Arthritis care & research
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Arthritis care & research · Jun 2011
Review Meta Analysis Comparative StudyEmotional, physical, and sexual abuse in fibromyalgia syndrome: a systematic review with meta-analysis.
To systematically assess the potential association of fibromyalgia syndrome (FMS) with emotional, physical, and sexual abuse. ⋯ The association of FMS with physical and sexual abuse could be confirmed, but is confounded by study quality.
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Arthritis care & research · Jun 2011
Randomized Controlled Trial Comparative StudyEstimation of minimum clinically important difference for pain in fibromyalgia.
To estimate the minimum clinically important difference (MCID) for several pain measures obtained from the Brief Pain Inventory (BPI) for patients with fibromyalgia. ⋯ In these analyses, the MCIDs for several pain measures obtained from the BPI were similar (∼2 points) and corresponded to a 30-35% improvement from baseline to end point. These findings may be beneficial for use in designing clinical trials in which the BPI is used to evaluate improvements in pain severity.
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Arthritis care & research · Jun 2011
Randomized Controlled Trial Comparative StudyCognitive-behavioral mechanisms in a pain-avoidance and a pain-persistence treatment for high-risk fibromyalgia patients.
The heterogeneity of cognitive-behavioral patterns in patients with fibromyalgia (FM) has been proposed to underlie the variability in treatment outcomes. It has previously been shown that pain-avoidance and pain-persistence treatments tailored to the patient's pattern are effective in improving physical and psychological functioning and overall impact in high-risk patients with heightened psychological distress. In the present study, the cognitive-behavioral effects of these treatments were evaluated to provide insight into the main proposed mechanisms, specifically pain-avoidance behaviors and activity pacing in the pain-avoidance and pain-persistence treatments, respectively. ⋯ Both the pain-avoidance and pain-persistence treatments are effective in improving cognitive-behavioral factors in high-risk FM patients. Pain-avoidance behavior and activity pacing might be important mediating mechanisms for beneficial outcomes in pain-avoidance and pain-persistence treatments, respectively.