Journal of psychosomatic research
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Randomized Controlled Trial Comparative Study
Multidisciplinary treatment of fibromyalgia: does cognitive behavior therapy increase the response to treatment?
Multidisciplinary treatments (MTs) are usually recommended for reducing fibromyalgia (FM) symptoms and include physical exercise, drug management, education, and cognitive behavior therapy (CBT). However, there is no evidence that CBT adds efficacy to the other therapeutic components. This randomized controlled trial analyzed the response of FM patients to two MTs, with and without CBT, according to the presence of concurrent symptoms. ⋯ MT improves functional capability and reduces symptom impact. CBT increases mildly the effect of MT in patients with fatigue.
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The objective of this study was to determine and compare patient and general practitioner (GP) preferences for the treatment of depression in patients with cancer. ⋯ Effective and acceptable services for depressed cancer patients need to take patients and GP preferences into account. A model of service that allows a choice of initial treatment modality and collaborative care between primary care and cancer center nurse would meet this requirement.