Review Article

Psychotherapy for Physical Pain in Patients with Fibromyalgia: A Systematic Review

Table 3

Summary of results from statistical analyses.

ReferenceMean scores (SD)Comparisonpd

[22]Pre: NAPre vs post0.5211NA
Post: NA
Difference pre vs post: −0.4 (1.9)

[23]Pre: 5.07 (2.03)Pre vs post0.0860.12
Post: 4.82 (2.24)

[24]Men
Pre: 7.40 (1.42)Pre vs postNA1.69
Post: 6.50 (1.96)Post vs follow-upNA1.31
Three-month follow-up: 6.55 (1.42)
Women
Pre: 7.30 (1.93)Pre vs postNA0.09
Post: 7.33 (1.88)Post vs follow-upNA1.09
Three-month follow-up: 6.93 (1.48)

[25]Pre
Intervention group: 7.37 (1.86)NANANA
Control group: 7.37 (2.10)
Twelve-month follow-up
Intervention group: 6.82 (2.34)Intervention group vs control group0.0060.35
Control group: 7.60 (2.08)

[26]Pre
EAET group: 5.34 (1.55)NANANA
CBT group: 5.35 (1.62)
Education group: 5.47 (1.74)
Post
EAET group: 4.48 (1.99)EAET vs education<0.01−0.39
CBT group: 4.69 (1.65)EAET vs CBT>0.05−0.17
Education group: 5.20 (1.68)CBT vs education>0.05−0.23
Six-month follow-up
EAET group: 4.40 (2.13)EAET vs education>0.05−0.15
CBT group: 4.82 (1.70)EAET vs CBT>0.05−0.18
Education group: 4.94 (1.96)CBT vs education>0.050.02

[27]Pre
Intervention group: 5.3 (0.39)NANANA
Control group: 4.7 (0.37)
Sixth week of intervention
Intervention group: 4.7 (0.39)Intervention group vs control group0.03NA
Control group: 4.9 (0.37)
Tenth week of intervention
Intervention: 4.6 (0.39)Intervention group vs control group<0.01NA
Control: 5.1 (0.37)

[28]Infiltration group
Pre: 8.29 (1.67)Pre vs post>0.05NA
Post: 7.84 (1.83)
GPST group
Pre: 6.54 (1.85)Pre vs post>0.05NA
Post: 6.78 (2.01)
GPST+infiltration group
Pre: 7.35 (2.14)Pre vs post>0.05NA
Post: 8.13 (2.14)

[29]PreIntervention group vs control group
MPQ sensory
Intervention group: 17.4 (6.5)MPQ sensory0.221NA
Control group: 16.8 (10.1)
MPQ affective
Intervention group: 4.5 (5.8)MPQ affective0.086NA
Control group: 5.3 (5.3)
MPQ evaluative
Intervention group: 21.9 (9.4)MPQ evaluative0.897NA
Control group: 21.8 (10.5)
Fourth week of interventionIntervention group vs control group
MPQ sensory
Intervention group: 16.8 (9.1)MPQ sensory0.039NA
Control group: 19.2 (10.2)
MPQ affective
Intervention group: 4.7 (6.4)MPQ affective0.044NA
Control group: 6.9 (8.8)
MPQ evaluative
Intervention group: 21.5 (7.5)MPQ evaluative0.041NA
Control group: 26.1 (9.7)
Eight week (end) of interventionIntervention group vs control group
MPQ sensory
Intervention: 16.3 (9.1)MPQ sensory0.042NA
Control: 20.6 (10.6)
MPQ affective
Intervention: 4.2 (4.1)MPQ affective0.051NA
Control: 6.8 (3.9)
MPQ evaluative
Intervention: 20.5 (8.4)MPQ evaluative0.044NA
Control: 27.4 (9.32)
PreIntervention group vs control group0.528NA
VAS
Intervention group: 7.66 (0.4)
Control group: 7.71 (0.8)
Fourth week of interventionIntervention group vs control group0.048NA
VAS
Intervention group: 5.89 (1.26)
Control group: 7.97 (1.12)
Eight week (end) of interventionIntervention group vs control group0.326NA
VAS
Intervention group: 8.05 (1.4)
Control group: 8.75 (1.47)

[30]Baseline∗
Intervention group/control groupIntervention group vs control group
Right occiput: 26/250.965NA
Left occiput: 23/220.947NA
Lower cervical (right side): 25/250.729NA
Lower cervical (left side): 24/210.481NA
Right trapezius muscle: 25/240.316NA
Left trapezius muscle: 25/200.117NA
Right supraspinatus muscle: 24/270.096NA
Left supraspinatus muscle: 24/270.096NA
Second right rib: 27/260.972NA
Second left rib: 29/250.072NA
Right lateral epicondyle: 25/260.422NA
Left lateral epicondyle: 26/250.189NA
Right gluteal muscle: 16/190.334NA
Left gluteal muscle: 13/220.063NA
Right greater trochanter: 15/110.678NA
Left greater trochanter: 22/130.696NA
Right knee: 19/190.510NA
Left knee: 20/160.364NA
Four-week follow-up∗
Intervention group/control groupIntervention group vs control group
Right occiput: 21/240.225NA
Left occiput: 20/210.620NA
Lower cervical (right side): 22/240.355NA
Lower cervical (left side): 15/220.034NA
Right trapezius muscle: 18/230.095NA
Left trapezius muscle: 16/210.121NA
Right supraspinatus muscle: 27/260.972NA
Left supraspinatus muscle: 26/260.676NA
Second right rib: 26/270.326NA
Second left rib: 25/280.042NA
Right lateral epicondyle: 25/260.422NA
Left lateral epicondyle: 24/260.253NA
Right gluteal muscle: 14/230.007NA
Left gluteal muscle: 12/210.010NA
Right greater trochanter: 10/120.525NA
Left greater trochanter: 7/130.080NA
Right knee: 20/200.463NA
Left knee: 20/200.334NA
Eight-week follow-up∗
Intervention group/control groupIntervention group vs control group
Right occiput: 24/240.577NA
Left occiput: 21/220.597NA
Lower cervical (right side): 24/250.487NA
Lower cervical (left side): 14/220.017NA
Right trapezius muscle: 19/240.376NA
Left trapezius muscle: 16/220.063NA
Right supraspinatus muscle: 24/270.096NA
Left supraspinatus muscle: 24/270.096NA
Second right rib: 25/270.422NA
Second left rib: 26/260.253NA
Right lateral epicondyle: 14/260.676NA
Left lateral epicondyle: 26/260.253NA
Right gluteal muscle: 14/210.039NA
Left gluteal muscle: 11/210.004NA
Right greater trochanter: 10/140.243NA
Left greater trochanter: 7/110.226NA
Right knee: 14/180.231NA
Left knee: 14/180.231NA

[31]Pre
Intervention group: 2.88 (1.02)Intervention group vs control group>0.05NA
Control group: 2.65 (0.98)
Intervention group
Pre: 2.86 (1.06)Pre vs post0.021NA
Post: 2.34 (1.20)Pre vs follow-up0.045NA
Three-month follow-up: 2.52 (1.06)
Control group
Pre: 2.65 (0.99)Pre vs post<0.05NA
Post: 2.65 (0.88)Pre vs follow-up<0.05NA
Three-month follow-up: 2.40 (1.05)

[32]Pre
Intervention group: 5.84 (NA)Intervention group vs control group<0.05NA
Control group: 5.88 (NA)
Post
Intervention group: 5.37 (NA)Intervention group vs control group<0.05NA
Control group: 5.33 (NA)

CBT, cognitive behavioural therapy; EAET, emotion awareness and expression therapy; GPST, group problem-solving therapy; NA, not available; MPQ, McGill Pain Questionnaire; VAS, Visual Analogue Scale; number of cases with pain.