Psychological therapies for chronic widespread pain and fibromyalgia syndrome.

Winfried Häuser, Gareth Jones

Journal: Best practice & research. Clinical rheumatology 2020;33(3):101416

PMID: 31703789

Full Text on Elsevier Science View on PubMed

Abstract

Psychological factors such as adverse childhood experiences, traumatic life events, interpersonal conflicts and psychological distress play an important role in the predisposition, onset and severity of chronic widespread pain (CWP) and fibromyalgia syndrome (FMS). Therefore, psychological therapies might have the potential to reduce disability as well as symptom and economic burden in patients with CWP and FMS. Recent interdisciplinary guidelines have suggested different strengths of recommendation for psychological therapies for FMS. The aims of this narrative review are to summarise: • Mechanisms of actions. • Evidence on efficacy, tolerability and safety. • Knowledge gaps and needs for future research of psychological therapies for CWP and FMS for non-mental health professionals.

Address: Health Care Center for Pain Medicine and Mental Health Saarbrücken, D-66119, Saarbrücken, Germany; Department of Psychosomatic Medicine and Psychotherapy, Technische Universität München, D-81365, München, Germany. Electronic address: [email protected].; Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UK; Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, UK. Electronic address: [email protected].

DOI: 10.1016/j.berh.2019.05.001

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MeSH Terms: Chronic Pain, Fibromyalgia, Humans, Psychotherapy