Evidence map›Paper›PMID 22018333›Full record

Trial reportArthritis research & therapy2011

Effectiveness of cognitive behaviour therapy for the treatment of catastrophisation in patients with fibromyalgia: a randomised controlled trial.

Marta Alda, Juan V Luciano, Eva Andrés, Antoni Serrano-Blanco, Baltasar Rodero, Yolanda López del Hoyo, Miquel Roca, Sergio Moreno, Rosa Magallón, Javier García-Campayo

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Arthritis research & therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 8 pooled it
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 8 syntheses or guidelines pooled it, 75 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Mind and body therapy for fibromyalgia.The Cochrane database of systematic reviews · 2015
    Pooled it
  7. Cognitive behavioural therapies for fibromyalgia.The Cochrane database of systematic reviews · 2013
    Pooled it
  8. Systematic review of psychological treatment in fibromyalgia.Current pain and headache reports · 2013
    Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Pain Catastrophizing: How Far Have We Come.Neurology international · 2024
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Marta AldaServicio de Psiquiatría, Hospital Miguel Servet y Universidad de Zaragoza, Instituto Aragonés de Ciencias de la Salud (I+CS), Red de Actividades Preventivas y de Promoción de la Salud (REDIAPP) (G06/170 and RD06/0018/0017), Avda Isabel La Catolica 1, 5009 Zaragoza, Spain.
Juan V Luciano
Eva Andrés
Antoni Serrano-Blanco
Baltasar Rodero
Yolanda López del Hoyo
Miquel Roca
Sergio Moreno
Rosa Magallón
Javier García-Campayo
Red de Investigación en Actividades Preventivas y Promoción de la Salud · ESInstituto Aragonés de Ciencias de la Salud · ESCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública · ESParc Sanitari Sant Joan de Déu · ESResearch Institute of Health Sciences · ESUniversidad de Zaragoza · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNo randomised, controlled trials have been conducted to date on the efficacy of psychological and pharmacological treatments of pain catastrophising (PC) in patients with fibromyalgia. Our aim in this study was to assess the effectiveness of cognitive-behaviour therapy (CBT) and the recommended pharmacological treatment (RPT) compared with treatment as usual (TAU) at the primary care level for the treatment of PC in fibromyalgia patients.

methodsWe conducted a six-month, multicenter, randomized, blinded, parallel group, controlled trial in which patients were randomly assigned to one of three study arms: CBT (n = 57), RPT (n = 56) and TAU at the primary care level (n = 56). The major outcome of this study was PC in patients with fibromyalgia. The secondary variables were pain acceptance, depression, anxiety, pain, global function and quality of life.

resultsCBT significantly decreased global PC at the six-month follow-up examination with effect sizes of Cohen's d = 0.73 and 1.01 compared with RPT and TAU, respectively. CBT was also more effective than RPT and TAU at increasing pain acceptance at the six-month follow-up examination (effect sizes of Cohen's d = 0.77 and 0.80, respectively). Compared with RPT and TAU, CBT was more effective at improving global function based on the Fibromyalgia Impact Questionnaire (six-month effect sizes Cohen's d = 0.44 and 0.53, respectively) and quality of life based on the European Quality of Life Scale (six-month effect sizes Cohen's d = 0.11 and 0.40, respectively). There were no differences among the three treatments with regard to pain and depression.

conclusionsCBT shows higher efficacy than RPT and TAU not only in key outcomes in FM, such as function and quality of life, but also in relevant mediators of treatment effects, such as pain catastrophising and pain acceptance.

trial registrationISRCTN: ISRCTN10804772.

Indexed as

AdultCatastrophizationCognitive Behavioral TherapyFemaleFibromyalgiaFollow-Up Studiesgamma-Aminobutyric AcidHumansMaleMiddle AgedPain MeasurementPregabalinSingle-Blind MethodTreatment Outcomegamma-Aminobutyric AcidPregabalin

Identifiers

PMID22018333
PMCPMC3308108
OpenAlexW2132889637

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.