Lifestyle-oriented non-pharmacological treatments for fibromyalgia: a clinical overview and applications with home-based technologies.
Lifestyle-oriented non-pharmacological treatments for fibromyalgia: a clinical overview and applications with home-based technologies.
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DOI：
10.2147/jpr.s35199
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发表时间：
2012-01-01
影响因子：
2.7
通讯作者：
Collinge, William
中科院分区：
文献类型：
--
作者：
Friedberg, Fred;Williams, David A;Collinge, William
纤维肌痛（FM）是一种持续性和致残性广泛疼痛状况，通常伴有慢性疲劳，认知问题，睡眠障碍，抑郁，焦虑和头痛。迄今为止，研究最彻底的非药物方法来管理FM是那些重点改变患者的活动和信念，影响疾病。这些干预措施旨在促进疼痛和功能状态的持久改善。以生活方式为导向的治疗包括患者教育，有氧运动或其他体育锻炼，以及认知行为疗法（CBT）。FM中的这些干预措施可以由训练有素的专业人员在医疗或行为卫生保健环境中，通过面向患者的治疗手册或通过远程访问技术提供。非药物治疗，特别是运动和CBT，已经产生了与药物相当的效果大小和成本效益比。本文介绍了以生活方式为导向的非药物治疗FM和突出这些干预措施的选定文献综述。此外，行为和实际问题的解决，可能会影响这些非药物治疗，包括患者的期望，参与者的负担，和治疗的可用性。建议，以促进这些干预措施，并可能改善成果。特别地，描述了用于递送这些非药物治疗的方便的基于家庭的移动的技术的日益增加的可用性。
Fibromyalgia (FM) is a persistent and disabling widespread pain condition often accompanied by chronic fatigue, cognitive problems, sleep disturbance, depression, anxiety, and headache. To date, the most thoroughly studied non-pharmacological approaches to managing FM are those with a focus on changing patient activities and beliefs that affect the illness. These interventions are intended to facilitate enduring improvement in pain and functional status. Lifestyle-oriented treatments include patient education, aerobic or other physical exercise, and cognitive-behavioral therapy (CBT). These interventions in FM can be delivered in medical or behavioral health care settings by trained professionals, through patient-oriented treatment manuals, or via remote-access technologies. Non-pharmacological treatments, in particular exercise and CBT, have yielded effect sizes and cost-benefit ratios comparable to medications. This paper describes lifestyle-oriented non-pharmacological treatments for FM and highlights selected literature reviews of these interventions. In addition, behavioral and practical issues are addressed that may affect these non-pharmacological treatments, including patient expectations, participant burden, and treatment availability. Recommendations are made to facilitate these interventions and potentially improve outcomes. In particular, the increasing availability of convenient home-based mobile technologies to deliver these non-pharmacological treatments is described.