Evidence map›Paper›PMID 28796118›Full record

Trial reportPain2017

Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial.

Mark A Lumley, Howard Schubiner, Nancy A Lockhart, Kelley M Kidwell, Steven E Harte, Daniel J Clauw, David A Williams

5 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 105 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
105citing papers in PubMed, 10 pooled it
10.4field-weighted citation impact, top 1% 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.

NCT04084795 narecruitingnot on this mapstarted 2025, after this paper: background citation

Augmentation of EMDR With Transcranial Direct Current Stimulation (tDCS) in the Treatment of Fibromyalgia: a Double-blind Randomized Controlled Trial

TypeinterventionalSponsorParc de Salut MarRan2025 to 2026Enrolled96ConditionsFibromyalgia, Psychological Trauma, Depressive Symptoms, AnxietyArmsEye Movement Desensitization and Reprocessing therapy, transcranial Direct Current Stimulation
NCT04751825 nacompletednot on this mapstarted 2021, after this paper: background citation

Internet-based Emotional Awareness and Expression Therapy for Somatic Symptom Disorder - A Randomized Controlled Trial

TypeinterventionalSponsorKarolinska InstitutetRan2021 to 2022Enrolled74ConditionsSomatic Symptom DisorderArmsI-EAET
NCT05755698 naterminatednot on this mapstarted 2023, after this paper: background citation

Evaluation of Emotional Awareness and Expression Therapy (EAET) As a Novel Migraine Treatment

TypeinterventionalSponsorUniversity of UtahRan2023 to 2024Enrolled20ConditionsMigraine DisordersArmsEmotional Awareness and Expression Therapy
NCT05837650 nacompletednot on this mapstarted 2023, after this paper: background citation

Feasibility and Preliminary Efficacy of Emotional Awareness and Expression Therapy (EAET) as a Novel Migraine Treatment - Randomized Controlled Pilot Study

TypeinterventionalSponsorUniversity of UtahRan2023 to 2025Enrolled30ConditionsMigraine DisordersArmsEmotional Awareness and Expression Therapy (EAET)
NCT07282392 narecruitingnot on this mapstarted 2025, after this paper: background citation

Evaluating the Feasibility and Efficacy of Emotional Awareness and Expression Therapy (EAET) on Fibromyalgia Outcomes in Patients With Systemic Lupus Erythematosus (SLE).

TypeinterventionalSponsorUniversity of UtahRan2025 to 2028Enrolled30ConditionsLupus, Fibromyalgia (FM), Chronic Widespread PainArmsEmotional Awareness and Expression Therapy (EAET)
3 · Its place in the literature

Who cites it

105 citing papers in PubMed, 10 syntheses or guidelines pooled it, 228 citations in OpenAlex.

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  4. Are OMERACT recommendations followed in clinical trials on fibromyalgia? A systematic review of patient-reported outcomes and their measures.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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45 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Mark A LumleyDepartment of Psychology, Wayne State University, Detroit, MI, USA.
Howard SchubinerDepartment of Internal Medicine, Providence Hospital/Ascension Health, Southfield, MI, USA, and Michigan State University, East Lansing, MI, USA.
Nancy A LockhartDepartment of Psychology, Wayne State University, Detroit, MI, USA.
Kelley M KidwellDepartments of Biostatistics.
Steven E HarteDepartment of Psychology, Wayne State University, Detroit, MI, USA.
Daniel J ClauwDepartment of Psychology, Wayne State University, Detroit, MI, USA.
David A WilliamsDepartment of Psychology, Wayne State University, Detroit, MI, USA.
Wayne State University · USCancer Research And Biostatistics · USProvidence Hospital · US

Funding

Emotional Exposure and Cognitive Behavioral Therapies for FibromyalgiaR01AR057808 · NIAMS · WAYNE STATE UNIVERSITY · PI LUMLEY, MARK A · 2010 to 2014
$3.2M
NIAMS NIH HHS R01 AR057808
6 · The paper itself

Abstract

Patients with fibromyalgia (FM) experience increased lifetime levels of psychosocial adversity, trauma, and emotional conflict. To address these risk factors, we developed emotion awareness and expression therapy (EAET) and tested its benefits against an active control condition, FM education, and the field's gold standard intervention for FM, cognitive behavioral therapy (CBT) for symptom management. Adults with FM (N = 230) formed 40 treatment groups, which were randomized to EAET, CBT, or education and given 8, 90-minute sessions. Patient-reported outcomes were assessed at baseline, posttreatment, and 6-month follow-up (primary end point). Retention of patients to follow-up was excellent (90.4%). Intent-to-treat analyses indicated that although EAET did not differ from FM education on pain severity (primary outcome), EAET had significantly better outcomes than FM education on overall symptoms, widespread pain, physical functioning, cognitive dysfunction, anxiety, depression, positive affect, and life satisfaction (between-condition d's ranging from 0.29-0.45 SD) and the percentage of patients reporting being "very much/much" improved (34.8% vs 15.4%). Emotional awareness and expression therapy did not differ from CBT on the primary or most secondary outcomes, but compared to CBT, EAET led to significantly lower FM symptoms (d = 0.35) and widespread pain (d = 0.37) and a higher percentage of patients achieving 50% pain reduction (22.5% vs 8.3%). In summary, an intervention targeting emotional awareness and expression related to psychosocial adversity and conflict was well received, more effective than a basic educational intervention, and had some advantages over CBT on pain. We conclude that EAET should be considered as an additional treatment option for FM.

Indexed as

Cognitive Behavioral TherapyAdultAwarenessBehaviorDepressionEmotionsFemaleFibromyalgiaHumansMaleMiddle AgedPain MeasurementQuality of LifeSeverity of Illness IndexTreatment Outcome

Identifiers

PMID28796118
PMCPMC5680092
OpenAlexW2742876406

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.