Gómez-de-Regil Lizzette
Hospital Regional de Alta Especialidad de la Península de Yucatán, Mérida 97130, Mexico.
Healthcare (Basel). 2021 Jun 16;9(6):737. doi: 10.3390/healthcare9060737.
This systematic review presents a brief and comprehensive summary of psychoeducational programs that have been designed for and tested in patients with fibromyalgia, with a focus on the features of the interventions and their main results regarding the patients' clinical outcome. A bibliographical search performed in PubMed, Web of Science, Scopus, Cochrane Library and PsycInfo targeted publications, related to the terms "fibromyalgia" and "psychoeducation." Information regarding the studies' designs, age criterion, sample size, sex distribution and mean age of participants, and assessment time points, was recorded. If applicable, group distributions along with the main results regarding the patients' clinical outcome, and features of the psychoeducational interventions were registered. Initial search eliciting 77 citations reduced to 10 relevant papers. Most of the reports come from two research projects from Spain ( = 6), worked with adult samples ( = 9), and most participants were females (88%-98%). Interventions reported significant improvements in the patients' clinical outcomes in measures of pain intensity, fatigue, sleep quality, depression, anxiety, functional ability cognitive impairment, and quality of life. Results show not only that psychoeducational programs for the treatment of fibromyalgia are feasible, but also that they can be effective for managing physical and emotional symptoms, in particular, pain and depression.
本系统评价简要而全面地总结了为纤维肌痛患者设计并进行测试的心理教育项目,重点关注干预措施的特点及其对患者临床结局的主要结果。在PubMed、科学网、Scopus、Cochrane图书馆和PsycInfo中进行的文献检索,以与“纤维肌痛”和“心理教育”相关的术语为目标。记录了有关研究设计、年龄标准、样本量、参与者的性别分布和平均年龄以及评估时间点的信息。如果适用,还记录了分组情况以及关于患者临床结局的主要结果和心理教育干预措施的特点。初步检索得到77篇引文,筛选后得到10篇相关论文。大多数报告来自西班牙的两个研究项目(n = 6),研究对象为成人样本(n = 9),大多数参与者为女性(88%-98%)。干预措施在疼痛强度、疲劳、睡眠质量、抑郁、焦虑、功能能力、认知障碍和生活质量等测量指标上,使患者的临床结局有显著改善。结果表明,治疗纤维肌痛的心理教育项目不仅可行,而且对管理身体和情绪症状,特别是疼痛和抑郁有效。