Relationship between changes in coping and treatment outcome in patients with Fibromyalgia Syndrome

被引：89

作者：

Nielson, WR ^{[1
]}

Jensen, MP

机构：

[1] Univ Western Ontario, Dept Med, Div Rheumatol, London, ON N6A 5A5, Canada

[2] Univ Washington, Med Ctr Roosevelt, Ctr Multidisciplinary Pain, Seattle, WA 98105 USA

[3] Univ Washington, Sch Med, Dept Rehabil Med, Seattle, WA 98195 USA

[4] St Josephs Hlth Care London, Beryl & Richard Ivey Rhematol Day Programs, London, ON N6A 4V2, Canada

来源：

PAIN | 2004年 / 109卷 / 03期

关键词：

Fibromyalgia; treatment; cognitive-behavioural;

D O I：

10.1016/j.pain.2004.01.002

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

The present study utilized a sample of 198 individuals with Fibromyalgia Syndrome (FMS) to examine the association between treatment process variables (beliefs, coping strategies) and treatment outcomes (pain severity, activity level, emotional distress and life interference) related to a 4-week multidisciplinary fibromyalgia treatment program. Multiple regression analyses were utilized to evaluate these relationships pretreatment to posttreatment as well as from pretreatment to 3- and 6-month follow-ups. The results indicated that outcomes were most closely related to: (1) an increased sense of control over pain, (2) a belief that one is not necessarily disabled by FM, (3) a belief that pain is not necessarily a sign of damage, (4) decreased guarding, (5) increased use of exercise, (6) seeking support from others, (7) activity pacing and (8) use of coping self-statements. These findings are consistent with a cognitive-behavioural model of fibromyalgia, and suggest targets for therapeutic change. (C) 2004 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

引用

页码：233 / 241

页数：9

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