow-up visits (N = 93).
  
  
  METHODS
  Subjects received therapy at two different outpatient clinical locations.
  
  
  METHODS
  Fibromyalgia patients.
  
  
  RESULTS
  Six months after the intervention, significant improvements in total FIQ score (P = 0.04), and pain (P = 0.03) were seen in the PSYMEPHY group compared with controls. Twelve months after the intervention, all patients in the PSYMEPHY group maintained statistically significant improvements in total FIQ score, and pain, and showed an improvement in fatigue, rested, anxiety, and current pain compared with baseline. Data from the control patients who underwent the PSYMEPHY intervention corroborated the initial results.
  
  
  CONCLUSIONS
  This study highlights the beneficial effects of an interdisciplinary treatment for FM patients in a hospital pain management unit. A 6-week interdisciplinary intervention showed significant improvement in key domains of fibromyalgia, as quality of life, pain, fatigue, rested, and anxiety at 12 months.
authors.affiliation: Research Unit, Galdakao-Usansolo Hospital, Galdakao, Bizkaia, Spain.
authors.forename: Josune
authors.initials: J
authors.lastname: Martín
authors.forename: Fernando
authors.initials: F
authors.lastname: Torre
authors.forename: Urko
authors.initials: U
authors.lastname: Aguirre
authors.forename: Nerea
authors.initials: N
authors.lastname: González
authors.forename: Angel
authors.initials: A
authors.lastname: Padierna
authors.forename: Begoña
authors.initials: B
authors.lastname: Matellanes
authors.forename: José Ma
authors.initials: JM
authors.lastname: Quintana
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000701:Analgesics, Opioid / Q000627:therapeutic use*; D000929:Antidepressive Agents, Tricyclic / Q000627:therapeutic use*; D001007:Anxiety / Q000628:therapy; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D003131:Combined Modality Therapy; D005221:Fatigue / Q000628:therapy; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement; D010353:Patient Education as Topic / Q000379:methods*; D026741:Physical Therapy Modalities; D016896:Treatment Outcome
chemical_list: D000700:Analgesics; D000701:Analgesics, Opioid; D000929:Antidepressive Agents, Tricyclic
keywords: Fibromyalgia; Interdisciplinary Treatment; Randomized Trial