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Abstract
Background and Aims: The published experience about the multidisciplinary treatment of fibromyalgia is controversial. Our aim is to describe the results of our multidisciplinary treatment in a group of selected fibromyalgia patients with disability, and willing to return to work. Methods: After multidisciplinary meeting, 264 patients with fibromyalgia (94% female; mean age 43 (8.6) years) were included in the study, and allocated by consensus to an intensive medical, psychological, physical and occupational treatment (twelve sessions, three-day weekly basis). Patients were affected by significant disability, were free of major psychopathology (suicide risk, schizophrenia or other psychotic disorders, and severe personality disorder), considered return-to-work as a therapeutic aim, and were not applying for disability pension or in the course of labor litigation. All patients were followed at discharge, and at 6 and 12 months. Results: Significant differences were observed in pain (VAS) at discharge (Mean difference: 3.1; p< 0.01), at 6 and at 12-month follow-up (Mean difference: 2.1 and 3.2; p< 0.01), in depressive symptoms at discharge and at 12 month follow-up (Mean difference (BDI): 5.7 and 8.4; p< 0.01), and in functional ability (HAQ) at discharge, at 6 and at 12 month follow-up (Mean difference: 0.8, 0.8 and 0.9 respectively p< 0.01). At discharge, 63% of patients returned to work. Conclusions: The intensive multidisciplinary treatment for fibromyalgia is effective in patients with possibilities of functional restoration, and willing to return to work.
Published Version
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