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

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 p...

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Published in:	Arthritis and rheumatism Vol. 51; no. 2; pp. 184 - 192
Main Authors:	Redondo, Javier Rivera, Justo, Carmen Moratalla, Moraleda, Francisca Valdepeñas, Velayos, Yolanda García, Puche, José Juan Osés, Zubero, Julio Ruiz, Hernández, Teresa González, Ortells, Loreto Carmona, Pareja, Miguel Ángel Vallejo
Format:	Journal Article
Language:	English
Published:	Hoboken Wiley Subscription Services, Inc., A Wiley Company 15-04-2004 Lippincott Williams and Wilkins
Subjects:	Biological and medical sciences Cognitive Therapy Cognitive‐behavioral therapy Diseases of the osteoarticular system Exercise Exercise Therapy Exercise treatment Female Fibromyalgia Fibromyalgia - psychology Fibromyalgia - therapy Humans Medical sciences Mental Status Schedule Pain treatment Physical Fitness Prospective Studies Self Efficacy Surveys and Questionnaires Treatment Outcome Physical exercise Human Program Diseases of the osteoarticular system Rheumatology Fibromyalgia Cognitive-behavioral therapy Long term Striated muscle disease Chronic Physical fitness Pain Treatment Pain treatment Exercise treatment Surgical approach
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Summary:	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.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Feature-1 ObjectType-News-3 content type line 23
ISSN:	0004-3591 0893-7524 1529-0131 1529-0123
DOI:	10.1002/art.20252