title: Effectiveness of Occupational Therapy Interventions for Adults With Fibromyalgia: A Systematic Review.
abstract: This systematic review addresses the effectiveness of occupational therapy-related interventions for adults with fibromyalgia.
  
  
  
  We examined the literature published between January 2000 and June 2014. A total of 322 abstracts from five databases were reviewed. Forty-two Level I studies met the inclusion criteria. Studies were evaluated primarily with regard to the following outcomes: daily activities, pain, depressive symptoms, fatigue, and sleep.
  
  
  
  Strong evidence was found for interventions categorized for this review as cognitive-behavioral interventions; relaxation and stress management; emotional disclosure; physical activity; and multidisciplinary interventions for improving daily living, pain, depressive symptoms, and fatigue. There was limited to no evidence for self-management, and few interventions resulted in better sleep.
  
  
  
  Although the evidence supports interventions within the scope of occupational therapy practice for people with fibromyalgia, few interventions were occupation based.
authors.affiliation: Janet L. Poole, PhD, OTR/L, FAOTA, is Professor and Program Director, Occupational Therapy Graduate Program, University of New Mexico, Albuquerque; jpoole@salud.unm.edu.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Poole
authors.affiliation: Patricia Siegel, OTD, OTR/L, CHT, is Lecturer II, Occupational Therapy Graduate Program, University of New Mexico, Albuquerque.
authors.forename: Patricia
authors.initials: P
authors.lastname: Siegel
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D015928:Cognitive Behavioral Therapy; D003863:Depression; D030881:Disclosure; D004644:Emotions; D005081:Exercise Therapy; D005221:Fatigue; D005356:Fibromyalgia / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D006801:Humans; D009788:Occupational Therapy / Q000379:methods*; D010353:Patient Education as Topic; D012064:Relaxation Therapy; D055070:Resistance Training; D012648:Self Care; D012890:Sleep; D013315:Stress, Psychological / Q000523:psychology / Q000628:therapy; D016896:Treatment Outcome