[Psychotherapy in patients with fibromyalgia syndrome].

Authors :: Thieme K
Häuser W
Batra A
Bernardy K
Felde E
Gesmann M
Illhardt A
Settan M
Wörz R
Köllner V
Source :: Schmerz (Berlin, Germany) [Schmerz] 2008 Jun; Vol. 22 (3), pp. 295-302.
Publication Year :: 2008
Abstract: Background: A 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.<br />Methods: A 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.<br />Results: Cognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B).<br />Conclusions: Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.