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Patient education, guided imagery and pain related talk in fibromyalgia coping
Fors EA, Gotestam KG
The European Journal of Psychiatry 2000;14(4):233-240
clinical trial
5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

In this clinical, randomized trial three cognitive behavioural coping techniques were compared for their efficiency of relieving fibromyalgia pain and anxiety symptoms: (1) a patient education programme (2) a general pleasant guided imagery program (3) self disclosure of pain talk, freely and emotionally about their fibromyalgia problems. The study tested a 30 minutes post intervention effect. A total of 58 fibromyalgia patients participated, where 22 were in the patient education group, 17 in the pleasant guided imagery group and 19 in the pain talk self disclosure group. Visual analogue scale (VAS) results indicate that patient education and guided imagery reduced both the patients current pain and anxiety, while the pain talk self disclosure group showed unchanged outcomes, although the patients expressed relief while talking. This study may have clinical relevance about how to approach chrinic pain patients.

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