Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments

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Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments

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dc.contributor.author Thieme, Kati en_US
dc.contributor.author Flor, Herta en_US
dc.contributor.author Turk, Dennis C. en_US
dc.date.accessioned 2010-05-06T20:08:40Z
dc.date.available 2010-05-06T20:08:40Z
dc.date.issued 2006 en_US
dc.identifier.citation Thieme K, Flor H, Turk D. Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments. Arthritis Research and Therapy. 2006;8(4):R121. en_US
dc.identifier.other 10.1186/ar2010 en_US
dc.identifier.uri http://arthritis-research.com/content/8/4/R121 en_US
dc.identifier.uri http://hdl.handle.net/1773/15868
dc.description.abstract The present study focused on the evaluation of the effects of operant behavioural (OBT) and cognitive behavioural (CBT) treatments for fibromyalgia syndrome (FMS). One hundred and twenty-five patients who fulfilled the American College of Rheumatology criteria for FMS were randomly assigned to OBT (n = 43), CBT (n = 42), or an attention-placebo (AP) treatment (n = 40) that consisted of discussions of FMS-related problems. Assessments of physical functioning, pain, affective distress, and cognitive and behavioural variables were performed pretreatment and post-treatment as well as 6 and 12 months posttreatment. Patients receiving the OBT or CBT reported a significant reduction in pain intensity post-treatment (all Fs > 3.89, all Ps less than 0.01). In addition, the CBT group reported statistically significant improvements in cognitive (all Fs > 7.95, all P less than 0.01) and affective variables (all Fs graeater than 2.99, all Ps less than 0.02), and the OBT group demonstrated statistically significant improvements in physical functioning and behavioural variables (all Fs greater than 5.99, all Ps less than 0.001) compared with AP. The AP group reported no significant improvement but actually deterioration in the outcome variables. The post-treatment effects for the OBT and CBT groups were maintained at both the 6- and 12-month follow-ups. These results suggest that both OBT and CBT are effective in treating patients with FMS with some differences in the outcome measures specifically targeted by the individual treatments compared with an unstructured discussion group. The AP group showed that unstructured discussion of FMSrelated problems may be detrimental. en_US
dc.description.sponsorship Grants from the Deutsche Forschungsgemeinschaft to KT (Th 899-1/2 and 899-2/2) and HF (FL 156/26), the Max-Planck Award for International Cooperation to HF, and the National Institutes of Health/National Institute of Arthritis. en_US
dc.language.iso en_US en_US
dc.title Psychological pain treatment in fibromyalgia syndrome: efficacy of operant behavioural and cognitive behavioural treatments en_US
dc.type Article en_US


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