Online cognitive behavioral therapy has shown new possibilities for the treatment of fibromyalgia. Researchers at Karolinska Institutet have developed an online cognitive behavioral therapy (CBT) for pain symptoms connected with fibromyalgia.
Maria Hedman-Lagerlöf, a doctoral student at the Department of Clinical Neuroscience, Karolinska Institutet and colleagues found that patients who receive CBT experience fewer symptoms and enjoy a better quality of life. “Many doctors feel frustrated and at a loss when meeting a patient with fibromyalgia as there is currently no effective treatment, but now things might be looking up,” says Hedman-Lagerlöf.
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Fibromyalgia is a disorder characterized by widespread musculoskeletal chronic pain accompanied by fatigue, sleep, memory, and mood issues. Many patients with fibromyalgia also suffer from joint pain, muscle pain, concentration difficulties, headaches, gastrointestinal problems, depression, and anxiety.
A fibromyalgia diagnosis can be made if a person has had widespread pain for more than three months with no underlying medical condition that could cause the pain. The cause of fibromyalgia is unknown, and there are no known cures for the condition.
Over-Awareness of the Body
The therapy created by Hedman-Lagerlöf and colleagues is designed to counteract the brain’s learned over-awareness of the body. It involves patients performing activities that they would otherwise avoid on account of their fibromyalgia. They are required to practice holding onto their experience of pain and discomfort without becoming distracted.
“The brain gradually learns that these unpleasant signals aren’t dangerous and so stops interpreting them as important,” explains Hedman-Lagerlöf. “When you become less occupied with the pain signals you don’t feel as impeded by them, which tends to mitigate the pain and other symptoms,” said Hedman-Lagerlöf.
In studying the online cognitive behavioral therapy, patients with fibromyalgia were randomly assigned either to a course of online CBT or to a waiting list. Over a ten-week course of treatment, the group enrolled in the online training had fewer symptoms and felt less obstructed by their condition than the control group who were assigned to the waiting list. They also showed improved functionality and quality of life, with less anxiety, depression, insomnia, and fatigue.
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“The next step is to compare our therapy with a different kind of psychological treatment,” says Maria Hedman-Lagerlöf. “If it proves more effective it wouldn’t take long for it to be implemented by the health services, where it can benefit the lives of many patients.”
With no known cure and few treatment options, CBT offers new options to those suffering from fibromyalgia. An analysis of the therapy also shows that it is a cost-effective treatment, which is partly due to it being online. Participants who followed CBT treatment recorded spending less time in healthcare,
Self-care is critical in the management of fibromyalgia. Along with the CBT, studies have shown that lifestyle changes can help to reduce symptoms of fibromyalgia. Reducing stress, getting daily exercise, eating healthy, and maintaining an overall healthy lifestyle can go a long way towards having a higher quality of life when living with fibromyalgia.
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