Häuser W, Bernardy K
Innere Medizin I, Klinikum Saarbrücken gGmbH, Winterberg 1, 66119, Saarbrücken, Deutschland,
Z Rheumatol. 2015 Sep;74(7):584-90. doi: 10.1007/s00393-014-1555-0.
Psychosocial factors play an important role in the predisposition, triggering and course of fibromyalgia syndrome (FMS). Cognitive behavioral therapies are strongly recommended in the current guidelines on the management of FMS in Canada, Germany and Israel.
Review of techniques, aims and efficacy of psychotherapeutic procedures in FMS.
Narrative review based on a selective search for systematic reviews on the efficacy of psychotherapeutic procedures in FMS.
There is robust evidence for the short and long-term efficacy of cognitive behavioral therapies on some key symptoms of FMS, e.g. pain, depression and disability. The quality and quantity of the evidence for the efficacy of other psychotherapeutic procedures (e.g. biofeedback, relaxation therapies, hypnosis/guided imagery and psychodynamic therapy) are insufficient.
Cognitive behavioral therapies (e.g. acceptance and commitment therapy, cognitive behavioral therapy and operant therapy) should play an important role in a graduated and individually tailored therapy of FMS patients.
社会心理因素在纤维肌痛综合征（FMS）的易感性、触发因素及病程中起着重要作用。在加拿大、德国和以色列当前关于FMS管理的指南中，强烈推荐认知行为疗法。
综述FMS心理治疗程序的技术、目标及疗效。
基于对FMS心理治疗程序疗效的系统评价进行选择性检索的叙述性综述。
有充分证据表明认知行为疗法对FMS的一些关键症状，如疼痛、抑郁和残疾有短期和长期疗效。其他心理治疗程序（如生物反馈、放松疗法、催眠/引导意象和心理动力疗法）疗效的证据质量和数量不足。
认知行为疗法（如接纳与承诺疗法、认知行为疗法和操作性疗法）应在FMS患者逐步个体化治疗中发挥重要作用。
