Health Care Center for Pain Medicine and Mental Health Saarbrücken, D-66119, Saarbrücken, Germany; Department of Psychosomatic Medicine and Psychotherapy, Technische Universität München, D-81365, München, Germany.
Epidemiology Group, School of Medicine, Medical Sciences and Nutrition, University of Aberdeen, UK; Aberdeen Centre for Arthritis and Musculoskeletal Health, University of Aberdeen, UK.
Best Pract Res Clin Rheumatol. 2019 Jun;33(3):101416. doi: 10.1016/j.berh.2019.05.001. Epub 2019 May 31.
Psychological factors such as adverse childhood experiences, traumatic life events, interpersonal conflicts and psychological distress play an important role in the predisposition, onset and severity of chronic widespread pain (CWP) and fibromyalgia syndrome (FMS). Therefore, psychological therapies might have the potential to reduce disability as well as symptom and economic burden in patients with CWP and FMS. Recent interdisciplinary guidelines have suggested different strengths of recommendation for psychological therapies for FMS. The aims of this narrative review are to summarise: • Mechanisms of actions. • Evidence on efficacy, tolerability and safety. • Knowledge gaps and needs for future research of psychological therapies for CWP and FMS for non-mental health professionals.
心理因素，如不良的童年经历、创伤性生活事件、人际冲突和心理困扰，在慢性广泛性疼痛（CWP）和纤维肌痛综合征（FMS）的易感性、发病和严重程度中起着重要作用。因此，心理疗法可能有潜力减轻 CWP 和 FMS 患者的残疾以及症状和经济负担。最近的跨学科指南为 FMS 的心理疗法提出了不同强度的建议。本叙述性综述的目的是总结：
作用机制。
疗效、耐受性和安全性的证据。
非心理健康专业人员对 CWP 和 FMS 的心理疗法的知识空白和未来研究需求。
