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Int Rev Psychiatry. 2017 Oct;29(5):473-488. doi: 10.1080/09540261.2017.1320982. Epub 2017 Jul 6.

The management of fibromyalgia from a psychosomatic perspective: an overview.

Author information

1
a Department of Medical Sciences and Public Health , University of Cagliari , Cagliari , Italy.
2
b Laboratory of Panic and Respiration , Institute of Psychiatry, Federal University of Rio de Janeiro (IPUB/UFRJ) , Rio de Janeiro , RJ , Brazil.
3
c Physical Activity Neuroscience , Physical Activity Sciences Postgraduate Program, Salgado de Oliveira University , NiterĂ³i , Brazil.
4
d Department of Clinical and Experimental Medicine , University of Pisa , Pisa , Italy.

Abstract

Fibromyalgia (FM) is a central sensitization syndrome characterized by chronic widespread pain. FM is often comorbid with psychiatric disorders, as well as psychological distress that worsens the quality-of-life of people affected. The aim was to collect current evidence about the management of FM from a psychosomatic perspective. The literature was synthesized and summarized in a narrative format. The literature search was carried out in PubMed; review articles, meta-analysis, overview, and guidelines published in the last 10 years written in English were included. Five main topics (Diagnostic criteria of FM; Pathogenesis of chronic widespread pain in FM; Early stress and trauma as predisposing factors for central sensitization; FM and Psychiatric comorbidity; Implications for treatment) were pointed out and discussed. Much evidence underlies the importance of considering and treating the comorbidity of FM with psychiatric disorders and psychological factors that affect pain management. Validation of FM as a central sensitization syndrome by a clinician facilitates therapeutic strategies that involve patients as active participants in the pain management process, likely leading to improved outcomes.

KEYWORDS:

Fibromyalgia; pain management; psychiatric comorbidity; psychological factors; psychosomatics

PMID:
28681628
DOI:
10.1080/09540261.2017.1320982
[Indexed for MEDLINE]

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