Psychological therapies for chronic widespread pain and

Best Pract Res Clin Rheumatol · Jun 2019

Review

Psychological therapies for chronic widespread pain and fibromyalgia syndrome.

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.

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- Winfried Häuser and Gareth Jones.
- 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: whaeuser@klinikum-saarbruecken.de.
- Best Pract Res Clin Rheumatol. 2019 Jun 1; 33 (3): 101416.
AbstractPsychological 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.Copyright © 2019 Elsevier Ltd. All rights reserved.

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Psychological therapies for chronic widespread pain and fibromyalgia syndrome.

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