A review of multidisciplinary interventions for fibromyalgia patients: Where do we go from here?

Objectives: This paper reviews multidisciplinary treatment programs designed for people with fibromyalgia [FMS], identifies factors that may be associated with treatment efficacy, and makes recommendations for future FMS interventions. Findings: Most efficacious interventions included physical activity and cognitive-behavioral therapy. Recommendations for future research studies include: 1. the use of aerobic exercise and cognitive-behavioral therapy training in coping skills and relaxation; 2. individualized exercise training: 3. power analysis conducted a priori to determine appropriate sample size: 4. uniformity in outcome measurement and follow-up assessment; and 5. the use of randomized, controlled trials that can lead to stronger conclusions regarding treatment efficacy. Conclusions: Multidisciplinary treatment programs for FMS patients are generally effective. Researchers should continue to develop multi-disciplinary treatment interventions incorporating the above recommendations.