Abstract
A literature search of articles from 2002-2019 was performed using Medline, Embase, Cochrane, LILACS, IBECS, CRD, and Epistemonikos databases, to analyze the effects of Cognitive-Behavioral Therapy (CBT) in the treatment of fibromyalgia. Twenty-seven articles were selected in which CBT was performed exclusively by specialist physicians, associated or not with conventional pharmacological treatment and/or physical exercise. In most articles, CBT worked with self-knowledge and cognitive restructuring, attempting to reduce pain perception, and it showed a general improvement in daily activities by decreasing patient’s limitations, such as morning stiffness. The literature showed significant correlations of CBT in pain processing over time. When CBT was compared to conventional pharmacological therapy, a certain superiority of CBT could be observed concerning the quality of life, catastrophizing, and acceptance of pain. However, when they were simultaneously applied, this improvement in quality of life was not observed.
Highlights
IntroductionIt is a complex disorder characterized by generalized chronic pain, predomi-
When Cognitive-Behavioral Therapy (CBT) was compared to conventional pharmacological therapy, a certain superiority of CBT could be observed concerning the quality of life, catastrophizing, and acceptance of pain
The present study proposes a systematic review of the literature on the effects of cognitive behavioral therapy in the treatment of fibromyalgia
Summary
It is a complex disorder characterized by generalized chronic pain, predomi-. Open Access gion [2] Other symptoms such as fatigue, cognitive complaints, unsatisfactory sleep and mood changes are present [3]. Such symptoms can directly impact patients’ quality of life, potentially increasing likelihood of developing psychiatric disorders, including depression, anxiety, obsessive-compulsive disorder and post-traumatic stress disorder [4] [5]. Changes in central pain modulatory processes in the spinal cord and brain; 2) a prominent role of negative affective factors in the maintenance of pain and disability; 3) a relative lack of efficacy of many pharmacological treatments [2]. The interest in alternative therapy in fibromyalgia is related to unsatisfactory results considering isolated pharmacological therapy [6]
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