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The hypothesis of the study is that group therapy in fibromyalgia patients can provide significant improvement in pain, fatigue, anxiety and depression levels and emotional expressions.
The purpose of our study; to determine the effectiveness of group psychotherapy in the treatment of Fibromyalgia Syndrome.
Patients who received 9 weeks of group therapy and those who did not, at the beginning of treatment, at the end of 9 weeks and 6 months after treatment will be evaluated using The Short Form-36, Fibromyalgia Impact Questionnaire, Revised Fibromyalgia Impact Questionnaire, Hospital Anxiety and Depression Scale, Fatigue Severity Scale, Beck Depression Inventory, Beck Anxiety Inventory, Pain Beliefs Scale, Emotional Expression Questionnaire, Visual Analogue Scale, Childhood Trauma Questionnaire, 2016 Fibromyalgia Diagnostic Criteria.
At the end of the study, individuals are expected to show less depressive symptoms and anxiety symptoms compared to the beginning of the study, and it is thought that their complaints about pain will decrease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| control group | No Intervention | Patients in this group will receive recommendations regarding lifestyle change, exercise, and nutrition related to fibromyalgia. | |
| intervention group | Experimental | Patients in this group will receive recommendations regarding lifestyle change, exercise, and nutrition related to fibromyalgia and group psychotherapy. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group Psychotherapy | Other | 9 week group psychotherapy, given by a psychologist trained in group psychotherapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Pain-Visual Analog Scale | Chronic musculoskeletal pain in Fibromyalgia syndrome patients, in this scale minumum value is 0, maximum value is 10, higher scores means worse outcome. | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Depression-Beck Depression Inventory | Depression in Fibromyalgia patients | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Anxiety-Beck Anxiety Inventory | Anxiety in Fibromyalgia patients | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Measure | Description | Time Frame |
|---|---|---|
| Change in The Short Form (36) Health Survey | The Short Form (36) Health Survey | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Fibromyalgia Impact Questionaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Simin HEPGULER, Prof | Ege University | Study Chair |
| Basak DURDU AKGUN, Dr | Ege University | Principal Investigator |
| Ece Cinar, Assistant Prof | Ege University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ege University Faculty of Medicine | Izmır | 35100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21878603 | Background | Clauw DJ, Arnold LM, McCarberg BH; FibroCollaborative. The science of fibromyalgia. Mayo Clin Proc. 2011 Sep;86(9):907-11. doi: 10.4065/mcp.2011.0206. | |
| 25323744 | Background | Jones GT, Atzeni F, Beasley M, Fluss E, Sarzi-Puttini P, Macfarlane GJ. The prevalence of fibromyalgia in the general population: a comparison of the American College of Rheumatology 1990, 2010, and modified 2010 classification criteria. Arthritis Rheumatol. 2015 Feb;67(2):568-75. doi: 10.1002/art.38905. |
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| ID | Term |
|---|---|
| D005356 | Fibromyalgia |
| D010146 | Pain |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
| D012216 | Rheumatic Diseases |
| D009468 | Neuromuscular Diseases |
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| ID | Term |
|---|---|
| D011615 | Psychotherapy, Group |
| ID | Term |
|---|---|
| D012960 | Socioenvironmental Therapy |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |
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Fibromyalgia Impact Questionaire
| At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Revised Fibromyalgia Impact Questionnaire | Revised Fibromyalgia Impact Questionnaire | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Hospital Anxiety and Depression Scale | Hospital Anxiety and Depression Scale, in this scale minumum value is 0, maximum value is 21, high scores mean worse outcome. | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in The Fatigue Severity Scale | The Fatigue Severity Scale, In this scale consisting of 9 items, each item is scored between 1 and 7 (1 = strongly disagree, 7 = totally agree) and the total score is calculated by taking the average of 9 items, high scores mean worse outcome. | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Pain beliefs questionnaire | Pain beliefs questionnaire | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| Change in Emotional Expression Questionnaire | Emotional Expression Questionnaire | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| CHILDHOOD TRAUMA QUESTIONNAIRE | CHILDHOOD TRAUMA QUESTIONNAIRE | At the beginning of the study |
| Change in 2016 Fibromyalgia Syndrome Criteria | 2016 Fibromyalgia Syndrome Criteria 2016 Fibromyalgia Diagnostic Criteria | At the beginnning of the study ,through study completion-8th week, after study completion -6th month |
| 17349056 | Background | Bennett RM, Jones J, Turk DC, Russell IJ, Matallana L. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord. 2007 Mar 9;8:27. doi: 10.1186/1471-2474-8-27. |
| 16965199 | Background | Arnold LM, Hudson JI, Keck PE, Auchenbach MB, Javaras KN, Hess EV. Comorbidity of fibromyalgia and psychiatric disorders. J Clin Psychiatry. 2006 Aug;67(8):1219-25. doi: 10.4088/jcp.v67n0807. |
| 13688369 | Background | BECK AT, WARD CH, MENDELSON M, MOCK J, ERBAUGH J. An inventory for measuring depression. Arch Gen Psychiatry. 1961 Jun;4:561-71. doi: 10.1001/archpsyc.1961.01710120031004. No abstract available. |
| Background | Hisli N. Beck Depresyon Ölçeği'nin bir Türk örnekleminde geçerlik ve güvenirliği. Psikoloji Dergisi 1988; 6:118-122. |
| 3204199 | Background | Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988 Dec;56(6):893-7. doi: 10.1037//0022-006x.56.6.893. No abstract available. |
| Background | Ulusoy M, Şahin NH, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric properties. J Cognit Psychother 1996; 12:163- 172 |
| 1491853 | Background | Edwards LC, Pearce SA, Turner-Stokes L, Jones A. The Pain Beliefs Questionnaire: an investigation of beliefs in the causes and consequences of pain. Pain. 1992 Dec;51(3):267-272. doi: 10.1016/0304-3959(92)90209-T. |
| 8037246 | Background | Bernstein DP, Fink L, Handelsman L, Foote J, Lovejoy M, Wenzel K, Sapareto E, Ruggiero J. Initial reliability and validity of a new retrospective measure of child abuse and neglect. Am J Psychiatry. 1994 Aug;151(8):1132-6. doi: 10.1176/ajp.151.8.1132. |
| 12615092 | Background | Bernstein DP, Stein JA, Newcomb MD, Walker E, Pogge D, Ahluvalia T, Stokes J, Handelsman L, Medrano M, Desmond D, Zule W. Development and validation of a brief screening version of the Childhood Trauma Questionnaire. Child Abuse Negl. 2003 Feb;27(2):169-90. doi: 10.1016/s0145-2134(02)00541-0. |
| Background | Kuzucu Y. , "Duyguları İfade Etme Ölçeği'nin Uyarlanması: Geçerlik Ve Güvenirlik Çalışmaları" Kastamonu Eğitim Dergisi, Cilt:19 No:3, 2011,779-792. |
| D009422 |
| Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |