Objectives Fibromyalgia syndrome (FMS) is a chronic musculoskeletal pain syndrome characterized by extensive pain, tender points, fatigue, and sleep disturbance, with unknown etiology. This study aims to investigate the effect of cognitive-behavioral stress management (CBSM) therapy on pain perception, chronic fatigue and cognitive empowerment of women with FMS.
Methods This is randomized clinical trial with a pre-test/post-test design. The study population consists of all women suffering from FMS who visited the rheumatology specialists in Tabriz, Iran, in 2023. Of these, 36 eligible patients were selected using a convenience sampling method and were randomly assigned to two groups of 18 including intervention (received CBSM therapy at 10 sessions of 90 minutes) and control (no intervention). Data collection tools included McGill pain questionnaire, the Chalder fatigue scale, and Thomas and Velthouse’s psychological empowerment scale. Multivariate analysis of covariance (MANCOVA) was used to compare the groups.
Results The results of MANCOVA showed a significant difference in the components of pain perception (Sensory, affective, evaluative, and miscellaneous), chronic fatigue (psychological and physical), and cognitive empowerment (competence, self-determination, impact, meaning) between the two groups in the posttest phase (P<0.05).
Conclusion The CBSM therapy can improve pain perception, reduce chronic fatigue, and increase psychological empowerment of women with FMS.
Type of Study:
Original Research |
Subject:
Psychiatry and Psychology Received: 2023/11/16 | Accepted: 2024/07/14 | Published: 2024/08/19