Cochrane · systematic review · CD009796
Cognitive behavioural therapies for fibromyalgia
Bernardy, K, Klose, P, Busch, AJ, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library
Pain, Palliative and Supportive CareAMSTAR 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
14
current version
GRADE rated
13
No studies
1
Included studies
NR
No studies 1 · 7.1%Ungraded 0 · 0%Very low 0 · 0%Low 13 · 92.9%Moderate 0 · 0%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
Comparison
Population: Patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain end of treatment (0‐10 scale) Higher scores indicate higher pain levels | no estimate extracted | 20 studies · 1382 participants | Low Downgraded: risk of bias |
Pain | no estimate extracted | 14 studies · 822 participants | Low Downgraded: risk of bias |
Negative mood end of treatment (0‐10 scale) Higher scores indicate higher negative mood levels | no estimate extracted | 18 studies · 1578 participants | Low Downgraded: risk of bias |
Negative mood | no estimate extracted | 11 studies · 721 participants | Low Downgraded: risk of bias |
Disability end of treatment (0‐10 scale) Higher scores indicate disability levels | no estimate extracted | 15 studies · 1163 participants | Low Downgraded: risk of bias |
Disability | no estimate extracted | 9 studies · 664 participants | Low Downgraded: risk of bias |
Acceptability end of treatment (dropouts from study due to any reasons) | RR 0.94 [0.65, 1.35] | 21 studies · 1914 participants | Low Downgraded: risk of bias |
Cognitive behavioural therapies versus controls for fibromyalgia
Population: Patients with fibromyalgia
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Fatigue end of treatment (0‐10 scale) Higher scores indicate higher fatigue levels Cognitive behavioural therapies vs controls | no estimate extracted | 11 studies · 910 participants | Low Downgraded: risk of bias |
Sleep problems end of treatment (0‐50 scale) Higher scores indicate more sleep problems Cognitive behavioural therapies vs controls | no estimate extracted | 8 studies · 422 participants | Low Downgraded: inconsistency |
Health‐related quality of life end of treatment (0‐80 scale) Higher scores indicate lower health‐related quality of life Cognitive behavioural therapies vs controls | no estimate extracted | 13 studies · 1238 participants | Low Downgraded: risk of bias, inconsistency |
Fatigue Cognitive behavioural therapies vs controls | no estimate extracted | 6 studies · 429 participants | Low Downgraded: risk of bias, inconsistency |
Sleep problems Cognitive behavioural therapies vs controls | no estimate extracted | 7 studies · 378 participants | Low Downgraded: risk of bias, inconsistency |
Health‐related quality of life Cognitive behavioural therapies vs controls | no estimate extracted | 6 studies · 425 participants | Low Downgraded: risk of bias |
Acceptability Cognitive behavioural therapies vs controls | no estimate extracted | NR | No studies |