Author(s)

Heloisa Lima Heller^1*, Aline Rizzo Borges¹, Luís Otávio Amarante Franco¹, João Pedro De Oliveira Aucelio¹, Marcos Igor Albanaz Vargas¹, Rebeca Naoum Lorga¹, Mirella Bastos Sales¹, Natália Vargas Do Nascimento², Gabriela Furlan Ribeiro Barbosa Netto², Beatriz Carneiro Passos¹, Beatriz Pires Paes¹, Beatriz Toledo Mendes¹, Bruna De Paula Gonçalves Sousa Lyra¹, Ciro Moisés Oliveira Vieira Dos Santos¹, Gustavo Araújo Do Nascimento Santos¹, Maria Luiza Pimentel De Oliveira¹, Matheus Macêdo Da Silva¹, Maurício Silva De Jesus¹, Paulo Ricardo Guimaraes Rocha Storni³, Tamires Martinelli De Oliveira Ferraz¹, Viviane Cristina Uliana Peterle¹, Ana Paula Monteiro Gomides Reis¹

¹Centro Universitário de Brasília, Brasília, Brazil.
²Universidade Católica de Brasília, Brasília, Brazil.
³Centro Universitário Euro Americano, Brasília, Brazil.

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.

Cognitive Behavioral Therapy, Fibromyalgia, Pain

Heller, H. , Borges, A. , Franco, L. , Aucelio, J. , Vargas, M. , Lorga, R. , Sales, M. , Nascimento, N. , Netto, G. , Passos, B. , Paes, B. , Mendes, B. , Lyra, B. , Santos, C. , Santos, G. , Oliveira, M. , Silva, M. , Jesus, M. , Storni, P. , Ferraz, T. , Peterle, V. and Reis, A. (2021) Role of Cognitive Behavioral Therapy in Fibromyalgia: A Systematic Review. Open Journal of Rheumatology and Autoimmune Diseases, 11, 169-187. doi: 10.4236/ojra.2021.114018.