Home Men's Health Conventional CBT as efficient as publicity remedy for fibromyalgia

Conventional CBT as efficient as publicity remedy for fibromyalgia

Conventional CBT as efficient as publicity remedy for fibromyalgia


There doesn’t look like any profound variations between so-called exposure-based CBT and conventional CBT within the remedy of fibromyalgia, in line with a examine led by researchers at Karolinska Institutet. Each types of remedy produced a big discount in signs in individuals affected by the illness. The examine is among the largest so far to match completely different remedy choices for fibromyalgia and is printed within the journal PAIN.

About 200,000 individuals in Sweden at present reside with fibromyalgia, a long-term ache syndrome that causes nice struggling for sufferers by means of widespread ache, fatigue, and stiffness within the physique. There isn’t any treatment for fibromyalgia. Current medicine usually have inadequate impact, elevating the necessity for simpler remedy strategies. Cognitive behavioral remedy (CBT) has proven some impact, however there’s a lack of skilled CBT practitioners. There’s additionally a lack of understanding about which type of CBT is best.

The examine in contrast two completely different types of internet-delivered cognitive behavioral remedy when it comes to how effectively they scale back the signs and purposeful influence of fibromyalgia.

Briefly, exposure-based CBT includes the participant systematically and repeatedly approaching conditions, actions, and stimuli that the affected person has beforehand prevented as a result of the experiences are related to ache, psychological discomfort, or signs comparable to fatigue and cognitive issues.

In conventional CBT, the participant is introduced with a number of completely different methods to work on throughout remedy, comparable to rest, exercise planning, bodily train, or methods for managing destructive ideas and enhancing sleep.

The examine confirmed that conventional CBT was by and enormous equal to the newer remedy type of exposure-based CBT.

This end result was stunning as a result of our speculation, based mostly on earlier analysis, was that the brand new exposure-based type could be simpler. Our examine reveals that the standard type can present an equally good end result and thus contributes to the dialogue within the area.”

Maria Hedman-Lagerlöf, licensed psychologist and researcher on the Heart for Psychiatry Analysis on the Division of Scientific Neuroscience, Karolinska Institutet

The randomized examine concerned 274 individuals with fibromyalgia, who had been randomly assigned to be handled with conventional or exposure-based CBT. The therapies had been delivered fully on-line and all members had common contact with their therapist.

Contributors answered questions on their temper and signs earlier than, throughout, and after remedy. After the 10-week remedy, 60 % of those that obtained exposure-based CBT and 59 % of those that obtained conventional CBT reported that their remedy had helped them.

“The truth that each therapies had been related to a big discount within the members’ signs and purposeful impairment and that the results had been sustained for 12 months after completion of the remedy, signifies that the web as a remedy format may be of nice scientific profit for individuals with fibromyalgia,” says Maria Hedman-Lagerlöf. “That is excellent news as a result of it allows extra individuals to entry remedy.”

The examine is the second largest to match completely different psychological remedy choices for fibromyalgia, in line with the researchers.

“Our examine can also be one of many first to match with one other energetic, established psychological remedy,” says Maria Hedman-Lagerlöf.

The examine was a collaboration between Karolinska Institutet and Uppsala College. It was financed by The Financial institution of Sweden Tercentenary Basis and not one of the researchers have declared any conflicts of curiosity.


Journal reference:

Hedman-Lagerlöf, M., et al. (2022). Impact of exposure-based vs conventional cognitive conduct remedy for fibromyalgia: a two-site single-blind randomized managed trial. PAIN. doi.org/10.1097/j.ache.0000000000003128.



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