Long-term efficacy of therapy in patients with fibromyalgia:: A physical exercise-based program and a cognitive-behavioral approach

被引:147
作者
Redondo, JR
Justo, CM
Moraleda, FV
Velayos, YG
Puche, JJO
Zubero, JR
Hernández, TG
Ortells, LC
Pareja, MAV
机构
[1] Univ Madrid, Hosp Gregorio Maranon, Inst Prov Rehabil, Madrid 3, Spain
[2] Univ Nacl Educ Distancia, E-28040 Madrid, Spain
来源
ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH | 2004年 / 51卷 / 02期
关键词
Fibromyalgia; pain treatment; exercise treatment; cognitive-behavioral therapy; physical fitness;
D O I
10.1002/art.20252
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective. To analyze the long-term efficacy of 2 interventions for female fibromyalgia (FM) patients: 1) cognitive-behavioral therapy (CBT), and 2) a physical exercise (PE)-based strategy. Methods. We conducted a prospective, long-term, randomized, parallel clinical trial. The outcome variables are physical activity, aerobic capacity, and results of the Fibromyalgia Impact Questionnaire (FIQ), Short Form 36, Beck Anxiety and Depression Inventory, Chronic Pain Self-Efficacy Scale, and Chronic Pain Coping Inventory. All were measured at baseline, posttreatment, 6 months, and 1 year. The duration of both treatments was 8 weeks. Results. Some items of the FIQ and some strategies to cope with pain improved significantly in both groups after treatment. All variables measuring functional capacity improved significantly in the PE group, whereas only physical activity of the vertebral column improved in the CBT group. There were no differences in anxiety, depression, and self efficacy after treatment in either group. After 1 year of followup, most of the parameters had returned to baseline values in both groups. However, in the PE group, functional capacity remained significantly better. Conclusions. PE and CBT improve clinical manifestations in FM patients only for short periods of time. Improvement in self efficacy and physical fitness are not associated with improvement in clinical manifestations.
引用
收藏
页码:184 / 192
页数:9
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