• Der Schmerz · Jun 2008

    Practice Guideline

    [Psychotherapy in patients with fibromyalgia syndrome].

    • K Thieme, W Häuser, A Batra, K Bernardy, E Felde, M Gesmann, A Illhardt, M Settan, R Wörz, and V Köllner.
    • Institut für Neuropsychologie und Klinische Psychologie, Zentralinstitut für Seelische Gesundheit Mannheim, Universität Heidelberg , J5, 68159 Mannheim. thieme@zi-mannheim.de
    • Schmerz. 2008 Jun 1;22(3):295-302.

    BackgroundA 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.MethodsA 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.ResultsCognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B).ConclusionsPsychotherapeutic programs tailored to FMS subgroups should be developed and tested.

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