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Psychotherapie bei Patienten mit Fibromyalgiesyndrom

Psychotherapy in patients with fibromyalgia syndrome

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Zusammenfassung

Fragestellung

Eine interdisziplinäre Leitlinie zur Therapie des Fibromyalgiesyndroms (FMS) wurde in Kooperation von 10 medizinischen bzw. psychologischen Fachgesellschaften und 2 Patientenselbsthilfeorganisationen erstellt.

Methodik

Eine Literatursuche über alle kontrollierten Studien zur Therapie des FMS mit psychologischen bzw. psychotherapeutischen Verfahren wurde unter Benutzung der Cochrane Collaboration Reviews (1993–12/2006), Medline (1980–12/2006), PsychInfo (1966–12/ 2006) und Scopus (1980–12/ 2006) durchgeführt. Für die Vergabe von Evidenzklassen wurde das System des Oxford Centre for Evidence-Based Medicine verwendet, für die Vergabe von Empfehlungsgraden die Empfehlungsgraduierung der nationalen Versorgungsleitlinien. Die Erstellung der Empfehlungen erfolgte in einem mehrstufigen nominalen Gruppenprozess.

Ergebnisse

Die zeitlich befristete Anwendung kognitiver und operanter Verhaltenstherapie erhielt den Empfehlungsgrad A und die zeitlich befristete Verwendung von Hypnotherapie/geleitete Imagination und therapeutischen Schreiben den Empfehlungsgrad B.

Schlussfolgerungen

Auf FMS-Subgruppen zugeschnittene Behandlungsverfahren sollten entwickelt und untersucht werden.

Abstract

Background

A guideline for the treatment and diagnostic procedures in fibromyalgia syndrome (FMS) was developed in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

Methods

A systematic literature search including all controlled studies of evaluated multicomponent therapy was performed in the Cochrane Collaboration Reviews (1993–12/2006), Medline (1980–12/2006), PsychInfo (1966–12/2006) and Scopus (1980–12/ 2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was done according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.

Results

Cognitive and operant behavioral therapy is strongly recommended (grade A). Guided imagery/hypnotherapy and written emotional disclosure are recommended (grade B).

Conclusions

Psychotherapeutic programs tailored to FMS subgroups should be developed and tested.

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Authors and Affiliations

  1. Institut für Neuropsychologie und Klinische Psychologie, Zentralinstitut für Seelische Gesundheit Mannheim, Universität Heidelberg , J5, 68159, Mannheim, Deutschland

    K. Thieme

  2. Zentrum für Schmerztherapie, Klinikum Saarbrücken gGmbH, Saarbrücken, Deutschland

    W. Häuser

  3. Klinik für Psychiatrie und Psychotherapie, Universitätsklinik Tübingen, Tübingen, Deutschland

    A. Batra

  4. Fachklinik für Psychosomatische Medizin, MediClin Bliestal-Kliniken und Medizinische Fakultät der Universitätsklinken des Saarlandes, Blieskastel, Deutschland

    K. Bernardy & V. Köllner

  5. Deutsche Fibromyalgie Vereinigung, Seckach, Deutschland

    E. Felde & M. Settan

  6. Kliniken am Burggraben, Bad Salzuflen, Deutschland

    M. Gesmann

  7. Abt. für Kinder- und Jugendrheumatologie, St. Josef-Stift, Sendenhorst, Sendenhorst, Deutschland

    A. Illhardt

  8. Praxis für Neurologie und Psychiatrie, Bad Schönborn, Bad Schönborn, Deutschland

    R. Wörz

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  1. K. Thieme
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  2. W. Häuser
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  3. A. Batra
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  4. K. Bernardy
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  5. E. Felde
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  10. V. Köllner
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Corresponding author

Correspondence to K. Thieme.

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Die Mitgliedschaften der Autoren in Fachgesellschaften sind in Infobox 1 aufgelistet.

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Thieme, K., Häuser, W., Batra, A. et al. Psychotherapie bei Patienten mit Fibromyalgiesyndrom. Schmerz 22, 295–302 (2008). https://doi.org/10.1007/s00482-008-0674-4

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  • DOI: https://doi.org/10.1007/s00482-008-0674-4

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