• Patricia L Dobkin, Aihua Liu, Michal Abrahamowicz, Raluca Ionescu-Ittu, Sasha Bernatsky, Arielle Goldberger, and Murray Baron.
• Department of Medicine, McGill University Health Centre, 687 Pine Avenue West, Montreal, Quebec, Canada. patricia.dobkin@mcgill.ca
• Clin J Pain. 2010 Jan 1; 26 (1): 232923-9.

ObjectivesThe goal of this study was to identify factors associated with decreased disability and lower pain scores 6 months after a multimodal treatment program for fibromyalgia (FM).MethodsForty-six patients with FM were assessed after having participated in a 3-month outpatient program integrating physiotherapy, occupational therapy, nursing, and cognitive-behavior therapy. A physician examined the patients before treatment and patients who completed a battery of psychosocial questionnaires at baseline, during treatment, at the end of treatment, and 3 and 6 months after the end of treatment. Two separate multivariable linear regression models were built to identify predictors of improvements in disability and pain.ResultsTwo predictors for improvement in disability were found: an increase in self-efficacy for pain during treatment and better general adherence during treatment. Similarly, one predictor for improvement in pain intensity was found: an increase in self-efficacy for pain during treatment.DiscussionSelf-efficacy and adherence are 2 modifiable factors that influence disability and pain intensity in FM. These psychosocial factors need to be addressed in FM treatment programs to assist patients in maintaining posttreatment improvements.

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