Fibromyalgia: can online cognitive behavioral therapy help?

Autor: Menga G; Department of Rheumatology, Ochsner Health Center-Baton Rouge, Baton Rouge, LA., Ing S; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA., Khan O; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA., Dupre B; Primary Care of Brusly, Port Allen, LA., Dornelles AC; Office of Biostatistical Support, Ochsner Clinic Foundation, New Orleans, LA., Alarakhia A; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA., Davis W; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA., Zakem J; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA., Webb-Detiege T; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA., Scopelitis E; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA., Quinet R; Department of Rheumatology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
Jazyk: angličtina
Zdroj: Ochsner journal [Ochsner J] 2014 Fall; Vol. 14 (3), pp. 343-9.
Abstrakt: Background: Cognitive behavioral therapy (CBT) has proven useful in treating fibromyalgia, depression, and anxiety. Computerized delivery of CBT allows increased access to such therapy. This study assessed the effect of internet-based CBT on Fibromyalgia Impact Questionnaire (FIQ) composite scores and tender point assessments.
Methods: This 12-week randomized controlled trial included patients ≥18 years of age with 1990 American College of Rheumatology criteria for fibromyalgia and mild to moderate depression and anxiety. A total of 56 subjects were randomized into either a 6-week internet-based CBT group (MoodGYM) or a control group (standard care). We evaluated patients in both groups at 1-, 6-, and 12-week follow-up. The primary outcome measure was change in FIQ composite score. A secondary outcome measure was change in tender point assessment.
Results: The mean age of study participants was 55 years, and 88% were female. Mean FIQ scores were significantly lower in the MoodGYM group compared to the control group (P<0.05 for group differences at 6 and 12 weeks). Mean tender point scores were also significantly lower in the MoodGYM group (P<0.001 at 6 and 12 weeks). We found no significant difference in the FIQ scores across the 3 timepoints in the MoodGYM group, but tender points showed a significant negative trend from baseline to 12-week follow-up.
Conclusion: Patients in the internet-based MoodGYM CBT program had lower FIQ and tender point scores at 6- and 12-week follow-up. Internet-based CBT could be beneficial in the treatment of mild to moderate depression and anxiety in patients with fibromyalgia by allowing increased access to CBT.
Databáze: MEDLINE
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