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Effectiveness of multidisciplinary therapy on symptomatology and quality of life in women with fibromyalgia.

Abstract

OBJECTIVES
To study the effects of a 3-month multidisciplinary intervention based on exercise and psychological therapy on symptomatology and quality of life in women with fibromyalgia.
METHODS
Seventy-five women with fibromyalgia volunteered to participate and were allocated to a 3-month (3-times/week) multidisciplinary (pool, land-based and psychological session based on the Acceptance and Commitment Therapy) intervention (n=41), or to a usual care group (n=34). Sixty-five women with fibromyalgia completed the study protocol (n=33 multidisciplinary intervention, aged 51.4±7.4 years and n=32 usual care group, aged 50.0±7.3 years). The outcomes variables were Fibromyalgia Impact Questionnaire (FIQ), Short Form Health Survey 36 (SF-36), Hospital Anxiety and Depression Scale, Vanderbilt Pain Management Inventory and Rosenberg Self-Esteem Scale.
RESULTS
We observed a significant interaction effect (group*time) for the FIQ total score, the subscales fatigue, stiffness, anxiety and depression, and the subscales of SF-36 physical role, bodily pain, vitality and social functioning. Post-hoc analysis revealed significant improvements in total score of FIQ (p<0.001), fatigue (p=0.001), stiffness (p<0.001), anxiety (p=0.011), depression (p=0.008), physical role (p=0.002), bodily pain (p<0.001), vitality (p<0.001) and social functioning (p<0.001) in the intervention group, whereas in the control group, there was a significant worsening in the subscale depression (p=0.006) and social functioning (p=0.019).
CONCLUSIONS
A 3-month low-moderate intensity multidisciplinary intervention improved fibromyalgia symptomatology and quality of life in women with fibromyalgia.

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  • Publisher Full Text
  • Authors

    Carbonell-Baeza A, Aparicio VA, Chillón P, Femia P, Delgado-Fernandez M, Ruiz JR

    Institution

    Department of Physical Education and Sport, University of Granada, Granada, Spain. anellba@ugr.es

    Source

    Clinical and experimental rheumatology 29:6 Suppl 69 pg S97-103

    MeSH

    Activities of Daily Living
    Chronic Pain
    Combined Modality Therapy
    Exercise Therapy
    Female
    Fibromyalgia
    Health Status
    Humans
    Hyperalgesia
    Joints
    Middle Aged
    Outcome Assessment (Health Care)
    Pain Clinics
    Pain Management
    Palpation
    Psychotherapy
    Quality of Life
    Questionnaires
    Self Concept
    Syndrome

    Pub Type(s)

    Clinical Trial
    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    22243556