Body Reprogramming: Reframing the Fibromyalgia narrative and providing an integrative therapeutic model.
| Autor: | Davies AF; University Hospitals Plymouth NHS Trust, UK.; University of Plymouth, UK., Hill P; Sandwell and West Birmingham Hospitals NHS Trust, UK., Fay D; Beacon Primary Care Medical Group, UK., Dee A; University Hospitals Plymouth NHS Trust, UK., Locher C; Harvard Medical School, USA.; University of Plymouth, UK.; University of Basel, Switzerland. |
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| Jazyk: | angličtina |
| Zdroj: | Health psychology open [Health Psychol Open] 2020 Nov 03; Vol. 7 (2), pp. 2055102920971494. Date of Electronic Publication: 2020 Nov 03 (Print Publication: 2020). |
| DOI: | 10.1177/2055102920971494 |
| Abstrakt: | We propose a theory known as the Hyland model to help conceptualise Fibromyalgia within a complex adaptive control system. A fundamental assumption is that symptom generating mechanisms are causally connected, forming a network that has emergent properties. An illness narrative has been developed which has a 'goodness of fit' with the lived experience of those with Fibromyalgia. The theory guides management within the clinical setting and incorporates current evidence-based therapeutic strategies, within a multi-modal intervention described as 'Body Reprogramming'. This intervention focuses on non-pharmacological and lifestyle-based considerations. The theoretical framework also helps explain why modest therapeutic effects are gained from current pharmacological options. Competing Interests: Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. (© The Author(s) 2020.) |
| Databáze: | MEDLINE |
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