Cochrane · systematic review · CD001980
Mind and body therapy for fibromyalgia
Theadom, A, Cropley, M, Smith, HE, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
MusculoskeletalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
25
current version
GRADE rated
22
No studies
3
Included studies
NR
No studies 3 · 12%Ungraded 0 · 0%Very low 14 · 56%Low 6 · 24%Moderate 2 · 8%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Psychological therapies compared to usual care for fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functioning as assessed post‐intervention Fibromyalgia Impact Questionnaire. Scale from: 0 to 100 Psychological therapies vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision, inconsistency |
Pain as assessed post‐intervention 100 point visual analog scale. Scale from: 0 to 100 Psychological therapies vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, imprecision, inconsistency |
Mood as assessed post‐intervention State Trait Anxiety Inventory ‐ State Scale. Scale from: 20 to 80 Psychological therapies vs usual care | no estimate extracted | NR | Low Downgraded: risk of bias, inconsistency |
All cause attrition post‐intervention Number of people withdrawing from the study before completing the intervention Psychological therapies vs usual care | RR 1.38 [1.12, 1.69] | NR | Very low Downgraded: risk of bias, inconsistency |
Adverse events post‐intervention Number of people reporting an adverse event before completing the intervention Psychological therapies vs usual care | RR 0.38 [0.06, 2.5] | NR | Low Downgraded: risk of bias, imprecision |
Biofeedback compared to usual care for fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functioning as assessed post‐intervention Fibromyalgia Impact Questionnaire Revised. Scale from: 0 to 100 Biofeedback vs usual care | no estimate extracted | 2 studies · 106 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pain as assessed post‐intervention 100 point visual analog scale. Scale from: 0 to 100 Biofeedback vs usual care | no estimate extracted | 1 study · 65 participants | Very low Downgraded: risk of bias, imprecision |
Mood as assessed post‐intervention The Symptom Checklist‐90 Revised. Scale from: 0 to 90 Biofeedback vs usual care | no estimate extracted | 2 studies · 104 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
All cause attrition post‐intervention Number of people withdrawing from the study before completing the intervention Biofeedback vs usual care | RR 4.08 [1.43, 11.62] | 3 studies · 125 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events post‐intervention ‐ not reported Biofeedback vs usual care | no estimate extracted | NR | No studies |
Mindfulness compared to usual care for fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functioning as assessed post‐intervention Fibromyalgia Impact Questionnaire. Scale from: 0 to 100 Mindfulness vs usual care | no estimate extracted | 2 studies · 128 participants | Low Downgraded: imprecision |
Pain as assessed post‐intervention Visual analog scale 0 to 100. Scale from: 0 to 10. Mindfulness vs usual care | no estimate extracted | 2 studies · 128 participants | Low Downgraded: risk of bias, imprecision |
Mood as assessed post‐intervention State Trait Anxiety Inventory State Scale. Scale from: 0 to 60. Mindfulness vs usual care | no estimate extracted | 3 studies · 218 participants | Moderate Downgraded: risk of bias, imprecision |
All cause attrition post‐intervention Number of people withdrawing from the study before completing the intervention Mindfulness vs usual care | RR 1.07 [0.67, 1.72] | 3 studies · 195 participants | Moderate Downgraded: risk of bias, imprecision |
Adverse events post‐intervention ‐ not reported Mindfulness vs usual care | no estimate extracted | NR | No studies |
Movement therapies compared to usual care for fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functioning as assessed post‐intervention Fibromyalgia Impact Questionnaire ‐ Revised. Scale from: 0 to 100. Movement therapies vs usual care | no estimate extracted | 4 studies · 143 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Pain as assessed post‐intervention 10 point visual analog scale. Scale from: 0 to 10 Movement therapies vs usual care | no estimate extracted | 1 study · 28 participants | Very low Downgraded: risk of bias, imprecision |
Mood as assessed post‐intervention Center for Epidemiologic Studies Depression Scale. Scale from: 0 to 60 Movement therapies vs usual care | no estimate extracted | 1 study · 29 participants | Very low Downgraded: risk of bias, imprecision |
All cause attrition post‐intervention Number of people withdrawing from the study before completing the intervention Movement therapies vs usual care | RR 1.95 [1.13, 3.38] | 5 studies · 240 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events post‐intervention Number of people reporting an adverse event before completing the intervention Movement therapies vs usual care | RR 4.62 [0.23, 93.72] | 1 study · 98 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Relaxation compared to usual care for fibromyalgia
Population: patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Functioning as assessed post‐intervention Fibromyalgia Impact Questionnaire. Scale from: 0 to 80 Relaxation vs usual care | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision |
Pain as assessed post‐intervention Short Form ‐ McGill Pain Questionnaire Total Score. Scale from: 0 to 78 Relaxation vs usual care | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision |
Mood as assessed post‐intervention Center for Epidemiologic Disease Depression Scale. Scale from: 0 to 60 Relaxation vs usual care | no estimate extracted | NR | Very low Downgraded: risk of bias, imprecision |
All cause attrition post‐intervention Number of people withdrawing from the study before completing the intervention Relaxation vs usual care | RR 4.4 [0.59, 33.07] | NR | Very low Downgraded: risk of bias, imprecision |
Adverse events post‐intervention ‐ not reported Relaxation vs usual care | no estimate extracted | NR | No studies |