Intervenciones psicológicas para el tratamiento de la fibromialgiauna revisión narrativa

  1. Peña-Muñante, Gonzalo Sebastián 1
  1. 1 Universidad de Almería
    info

    Universidad de Almería

    Almería, España

    ROR https://ror.org/003d3xx08

Revista:
Psicoespacios: Revista virtual de la Institución Universitaria de Envigado

ISSN: 2145-2776

Año de publicación: 2023

Título del ejemplar: Enero - Junio

Volumen: 17

Número: 30

Tipo: Artículo

DOI: 10.25057/21452776.1519 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

Otras publicaciones en: Psicoespacios: Revista virtual de la Institución Universitaria de Envigado

Resumen

La fibromialgia es una enfermedad reumática crónica cuya principal característica es un dolor profundo y persistente en la mayor parte del cuerpo. Aunque el número de personas diagnosticadas de esta afección va en aumento, actualmente sigue sin haber un único tratamiento de referencia debido a su posible etiología multicausal. No obstante, dado el gran componente psicológico presente en la enfermedad, el objetivo de esta revisión es dar a conocer las principales intervenciones psicológicas que se han utilizado hasta el momento para tratar los síntomas emocionales de estos pacientes. De esta manera, se pretende poner de manifiesto que existen otras opciones alternativas a los psicofármacos, los cuales han demostrado tener una eficacia clínica cuestionable, por todos los efectos secundarios perjudiciales para quienes optan por su uso.

Referencias bibliográficas

  • Amutio, A., Franco, C., Pérez-Fuentes, M. C., Gázquez, J. J. & Mercader, I. (2015). Mindfulness training for reducing anger, anxiety, and depression in fibromyalgia patients. Frontiers in Psychology, 5, 1572. https://doi.org/10.3389/fpsyg.2014.01572
  • Bernardy, K., Klose, P., Welsch, P. & Häuser, W. (2018). Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia syndrome – A systematic review and meta-analysis of randomized controlled trials. European Journal of Pain, 22(2), 242-260. https://doi.org/10.1002/ejp.1121
  • Burns, J. W., Nielson, W. R., Jensen, M. P., Heapy, A., Czlapinski, R. & Kerns, R. D. (2015). Specific and general therapeutic mechanisms in cognitive behavioral treatment of chronic pain. Journal of Consulting and Clinical Psychology, 83(1), 1-11. https://doi.org/10.1037/a0037208
  • Cabo-Meseguer, A., Cerdá-Olmedo, G. & Trillo-Mata, J. L. (2017). Fibromialgia: Prevalencia, perfiles epidemiológicos y costes económicos. Medicina Clínica, 149(10), 441-448. https://doi.org/10.1016/j.medcli.2017.06.008
  • Carmassi, C., Ciapparelli, A., Cappelli, A., Dell'Oste, V., Bertelloni, C. A., Foghi, C., Amatori, G., Pedrinelli, V., Bazzichi, L. & Dell'Osso, L. (2021). Naturalistic 6-month antidepressants follow-up in patients with fibromyalgia: Impact on somatic and mood spectrum symptoms. Clinical and Experimental Rheumatology, 39(3), 33-38. https://doi.org/10.55563/clinexprheumatol/j4nkzd
  • Carta, M. G., Ruggiero, V., Sancassiani, F., Cutrano, F., Manca, A. R., Peri, M., Fais, A. & Cacace, E. (2013). The use of antidepressants in the long-term treatment should not improve the impact of fibromyalgia on quality of life. Clinical Practice & Epidemiology in Mental Health, 9, 120-124. https://doi.org/10.2174/1745017901309010120
  • Cederberg, J. T., Cernvall, M., Dahl, J., von Essen, L. & Ljungman, G. (2016). Acceptance as a mediator for change in acceptance and commitment therapy for persons with chronic pain? International Journal of Behavioral Medicine, 23(1), 21-29. https://doi.org/10.1007/s12529-015-9494-y
  • Climent, C. O., Ballester, M. C. & Cantus, D. S. (2019). Calidad de vida en pacientes con fibromialgia: Revisión bibliográfica. Revista Española de Enfermería de Salud Mental, 8, 4-10. https://doi.org/10.35761/reesme.2019.8.02
  • Costa, A. V. F., Bezerra, L. C. & Paula, J. A. (2021). Use of psychotropic drugs in the treatment of fibromyalgia: A systematic review. Journal of Human Growth and Development, 31(2), 336-345. https://doi.org/10.36311/jhgd.v31.12228
  • D’Onghia, M., Ciaffi, J., Ruscitti, P., Cipriani, P., Giacomelli, R., Ablin, J. N. & Ursini, F. (2022). The economic burden of fibromyalgia: A systematic literature review. Seminars in Arthritis and Rheumatism, 56, 152060. https://doi.org/10.1016/j.semarthrit.2022.152060
  • Droppert, K. M. & Knowles, S. R. (2022). The role of pain acceptance, pain catastrophizing, and coping strategies: A validation of the common sense model in females living with fibromyalgia. Journal of Clinical Psychology in Medical Settings. https://doi.org/10.1007/s10880-022-09873-w
  • Furnes, B. & Dysvik, E. (2012). Therapeutic writing and chronic pain: Experiences of therapeutic writing in a cognitive behavioural programme for people with chronic pain. Journal of Clinical Nursing, 21(23-24), 3372-3381. https://doi.org/10.1111/j.1365-2702.2012.04268.x
  • Gayà, T. F., Ferrer, C. B., Mas, A. J., Seoane-Mato, D., Reyes, F. A., Sánchez, M. D., Dubois, C. M., Sánchez-Fernández, S. A., Vargas, L. M. R., Morales, P. V. G., Olivé, A., Muñoz, P. R., Larrosa, M., Ricós, N. N., Sánchez-Piedra, C., Díaz-González, F. & Bustabad-Reyes, S. (2020). Prevalence of fibromyalgia and associated factors in Spain. Clinical and Experimental Rheumatology, 38(1), 47-52.
  • Ghavidel-Parsa, B. & Bidari, A. (2021). Two sides on the fibromyalgia coin: Physical pain and social pain (invalidation). Clinical Rheumatology 40(3), 841-848. https://doi.org/10.1007/s10067-020-05304-z
  • Ghavidel-Parsa, B., Bidari, A., Tohidi, S., Shenavar, I., Leyli, E. K., Hosseini, K. & Khosousi, M. J. (2021). Implication of invalidation concept in fibromyalgia diagnosis. Clinical Rheumatology, 40(6), 2369-2376. https://doi.org/10.1007/s10067-020-05515-4
  • Govillard, L., Gorbeña, S. & Iraurgi, I. (2022). Cognitive behavioral therapy with and without biofeedback in fibromyalgia: Assessment of functional and clinical change. Health Psychology Open, 9(1). https://doi.org/10.1177/20551029221106044
  • Häuser, W., Wolfe, F., Tölle, T., Üçeyler, N. & Sommer, C. (2012). The role of antidepressants in the management of fibromyalgia syndrome: A systematic review and meta-analysis. CNS Drugs, 26(4), 297-307. https://doi.org/10.2165/11598970-000000000-00000
  • Karademas, E. C., Karekla, M., Flouri, M., Vasiliou, V. S., Kasinopoulos, O. & Papacostas, S. S. (2017). The impact of experiential avoidance on the relations between illness representations, pain catastrophising and pain interference in chronic pain. Psychology & Health, 32(12), 1469-1484. https://doi.org/10.1080/08870446.2017.1346193
  • Kumbhare, D., Ahmed, S. & Watter, S. (2018). A narrative review on the difficulties associated with fibromyalgia diagnosis. Therapeutic Advances in Musculoskeletal Disease, 10(1), 13-26. https://doi.org/10.1177/1759720X17740076
  • Leça, S. & Tavares, I. (2022). Research in mindfulness interventions for patients with fibromyalgia: A critical review. Frontiers in Integrative Neuroscience, 16, 920271. https://doi.org/10.3389/fnint.2022.920271
  • Ma, T. W., Yuen, A. S. & Yang, Z. (2023). The efficacy of acceptance and commitment therapy for chronic pain: A systematic review and meta-analysis. The Clinical Journal of Pain, 39(3), 147-157. https://doi.org/10.1097/AJP.0000000000001096
  • Maurel, S., Sáez-Francàs, N., Calvo, N., Alegre-Martín, J. & Castro-Marrero, J. (2022). Identifying mindfulness and acceptance as mediators between negative affect, functional disability and emotional distress in patients with fibromyalgia. Clinical and Experimental Rheumatology, 40(6), 1102-1111. https://doi.org/10.55563/clinexprheumatol/uzzejn
  • Montero-Marín, J., Navarro-Gil, M., Puebla-Guedea, M., Luciano, J. V., Van Gordon, W., Shonin, E. & García-Campayo, J. (2018). Efficacy of “attachment-based compassion therapy” in the treatment of fibromyalgia: A randomized controlled trial. Frontiers in Psychiatry, 8, 307. https://doi.org/10.3389/fpsyt.2017.00307
  • Montoro, C. I. & Galvez-Sánchez, C. M. (2022). The mediating role of depression and pain catastrophizing in the relationship between functional capacity and pain intensity in patients with fibromyalgia. Behavioural Neurology, 2022, 9770047. https://doi.org/10.1155/2022/9770047
  • Onieva-Zafra, M. D., Parra-Fernández, M. L. & Fernandez-Martinez, E. (2019). Benefits of a home treatment program using guided imagery relaxation based on audio recordings for people with fibromyalgia. Holistic Nursing Practice, 33(2), 111-120. https://doi.org/10.1097/HNP.0000000000000317
  • Pérez-Aranda, A., Barceló-Soler, A., Andrés-Rodríguez, L., Peñarrubia-María, M. T., Tuccillo, R., Borraz-Estruch, G., García-Campayo, J., Feliu-Soler, A. & Luciano, J. V. (2017). Description and narrative review of well-established and promising psychological treatments for fibromyalgia. Mindfulness & Compassion, 2(2), 112-129. https://doi.org/10.1016/j.mincom.2017.10.002
  • Pérez, J. M. C. & Vázquez, I. A. (2018). Relación del apoyo social y familiar con la aceptación del dolor en pacientes con fibromialgia. International Journal of Psychology & Psychological Therapy, 18(2), 151-161.
  • Rico-Villademoros, F., Postigo-Martin, P., Garcia-Leiva, J. M., Ordoñez-Carrasco, J. L. & Calandre, E. P. (2020). Patterns of pharmacologic and non-pharmacologic treatment, treatment satisfaction and perceived tolerability in patients with fibromyalgia: A patients' survey. Clinical and Experimental Rheumatology, 38(1), 72-78.
  • Santos, A., Crespo, I., Pérez-Aranda, A., Beltrán-Ruiz, M., Puebla-Guedea, M. & García-Campayo, J. (2022). Attachment-based compassion therapy for reducing anxiety and depression in fibromyalgia. International Journal of Environmental Research and Public Health, 19(13), 8152. https://doi.org/10.3390/ijerph19138152
  • Seoane-Mato, D., Sánchez-Piedra, C., Silva-Fernández, L., Sivera, F., Blanco, F. J., Ruiz, F. P., Juan-Mas, A., Pego-Reigosa, J. M., Narváez, J., Martí, N. Q., Verdú, R. C., Antón-Pagés, F., Vila, V. Q., Courel, L. G., Amo, N. V., Zudaire, I. P., Sturchio, G. A., Varo, F. M., Tudela, M. M. R., … Bustabad, S. (2019). Prevalencia de enfermedades reumáticas en población adulta en España (2019). Objetivos y metodología. Reumatología Clínica, 15(2), 90-96. https://doi.org/10.1016/j.reuma.2017.06.009
  • St. John, A. W., Aebischer, J. H., Friend, R. & Jones, K. D. (2022). Fibromyalgia: A clinical update. The Nurse Practitioner, 47(4), 20-30. https://doi.org/10.1097/01.NPR.0000822536.18719.50
  • Thorn, B. E. (2017). Cognitive therapy for chronic pain: A step-by-step guide (2ª ed.). Guilford Press.
  • Tomas-Carus, P., Branco, J. C., Raimundo, A., Parraca, J. A., Batalha, N. & Biehl-Printes, C. (2018). Breathing exercises must be a real and effective intervention to consider in women with fibromyalgia: A pilot randomized controlled trial. Journal of Alternative and Complementary Medicine, 24(8), 825-832. https://doi.org/10.1089/acm.2017.0335
  • Vallejo, M. A., Vallejo-Slocker, L., Offenbaecher, M., Hirsch, J. K., Toussaint, L. L., Kohls, N., Sirois, F. & Rivera, J. (2021). Psychological flexibility is key for reducing the severity and impact of fibromyalgia. International Journal of Environmental Research and Public Health, 18(14), 7300. https://doi.org/10.3390/ijerph18147300
  • Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D. L., Häuser, W., Katz, R. L., Mease, P. J., Russell, A. S., Russell, I. J. & Walitt, B. (2016). 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Seminars in Arthritis and Rheumatism, 46(3), 319-329. https://doi.org/10.1016/j.semarthrit.2016.08.012