Effectiveness of Group Psychotherapy in Patients With Fibromyalgia Syndrome
Study Details
Study Description
Brief Summary
The hypothesis of the study is that group therapy in fibromyalgia patients can provide significant improvement in pain, fatigue, anxiety and depression levels and emotional expressions.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
The purpose of our study; to determine the effectiveness of group psychotherapy in the treatment of Fibromyalgia Syndrome.
Patients who received 9 weeks of group therapy and those who did not, at the beginning of treatment, at the end of 9 weeks and 6 months after treatment will be evaluated using The Short Form-36, Fibromyalgia Impact Questionnaire, Revised Fibromyalgia Impact Questionnaire, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, Beck Depression Inventory, Beck Anxiety Inventory, Pain Beliefs Scale, Emotional Expression Questionnaire, Visual Analogue Scale, Childhood Trauma Questionnaire, 2016 Fibromyalgia Diagnostic Criteria.
At the end of the study, individuals are expected to show less depressive symptoms and anxiety symptoms compared to the beginning of the study, and it is thought that their complaints about pain will decrease.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| No Intervention: control group Patients in this group will receive recommendations regarding lifestyle change, exercise, and nutrition related to fibromyalgia. |
|
| Experimental: intervention group Patients in this group will receive recommendations regarding lifestyle change, exercise, and nutrition related to fibromyalgia and group psychotherapy. |
Other: Group Psychotherapy
9 week group psychotherapy, given by a psychologist trained in group psychotherapy.
|
Outcome Measures
Primary Outcome Measures
- Change in Pain-Visual Analog Scale [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Chronic musculoskeletal pain in Fibromyalgia syndrome patients, in this scale minumum value is 0, maximum value is 10, higher scores means worse outcome.
- Change in Depression-Beck Depression Inventory [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Depression in Fibromyalgia patients
- Change in Anxiety-Beck Anxiety Inventory [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Anxiety in Fibromyalgia patients
Secondary Outcome Measures
- Change in The Short Form (36) Health Survey [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
The Short Form (36) Health Survey
- Change in Fibromyalgia Impact Questionaire [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Fibromyalgia Impact Questionaire
- Change in Revised Fibromyalgia Impact Questionnaire [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Revised Fibromyalgia Impact Questionnaire
- Change in Hospital Anxiety and Depression Scale [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Hospital Anxiety and Depression Scale, in this scale minumum value is 0, maximum value is 21, high scores mean worse outcome.
- Change in The Fatigue Severity Scale [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
The Fatigue Severity Scale, In this scale consisting of 9 items, each item is scored between 1 and 7 (1 = strongly disagree, 7 = totally agree) and the total score is calculated by taking the average of 9 items, high scores mean worse outcome.
- Change in Pain beliefs questionnaire [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Pain beliefs questionnaire
- Change in Emotional Expression Questionnaire [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
Emotional Expression Questionnaire
- CHILDHOOD TRAUMA QUESTIONNAIRE [At the beginning of the study]
CHILDHOOD TRAUMA QUESTIONNAIRE
- Change in 2016 Fibromyalgia Syndrome Criteria [At the beginnning of the study ,through study completion-8th week, after study completion -6th month]
2016 Fibromyalgia Syndrome Criteria 2016 Fibromyalgia Diagnostic Criteria
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Fibromyalgia Syndrome diagnosed according to 2016 Fibromyalgia Syndrome diagnostic criteria
-
Volunteers between the ages of 18-65
-
Literate volunteers
-
Volunteering to participate in group work
-
There is no obstacle to attend the sessions regularly every week
Exclusion Criteria:
-
Who cannot participate in 9-week group therapy
-
Under 18, over 65 years old
-
Confused enough to not be able to complete and understand the scales given cognitively
-
Having serious mental illness (eg Psychotic disorder, Mental Retardation etc.)
-
Illiterate individuals
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Ege University Faculty of Medicine | Izmır | Turkey | 35100 |
Sponsors and Collaborators
- Ege University
Investigators
- Principal Investigator: Simin HEPGULER, Ege University
- Principal Investigator: Basak DURDU AKGUN, Ege University
Study Documents (Full-Text)
None provided.More Information
Publications
- Arnold LM, Hudson JI, Keck PE, Auchenbach MB, Javaras KN, Hess EV. Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry. 2006 Aug;67(8):1219-25.
- Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988 Dec;56(6):893-7.
- BECK AT, WARD CH, MENDELSON M, MOCK J, ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71.
- Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord. 2007 Mar 9;8:27.
- Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M, Wenzel K, Sapareto E, Ruggiero J. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994 Aug;151(8):1132-6.
- Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Stokes J, Handelsman L, Medrano M, Desmond D, Zule W. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003 Feb;27(2):169-90.
- Clauw DJ, Arnold LM, McCarberg BH; FibroCollaborative. The science of fibromyalgia. Mayo Clin Proc. 2011 Sep;86(9):907-11. doi: 10.4065/mcp.2011.0206. Review.
- Edwards LC, Pearce SA, Turner-Stokes L, Jones A. The Pain Beliefs Questionnaire: an investigation of beliefs in the causes and consequences of pain. Pain. 1992 Dec;51(3):267-272. doi: 10.1016/0304-3959(92)90209-T.
- Hisli N. Beck Depresyon Ölçeği'nin bir Türk örnekleminde geçerlik ve güvenirliği. Psikoloji Dergisi 1988; 6:118-122.
- Jones GT, Atzeni F, Beasley M, Flüß E, Sarzi-Puttini P, Macfarlane GJ. The prevalence of fibromyalgia in the general population: a comparison of the American College of Rheumatology 1990, 2010, and modified 2010 classification criteria. Arthritis Rheumatol. 2015 Feb;67(2):568-75. doi: 10.1002/art.38905.
- Kuzucu Y. , "Duyguları İfade Etme Ölçeği'nin Uyarlanması: Geçerlik Ve Güvenirlik Çalışmaları" Kastamonu Eğitim Dergisi, Cilt:19 No:3, 2011,779-792.
- Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother 1996; 12:163- 172
- 20-6.1T/49