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Improving physical functional status in patients with fibromyalgia.

15 Aug
.In randomized, controlled clinical trials at Georgetown University’s Department of Psychiatry, a research team led by D.A. Williams assigned 145 patients with fibromyalgia to either (1) standard medical care that included pharmacological management of symptoms and suggestions for aerobic fitness, or (2) the same standard medical treatment plus 6 sessions of Cognitive-Behavioral treatment aimed at improving physical functioning.

Twenty-five percent of the patients receiving CBT were able to achieve clinically meaningful levels of longterm improvement in physical functioning, whereas only 12% of the patients receiving standard care achieved the same level of improvement. There were no lasting differences on pain ratings between groups.
The study concludes that lasting improvements in physical functioning have been among the most difficult outcomes to obtain in studies of FM. These data suggest that the inclusion of CBT to a standard medical regimen for FM can favorably influence physical functioning in a subset of patients.

For more details, email principle investigator This email address is being protected from spambots. You need JavaScript enabled to view it. .

Citation: Williams DA, Cary MA, Groner KH, Chaplin W, Glazer LJ, Rodriguez AM, Clauw DJ.Improving physical functional status in patients with fibromyalgia: a brief cognitive behavioral intervention. Journal of Rheumatology, 2002: June;29(vol. 6): pp. 1280-6.
Belleruth Naparstek

Psychotherapist, author and guided imagery pioneer Belleruth Naparstek is the creator of the popular Health Journeys guided imagery audio series. Her latest book on imagery and posttraumatic stress, Invisible Heroes: Survivors of Trauma and How They Heal (Bantam Dell), won the Spirituality & Health Top 50 Books Award