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.
Links
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 S97-103MeSH
Activities of Daily LivingChronic 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 TrialComparative Study
Journal Article
Research Support, Non-U.S. Gov't
Language
eng
PubMed ID
22243556
Log In

