Department of Surgical, Medical and Molecular Pathology, Critical and Care Medicine, University of Pisa, Italy.
Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Pisa, Italy.
Clin Exp Rheumatol. 2019 Jan-Feb;37 Suppl 116(1):98-104. Epub 2019 Feb 8.
Although the mechanisms underlying fibromyalgia are not yet clear, many attempts have been made to implement pharmacological therapy and help patients manage its psychological and physical symptoms. Recent evidence has shown that an interdisciplinary multidimensional approach encompassing psychological factors, emotion regulation strategies and education on illness is more effective in improving quality of life, both in the short- and long-term, than usual treatments alone. The purpose of this review is to provide an updated overview of the available literature regarding the role of psychoeducation on fibromyalgia symptoms and health outcomes. We searched on PubMed Database with the keywords "fibromyalgia", "education" and "psychology" and then divided the results of our research into four main categories: effectiveness of psychoeducational programs versus treatment as usual, psychoeducational interventions versus other non-pharmacological treatments, Online-based education programs and specific characteristics of the participants. Our research highlighted that most of the considered studies found significant positive results on patients' condition, suggesting that an interdisciplinary intervention containing psychoeducation is an effective strategy in managing fibromyalgia symptoms.
虽然纤维肌痛的发病机制尚不清楚，但人们已经尝试了多种方法来实施药物治疗，并帮助患者控制其心理和生理症状。最近的证据表明，一种包含心理因素、情绪调节策略和疾病教育的跨学科多维方法，在改善短期和长期生活质量方面，比单独使用常规治疗更为有效。本综述的目的是提供有关心理教育对纤维肌痛症状和健康结果的作用的最新文献综述。我们在 PubMed 数据库中使用了“fibromyalgia”（纤维肌痛）、“education”（教育）和“psychology”（心理学）这三个关键词进行搜索，然后将我们的研究结果分为四个主要类别：心理教育计划与常规治疗相比的效果、心理教育干预与其他非药物治疗相比的效果、基于在线的教育计划以及参与者的具体特征。我们的研究结果表明，大多数被考虑的研究都发现了患者病情的显著积极结果，这表明包含心理教育的跨学科干预是管理纤维肌痛症状的有效策略。
