title: Effectiveness of Three Types of Interventions in Patients with Fibromyalgia in a Region of Southern Catalonia.
abstract: Several pharmacological and nonpharmacological treatments can be used to alleviate the symptoms of fibromyalgia, although none of them are completely effective at present. In this study, we analyzed the effectiveness of different therapies in three groups of people diagnosed with fibromyalgia. The sample for this randomized controlled trial was made up of 66 people diagnosed with fibromyalgia in southern Catalonia. In turn, this sample was divided into three groups of 22 participants each, who were treated with: i) cervical infiltration with botulinum toxin, ii) group problem-solving therapy, or iii) both therapies. The variables recorded were quality of life, suicidal thoughts, perception of pain, quality of sleep, and satisfaction. Female patients composed 96.9% (n = 64) of the study sample. Satisfaction with the infiltration was 5.1 ± 2.7 points, while in group problem-solving therapy it was 6.6 ± 3.2. Self-perceived health in the infiltration group (p = .016) and the therapy group (p = .001) improved after the intervention took place. The risk of suicide decreased in the both treatments/groups (p = .049). Pain was reduced by 31.8% with infiltration, 13.6% with therapy, and 22.7% with both treatments. Anxiety/depression decreased by 45% with therapy, 36.3% with infiltration, and 36.3% with both treatments. The results also showed that the use of both treatments significantly reduces suicidal thoughts (p = .049). In conclusion, this study showed the complexity of reducing chronic pain and increasing the quality of life of people with fibromyalgia.
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain. Electronic address: mariapilar.monteso@urv.cat.
authors.forename: Pilar
authors.initials: P
authors.lastname: Montesó-Curto
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Montserrat
authors.initials: M
authors.lastname: García-Martínez
authors.affiliation: Department of Anesthesiology, Hospital Verge de la Cinta, Tortosa, Tarragona, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Gómez-Martínez
authors.affiliation: Department of Anesthesiology, Hospital Verge de la Cinta, Tortosa, Tarragona, Spain.
authors.forename: Sandra
authors.initials: S
authors.lastname: Ferré-Almo
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Panisello-Chavarria
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Sara Romaguera
authors.initials: SR
authors.lastname: Genís
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Mateu Gil
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Cubí Guillén
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Lidia Sarrió
authors.initials: LS
authors.lastname: Colás
authors.affiliation: Pathology Department, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, Spain.
authors.forename: Teresa Salvadó
authors.initials: TS
authors.lastname: Usach
authors.affiliation: Pathology Department, Hospital de Tortosa Verge de la Cinta, Tortosa, Tarragona, Spain.
authors.forename: Antonio Sánchez
authors.initials: AS
authors.lastname: Herrero
authors.affiliation: Faculty of Nursing, Rovira i Virgili University, Campus Terres de l'Ebre, Tortosa, Tarragona, Spain.
authors.forename: Carme
authors.initials: C
authors.lastname: Ferré-Grau
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D003131:Combined Modality Therapy; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D007273:Injections, Intramuscular; D008297:Male; D008875:Middle Aged; D009333:Neck; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D010147:Pain Measurement; D017060:Patient Satisfaction; D011340:Problem Solving; D011615:Psychotherapy, Group / Q000379:methods*; D011788:Quality of Life; D012890:Sleep; D013030:Spain; D055815:Young Adult
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A