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Practice Guideline
. 2008 Jun;22(3):295-302.
doi: 10.1007/s00482-008-0674-4.

[Psychotherapy in patients with fibromyalgia syndrome]

[Article in German]
K Thieme  1 , W Häuser, A Batra, K Bernardy, E Felde, M Gesmann, A Illhardt, M Settan, R Wörz, V Köllner
Affiliations
Practice Guideline

[Psychotherapy in patients with fibromyalgia syndrome]

[Article in German]
K Thieme et al. Schmerz. 2008 Jun.

Abstract

Background: A guideline for the treatment and diagnostic procedures in fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

Methods: A systematic literature search including all controlled studies of evaluated multicomponent therapy was performed in the Cochrane Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/ 2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.

Results: Cognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B).

Conclusions: Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.

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