Psychotherapy in patients with fibromyalgia syndrome

被引:18
作者
Thieme, K. [1 ]
Haeuser, W. [2 ]
Batra, A. [3 ]
Bernardy, K. [4 ]
Felde, E. [5 ]
Gesmann, M. [6 ]
Illhardt, A. [7 ]
Settan, M. [5 ]
Woerz, R.
Koellner, V. [4 ]
机构
[1] Heidelberg Univ, Zent Inst Seel Gesundheit, Inst Neuropsychol & Klin Psychol, D-68159 Mannheim, Germany
[2] Klinikum Saarbrucken gGmbH, Zentrum Schmerztherapie, Saarbrucken, Germany
[3] Univ Klin Tubingen, Klin Psychiat & Psychoptherapie, Tubingen, Germany
[4] Univ Kliniken Saarlandes, Fachklin Psychosomat Med, MediClin Bliestal Kliniken & Med Fak, Blieskastel, Germany
[5] Deutsch Fibromyalgie Vereinigung, Seckach, Germany
[6] Kliniken Burggraben, Bad Salzuflen, Germany
[7] Abt Kinder & Jugendrheumatol, St Josef Stift, Sendenhorst, Germany
来源
SCHMERZ | 2008年 / 22卷 / 03期
关键词
fibromyalgia syndrome (FMS); guideline; systematic review; psychotherapy;
D O I
10.1007/s00482-008-0674-4
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background. A guideline for the treatment and diagnostic procedures in fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups. Methods. A systematic literature search including all controlled studies of evaluated multicomponent therapy was performed in the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/ 2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used. Results. Cognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B). Conclusions. Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.
引用
收藏
页码:295 / 302
页数:8
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