Predictors of disability and pain six months after the end of treatment for fibromyalgia

Clin J Pain. 2010 Jan;26(1):23-9. doi: 10.1097/AJP.0b013e3181b40ee6.


Objectives: The goal of this study was to identify factors associated with decreased disability and lower pain scores 6 months after a multimodal treatment program for fibromyalgia (FM).

Methods: Forty-six patients with FM were assessed after having participated in a 3-month outpatient program integrating physiotherapy, occupational therapy, nursing, and cognitive-behavior therapy. A physician examined the patients before treatment and patients who completed a battery of psychosocial questionnaires at baseline, during treatment, at the end of treatment, and 3 and 6 months after the end of treatment. Two separate multivariable linear regression models were built to identify predictors of improvements in disability and pain.

Results: Two predictors for improvement in disability were found: an increase in self-efficacy for pain during treatment and better general adherence during treatment. Similarly, one predictor for improvement in pain intensity was found: an increase in self-efficacy for pain during treatment.

Discussion: Self-efficacy and adherence are 2 modifiable factors that influence disability and pain intensity in FM. These psychosocial factors need to be addressed in FM treatment programs to assist patients in maintaining posttreatment improvements.

MeSH terms

  • Adult
  • Aged
  • Cognitive Behavioral Therapy / methods*
  • Disability Evaluation
  • Disabled Persons / psychology*
  • Female
  • Fibromyalgia / complications
  • Fibromyalgia / psychology*
  • Fibromyalgia / therapy*
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Occupational Therapy / methods*
  • Pain / etiology*
  • Pain / psychology
  • Pain Measurement / methods
  • Patient Compliance / psychology
  • Predictive Value of Tests
  • Self Care
  • Time Factors
  • Treatment Outcome