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ArticleClinical neuropsychiatry2026

Psychodynamic Interventions for Fibromyalgia: A Systematic Review.

Alessandro Torelli, Martina Mesce, Marco Cavicchioli, Sara Bottiroili, Lorys Castelli, Filippo Maria Nimbi, Martina Cangelosi, Agata Benfante, Annunziata Romeo, Alessia Renzi and 7 more

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Article in Clinical neuropsychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Alessandro TorelliDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Martina MesceDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Marco CavicchioliDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Sara BottiroiliDepartment of Brain and Behavioral Sciences, University of Pavia, Italy.
Lorys CastelliDepartment of Psychology, University of Turin, Italy.
Filippo Maria NimbiDepartment of Theoretical and Applied Sciences (DiSTA), eCampus University.
Martina CangelosiDepartment of Brain and Behavioral Sciences, University of Pavia, Italy.
Agata BenfanteDepartment of Psychology, University of Turin, Italy.
Annunziata RomeoDepartment of Psychology, University of Turin, Italy.
Alessia RenziDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Annalisa TanzilliDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Rachele MarianiDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Chiara PazzagliDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Michela Di TraniDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.
Piercarlo Sarzi-PuttiniRheumatology Department, IRCCS Galeazzi-Sant'Ambrogio Hospital, Milan, Italy.
Carmen M Galvez-SánchezDepartment of Personality, Evaluation and Psychological Treatment, Faculty of Psychology and Speech Therapy, University of Murcia, Murcia, Spain.
Federica GalliDepartment of Dynamic and Clinical Psychology, and Health Studies, Sapienza University ofRome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: fibromyalgia (FM) is a chronic condition characterized by widespread pain, fatigue, sleep disturbances, and psychological distress, with a significant impact on quality of life. While cognitive-behavioral therapy has been extensively studied as a psychological intervention for FM, the effectiveness of psychodynamic interventions remains underexplored. This systematic review aims to synthesize the existing literature on psychodynamic interventions for FM, focusing on their impact on clinical and psychological outcomes. Method: a systematic search was conducted across PsycINFO, Cochrane, PubMed, and Web of Science databases. A total of six studies meeting the inclusion criteria were identified, investigating different psychodynamic approaches, including Attachment-Based Compassion Therapy, Emotional Awareness and Expression Therapy, and shortterm psychodynamic psychotherapy. Results: across these studies, psychodynamic interventions showed potential - but still preliminary - benefits, including reductions in pain severity, anxiety, depression, and psychological distress, alongside improvements in emotional functioning and quality of life. However, substantial heterogeneity across interventions, study designs, and outcome measures, combined with moderate-to-high risk of bias and the small number of available studies, limits the strength of the conclusions. Conclusions: the current evidence does not allow definitive recommendations regarding psychodynamic interventions for FM. Further methodologically rigorous research is needed to clarify the specific efficacy, generalizability, and underlying mechanisms of these interventions.

Indexed as

fibromyalgiapsychodynamicsystematic reviewtreatments

Identifiers

PMID42383142
PMCPMC13316893

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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.