Differential responses by psychosocial subgroups of fibromyalgia syndrome patients to an interdisciplinary treatment
Article first published online: 8 DEC 2005
Copyright © 1998 American College of Rheumatology
Arthritis & Rheumatism
Volume 11, Issue 5, pages 397–404, October 1998
How to Cite
Turk, D. C., Okifuji, A., Sinclair, J. D. and Starz, T. W. (1998), Differential responses by psychosocial subgroups of fibromyalgia syndrome patients to an interdisciplinary treatment. Arthritis & Rheumatism, 11: 397–404. doi: 10.1002/art.1790110511
- Issue published online: 8 DEC 2005
- Article first published online: 8 DEC 2005
- Manuscript Revised: 7 APR 1998
- Arthritis Foundation—Western Pennsylvania Chapter
- Fibromyalgia syndrome;
- Psychosocial subgroups;
- Interdisciplinary treatment;
- Treatment outcome;
- Treatment matching;
Objectives. To evaluate differential treatment responses among 3 empirically derived, psychosocial subgroups of patients with fibromyalgia syndrome to a standard interdisciplinary treatment program.
Method. Patients were classified into 1 of 3 psychosocial groups on the basis of their responses to the Multidimensional Pain Inventory. Forty-eight patients completed a 6 one–half-day outpatient treatment program consisting of medical, physical, occupational, and psychological therapies spaced over a period of 4 weeks (3 sessions the first week followed by 1 session per week for the next 3 consecutive weeks).
Results. Statistically significant reductions were observed in pain, affective distress, perceived disability, and perceived interference of pain in the patients characterized by poor coping and high level of pain (“dysfunctional” group). In contrast, individuals who were characterized by interpersonal difficulties (“interpersonally distressed” group) exhibited poor responses to the treatment. “Adaptive copers,” the third group, revealed significant improvements in pain but due to low pretreatment levels of affective distress and disability showed little improvement on these outcomes.
Conclusions. The results provided support for the hypothesis that customizing treatment based on patients' psychosocial needs will lead to enhanced treatment efficacy. They also emphasize the importance of using appropriate outcome criteria, as low levels of problems at baseline are not likely to show significant changes following any treatment.