Id 723 Psycho-Educational Treatment Programme Improves Quality Of Life In Fibromyalgia

Conference: 
Author(s): 
Peñarrubia María MT, Luciano Devis JV, Fernández Vergel R, Martínez Gracia N, Sanavia Guerrero M, Serrano Blanco A
Spain
32829mpm@comb.cat
Text: 
Aim(s) or purpose: To evaluate if a psycho-educational intervention implemented in primary care is more effective than usual care for improving the quality of life in patients with FM.
Design and method: Randomised controlled trial. 109 patients were randomly assigned to the intervention and 109 to usual care. Intervention was implemented by a multi-professional team and comprised nine 2-hour sessions (5 education, 4 autogenic relaxation). Evaluations were done before and after the intervention, were included socio-demographic data, FIQ, CECS, STAI A- R, use of pharmacology and non pharmacology treatments, Social Desirability Scale.
Results: Drop-out rate at post-treatment was 14.8 % (Intervention: 15.7 %; Usual care: 13.9 %). The ITT analyses (ANOVAs) revealed significant differences between the groups at post-treatment: the group that received the intervention improved in physical impairment, days feeling well, pain, general fatigue, morning fatigue, stiffness, anxiety and depression (medium effect size in most cases). Patients who responded to the intervention reported less trait anxiety at baseline than non-responders. The absolute risk reduction with the intervention was 35.16 % (95 %CI 22.27 %–48.06 %) and the number needed- to-treat was 3 (95 %CI 2.1–4.5).
Conclusions: A two-month psycho-educational intervention improves more functional status of FM patients than usual care provided by general practitioners. The social desirability bias did not explain the reported outcomes, neither the use of any pharmacology or non-pharmacology treatment. Only trait anxiety was associated with response to intervention.
Literature: 
ID 723
Psycho-educational treatment programme improves quality of life in fibromyalgia