Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes

The aim of this study was to explore differential psychological profiles among patients with chronic pain with and without fibromyalgia, and to determine the results of the cognitive behavioral therapy (CBT) for pain. Thirty patients with chronic pain and 60 patients with fibromyalgia were referred...

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Autores: Salaberría Irizar, M. Carmen, Ruiz Iriondo, María, Pérez Fernández, José Ignacio, Barandiarán, Aitziber, Iruín, Álvaro
Tipo de recurso: artículo
Fecha de publicación:2023
País:España
Institución:Universidad del País Vasco
Repositorio:Addi. Archivo Digital para la Docencia y la Investigación
OAI Identifier:oai:addi.ehu.eus:10810/72923
Acceso en línea:http://hdl.handle.net/10810/72923
Access Level:acceso abierto
Palabra clave:chronic pain
cognitive behavioral therapy
fibromyalgia
treatment outcomes
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spelling Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomesSalaberría Irizar, M. CarmenRuiz Iriondo, MaríaPérez Fernández, José IgnacioBarandiarán, AitziberIruín, Álvarochronic paincognitive behavioral therapyfibromyalgiatreatment outcomesThe aim of this study was to explore differential psychological profiles among patients with chronic pain with and without fibromyalgia, and to determine the results of the cognitive behavioral therapy (CBT) for pain. Thirty patients with chronic pain and 60 patients with fibromyalgia were referred to 10 weekly sessions of CBT in a general hospital and were evaluated in pain-related variables, psychopathological symptoms, coping strategies, resilience, and quality of life. The program was implemented in specific groups for patients with fibromyalgia and nonfibromyalgia chronic pain. After the intervention, patients with fibromyalgia showed higher levels of psychopathology, rated their health status as poorer, and presented larger amplification of symptoms, higher levels of somatization, a more ruminating style of thinking and greater distress. Patients without fibromyalgia achieved better therapeutic results in both pain intensity (d = 0.39 vs. d = 0.12) and psychopathological distress (d = 0.77 vs. d = 0.11) compared to patients with fibromyalgia. Therefore, differential profiles and limited therapeutic results in fibromyalgia patients suggest the need to outline differentiated treatments and include other therapeutic strategies.Research grant from the Basque Health Departament to Maria Ruiz-Iriondo, Karmele Salaberria and Alvaro Iruin, Grant/Award Number: 16BU105; 17BU101; 18BU101Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.202520252023info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10810/72923reponame:Addi. Archivo Digital para la Docencia y la Investigacióninstname:Universidad del País VascoIngléshttps://onlinelibrary.wiley.com/doi/full/10.1002/pchj.617info:eu-repo/semantics/openAccesshttp://creativecommons.org/licenses/by-nc-nd/4.0/© 2022 The Authors. PsyCh Journal published by Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.oai:addi.ehu.eus:10810/729232026-06-18T09:23:17Z
dc.title.none.fl_str_mv Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
title Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
spellingShingle Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
Salaberría Irizar, M. Carmen
chronic pain
cognitive behavioral therapy
fibromyalgia
treatment outcomes
title_short Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
title_full Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
title_fullStr Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
title_full_unstemmed Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
title_sort Fibromyalgia and nonfibromyalgia chronic pain: Differences in psychological characteristics and treatment outcomes
dc.creator.none.fl_str_mv Salaberría Irizar, M. Carmen
Ruiz Iriondo, María
Pérez Fernández, José Ignacio
Barandiarán, Aitziber
Iruín, Álvaro
author Salaberría Irizar, M. Carmen
author_facet Salaberría Irizar, M. Carmen
Ruiz Iriondo, María
Pérez Fernández, José Ignacio
Barandiarán, Aitziber
Iruín, Álvaro
author_role author
author2 Ruiz Iriondo, María
Pérez Fernández, José Ignacio
Barandiarán, Aitziber
Iruín, Álvaro
author2_role author
author
author
author
dc.subject.none.fl_str_mv chronic pain
cognitive behavioral therapy
fibromyalgia
treatment outcomes
topic chronic pain
cognitive behavioral therapy
fibromyalgia
treatment outcomes
description The aim of this study was to explore differential psychological profiles among patients with chronic pain with and without fibromyalgia, and to determine the results of the cognitive behavioral therapy (CBT) for pain. Thirty patients with chronic pain and 60 patients with fibromyalgia were referred to 10 weekly sessions of CBT in a general hospital and were evaluated in pain-related variables, psychopathological symptoms, coping strategies, resilience, and quality of life. The program was implemented in specific groups for patients with fibromyalgia and nonfibromyalgia chronic pain. After the intervention, patients with fibromyalgia showed higher levels of psychopathology, rated their health status as poorer, and presented larger amplification of symptoms, higher levels of somatization, a more ruminating style of thinking and greater distress. Patients without fibromyalgia achieved better therapeutic results in both pain intensity (d = 0.39 vs. d = 0.12) and psychopathological distress (d = 0.77 vs. d = 0.11) compared to patients with fibromyalgia. Therefore, differential profiles and limited therapeutic results in fibromyalgia patients suggest the need to outline differentiated treatments and include other therapeutic strategies.
publishDate 2023
dc.date.none.fl_str_mv 2023
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10810/72923
url http://hdl.handle.net/10810/72923
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv https://onlinelibrary.wiley.com/doi/full/10.1002/pchj.617
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.
publisher.none.fl_str_mv Institute of Psychology, Chinese Academy of Sciences and John Wiley & Sons Australia, Ltd.
dc.source.none.fl_str_mv reponame:Addi. Archivo Digital para la Docencia y la Investigación
instname:Universidad del País Vasco
instname_str Universidad del País Vasco
reponame_str Addi. Archivo Digital para la Docencia y la Investigación
collection Addi. Archivo Digital para la Docencia y la Investigación
repository.name.fl_str_mv
repository.mail.fl_str_mv
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