TITLE:
Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review
AUTHORS:
Heloisa Lima Heller, Aline Rizzo Borges, Luís Otávio Amarante Franco, João Pedro De Oliveira Aucelio, Marcos Igor Albanaz Vargas, Rebeca Naoum Lorga, Mirella Bastos Sales, Natália Vargas Do Nascimento, Gabriela Furlan Ribeiro Barbosa Netto, Beatriz Carneiro Passos, Beatriz Pires Paes, Beatriz Toledo Mendes, Bruna De Paula Gonçalves Sousa Lyra, Ciro Moisés Oliveira Vieira Dos Santos, Gustavo Araújo Do Nascimento Santos, Maria Luiza Pimentel De Oliveira, Matheus Macêdo Da Silva, Maurício Silva De Jesus, Paulo Ricardo Guimaraes Rocha Storni, Tamires Martinelli De Oliveira Ferraz, Viviane Cristina Uliana Peterle, Ana Paula Monteiro Gomides Reis
KEYWORDS:
Cognitive Behavioral Therapy, Fibromyalgia, Pain
JOURNAL NAME:
Open Journal of Rheumatology and Autoimmune Diseases,
Vol.11 No.4,
November
10,
2021
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.