Psychological treatments for fibromyalgia: a meta-analysis

Julia A GlombiewskiStefan G Hofmann


The aims of the present analysis were to investigate the short- and long-term efficacies and treatment moderators of psychological interventions for fibromyalgia. A literature search using PubMed, PsychINFO, the Cochrane Library, and manual searches identified 23 eligible studies including 30 psychological treatment conditions and 1396 patients. Meta-analytic integration resulted in a significant but small effect size for short-term pain reduction (Hedges's g=0.37, 95% confidence interval (CI): 0.27-0.48) and a small-to-medium effect size for long-term pain reduction over an average follow-up phase of 7.4 months (Hedges's g=0.47, 95% CI: 0.3-0.65) for any psychological intervention. Psychological treatments also proved effective in reducing sleep problems (Hedges's g=0.46, 95% CI: 0.28-0.64), depression (Hedges's g=0.33, 95% CI: 0.20-0.45), functional status (Hedges's g=0.42, 95% CI: 0.25-0.58), and catastrophizing (Hedges's g=0.33, 95% CI: 0.17-0.49). These effects remained stable at follow-up. Moderator analyses revealed cognitive-behavioral treatment to be significantly better than other psychological treatments in short-term pain reduction (Hedges's g=0.60, 95% CI: 0.46-0.76). Higher treatment dose was associated with bette...Continue Reading


Feb 1, 1996·Controlled Clinical Trials·A R JadadH J McQuay
Oct 3, 1998·The Clinical Journal of Pain·P J KeelW Müller
Sep 28, 1999·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·L A RossyJ C Johnson
Mar 7, 2000·Lancet·M Clarke
Aug 23, 2000·Current Review of Pain·J B Winfield
Mar 1, 2002·Statistics in Medicine·Lincoln E MosesJohn H Buehler
Sep 10, 2002·The Clinical Journal of Pain·Julius Sim, Nicola Adams
Jun 10, 2003·Arthritis and Rheumatism·Kati ThiemeHerta Flor
Nov 25, 2003·Regional Anesthesia and Pain Medicine·Dennis C Turk
Nov 26, 2003·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·P CreamerB M Berman
Apr 13, 2004·Arthritis and Rheumatism·Javier Rivera RedondoMiguel Angel Vallejo Pareja
Aug 5, 2004·Psychotherapy and Psychosomatics·Boudewijn Van Houdenhove, Ulrich T Egle
Nov 3, 2004·Complementary Therapies in Nursing & Midwifery·Fred Friedberg
Nov 18, 2004·JAMA : the Journal of the American Medical Association·Don L GoldenbergLeslie Crofford
Nov 10, 2005·Menopause : the Journal of the North American Menopause Society·Nirav R ShahRobert W Dubois
Nov 30, 2005·Archives of Internal Medicine·Jack D EdingerJohn R Rice
Aug 26, 2006·Nature Clinical Practice. Rheumatology·Robert Bennett, David Nelson
Oct 17, 2006·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Tiffany FieldSteven Douglas
Jan 11, 2007·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·Benson M HoffmanRobert D Kerns
Jan 16, 2007·Applied Psychophysiology and Biofeedback·Afton L HassettPaul M Lehrer
Mar 14, 2007·BMC Musculoskeletal Disorders·Robert M BennettLynne Matallana
Feb 6, 2008·Archives of General Psychiatry·Winfried Rief, Stefan G Hofmann
Feb 20, 2008·Annals of Internal Medicine·Isabelle BoutronUNKNOWN CONSORT Group
Jun 26, 2008·Arthritis and Rheumatism·Silvia M BigattiKevin L Rand
Jul 1, 2008·The American Journal of Medicine·Micha AbelesAryeh M Abeles
Jul 17, 2008·Arthritis Research & Therapy·Javier Garcia-CampayoEva Andrés
Sep 16, 2008·The Journal of Nervous and Mental Disease·Stefan G Hofmann, Jasper A J Smits
Jan 15, 2009·JAMA : the Journal of the American Medical Association·Winfried HäuserClaudia Sommer
Sep 23, 2009·Gender Medicine·Dawn A Marcus
Jul 14, 2009·Arthritis Research & Therapy·Michael Spaeth
Aug 4, 2009·Rheumatic Diseases Clinics of North America·Robert M Bennett

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Aug 2, 2013·Current Pain and Headache Reports·Marcio BernikLucas Gandarela
Aug 28, 2012·Translational Behavioral Medicine·Christine RiniFrancis J Keefe
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Jan 29, 2013·Clinical Psychology Review·Alexander WinklerJulia A Glombiewski
Jun 8, 2013·Journal of Behavioral Medicine·M Pilar MartínezGualberto Buela-Casal
Sep 14, 2011·Current Rheumatology Reports·David A Williams
Apr 28, 2012·The British Journal of Psychiatry : the Journal of Mental Science·Andreas SchröderPer Fink
May 15, 2013·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Mary C Davis, Alex J Zautra
Mar 25, 2011·Current Opinion in Supportive and Palliative Care·Lance M McCracken, Miles Thompson
Mar 30, 2016·Journal of Psychosomatic Research·Josianne KollmannBruce A Fernie
Jan 24, 2012·Disability and Rehabilitation·Lindsay McMahonAnna Daiches
Feb 4, 2016·Pain Practice : the Official Journal of World Institute of Pain·María J LamiManuel A Guzmán
Dec 30, 2014·Journal of Psychosomatic Research·Sara Sletten ChristensenAndreas Schröder
Dec 18, 2012·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Daniel L Riddle, Mark P Jensen
Apr 2, 2013·The Journal of Pain : Official Journal of the American Pain Society·Susmita Kashikar-ZuckDaniel J Lovell
Oct 24, 2015·Clinical Psychology Review·Bethany M Wootton
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