Abstract
Fibromyalgia is a medical syndrome first described 200 years ago, but only recently officially recognized by medical science. The patient with fibromyalgia experiences widespread pain, often burning, in all four quadrants of the body. Fibromyalgia is often accompanied by additional symptoms, including fatigue, low energy, sleep disturbance, morning stiffness, depression, anxiety, and cognitive deficits. Fibromyalgia is best understood as a “pain amplification disorder,” accompanied by allodynia and hyperalgesia. A variety of lifestyle and self-care interventions can be useful in moderating the patient’s symptoms and improving quality of life. A case study illustrates the Pathways Model guided treatment program for a 34-year-old female with fibromyalgia.
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References
Benjamin, S., Morris, S., McBeth, J., Macfarlane, G., & Silman, A. (2000). The association between chronic widespread pain and mental disorder. Arthritis and Rheumatism, 43(3), 561–567.
Bennett, R., & Nelson, D. (2006). Cognitive behavioral therapy for fibromyalgia. Nature Clinical Practice. Rheumatology, 2(8), 416–424.
Berger, A., Dukes, E., Martin, S., Edelsberg, J., & Oster, G. (2007). Characteristics and healthcare costs of patients with fibromyalgia syndrome. International Journal of Clinical Practice, 61, 1498–1508.
Boisset-Pioro, M. H., Esdaile, J. M., & Fitzcharles, M. A. (1995). Sexual and physical abuse in women with fibromyalgia syndrome. Arthritis and Rheumatism, 38(2), 235–241.
Cohen, H., Neumann, L., Alhosshle, A., Kotler, M., Abu-Shakra, M., & Buskila, D. (2001). Abnormal sympathovagal balance in men with fibromyalgia. Journal of Rheumatology, 28(3), 581–589.
Cohen, H., Neumann, L., Shore, M., Amir, M., Cassuto, Y., & Buskila, D. (2000). Autonomic dysfunction in patients with fibromyalgia: Application of power spectral analysis of heart rate variability. Seminars in Arthritis and Rheumatism, 29(4), 217–227.
DelPozo, J., Gevirtz, R. N., Scher, B., & Guarneri, E. (2004). Biofeedback treatment increases heart rate variability in patients with known coronary artery disease. American Heart Journal, 147(3), E11.
Donaldson, M., Donaldson, C. C. S., Mueller, H. H., & Sella, G. (2003). QEEG patterns, psychological status and pain reports of fibromyalgia sufferers. American Journal of Pain Management, 13(2), 1–27.
Donaldson, C. C. S., & Sella, G. (2003). Fibromyalgia. In D. Moss, A. McGrady, T. Davies, & I. Wickramasekera (Eds.), Handbook of mind body medicine for primary care (pp. 323–332). Thousand Oaks, CA: Sage.
Donaldson, C. C. S., Sella, G. E., & Mueller, H. H. (1998). Fibromyalgia: A retrospective study of 252 consecutive referrals. Canadian Journal of Clinical Medicine, 5(6), 116–127.
Drexler, A. R., Mur, E. J., & Gunther, V. C. (2002). Efficacy of an EMG-biofeedback therapy in fibromyalgia patients. A comparative study of patients with and without abnormality in (MMPI) psychological scales. Clinical and Experimental Rheumatology, 20, 677–682.
Ellis, L. E. (2008). Etiology, diagnosis and treatment of fibromyalgia: A practical and effective approach. In G. R. Walz, J. C. Bleuer, & R. K. Yep (Eds.), Compelling counseling interventions (pp. 161–171). Ann Arbor, MI: Counseling Outfitters, LLC.
Geenan, R., & Bijlsma, J. W. (2010). Deviations in the endocrine system and brain of patients with fibromyalgia: Cause or consequence of pain and associated features. Annals of the New York Academy of Sciences, 1193, 98–110.
Glass, J. M. (2006). Cognitive dysfunction in fibromyalgia and chronic fatigue syndrome: New trends and future directions. Current Rheumatology Reports, 8(6), 425–429.
Goldberg, R. T., Pachas, W. N., & Keith, D. (1999). Relationship between traumatic events in childhood and chronic pain. Journal of Disability and Rehabilitation, 21(1), 23–30.
Goldenberg, D. I., Burckhardt, C., & Crofford, L. (2004). Management of fibromyalgia syndrome. Journal of the American Medical Association, 292(19), 2388–2395.
Hassett, A. L., Radvanski, D. C., Vaschillo, E. G., Vaschillo, B., Sigal, L. H., Buyske, S., et al. (2007). A pilot study of the efficacy of heart rate variability (HRV) biofeedback in patients with fibromyalgia. Applied Psychophysiology and Biofeedback, 32, 1–10. doi:10.1007/s10484-006-9028-0.
Houglum, P. A. (2010). Therapeutic exercise for musculoskeletal injuries (3rd ed.). Champagne, IL: Human Kinetics.
Karavidas, M. K., Lehrer, P. M., Vaschillo, E., Vaschillo, B., Marin, H., Buyske, S., et al. (2007). Preliminary results of an open label study of heart rate variability biofeedback for the treatment of major depression. Applied Psychophysiology and Biofeedback, 32, 19–30.
Kleiger, R. E., Miller, J. P., Bigger, J. T., Moss, A. J., & The Multicenter Post-Infarction Research Group. (1987). Decreased heart rate variability and its association with increased mortality after acute myocardial infarction. The American Journal of Cardiology, 59, 256–262.
Lawrence, R. C., Felson, D. T., Helmick, C. G., Srnold, L. M., Choi, H., Deyo, R., et al. (2008). Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis and Rheumatism, 58(1), 15–25.
Lehrer, P. M., Vaschillo, E., & Vaschillo, B. (2000). Resonant frequency biofeedback training to increase cardiac variability. Rationale and manual for training. Applied Psychophysiology and Biofeedback, 25(3), 177–191.
Lehrer, P., Vaschillo, E., Vaschillo, B., Lu, S., Scardella, A., Siddique, M., et al. (2004). Biofeedback treatment for asthma. Chest, 126, 352–361.
Moss, D. (2007). Behaviorally reconnecting mind and body. In S. Ostalecki (Ed.), Fibromyalgia: The complete guide from medical experts and patients (pp. 273–288). Boston: Jones and Bartlett.
National Fibromyalgia Association. (2009). About fibromyalgia. Retrieved from, http://www.fmaware.org/site/PageServer
Neumann, L., & Buskila, D. (2003). Epidemiology of fibromyalgia. Current Pain and Headache Reports, 7, 362–368.
O’Malley, P. G., Balden, E., Tomkins, G., Santoro, J., Kroenke, K., & Jackson, J. L. (2000). Treatment of fibromyalgia with antidepressants: A meta-analysis. Journal of Internal Medicine, 15(9), 659–666.
Quintner, J. (1992). Fibromyalgia: The Copenhagen declaration. Lancet, 340(8827), 663–664.
Reyes Del Paso, G. A., Garrido, S., Pulgar, A., Martín-Vázquez, M., & Duschek, S. (2010). Aberrances in autonomic cardiovascular regulation in fibromyalgia syndrome and their relevance for clinical pain reports. Psychosomatic Medicine, 72(5), 462–470.
Robinson, R. L., Birnbaum, H. G., Morley, M. A., Sisitsky, T., Greenberg, P. E., & Claxton, A. J. (2003). Economic cost and epidemiological characteristics of patients with fibromyalgia claims. Journal of Rheumatology, 30(6), 1318–1325.
Russell, I. J. (2001). Fibromyalgia syndrome. In S. Mense, D. G. Simon, & I. J. Russell (Eds.), Muscle pain: Understanding its nature, diagnosis and treatment (pp. 289–352). Philadelphia: Lippincott Williams & Wilkins.
Smythe, H. A., & Moldofsky, H. (1977). Two contributions to understanding the “fibrositis syndrome”. Bulletin on the Rheumatic Diseases, 28, 928–931.
Staud, R. (2006a). Biology and therapy of fibromyalgia: Pain in fibromyalgia syndrome. Arthritis Research and Therapy, 8(3), Epub April 24.
Staud, R. (2006b). Fibromyalgia syndrome: Mechanisms of abnormal pain processing. Primary Psychiatry, 13(9), 66–71.
Staud, R. (2008). Heart rate variability as a biomarker of fibromyalgia syndrome. Future Rheumatology, 3(5), 475–483.
Staud, R., Vierck, C. J., Cannon, R. L., Mauderli, A. P., & Price, D. D. (2001). Abnormal sensitization and temporal summation of second pain (wind-up) in patients with fibromyalgia syndrome. Pain, 91(1), 165–175.
Staud, R., Vierck, C. J., Robinson, M. E., & Price, D. D. (2006). Overall fibromyalgia pain is predicted by ratings of local pain and pain-related negative affect–possible role of peripheral tissues. Rheumatology, 45(11), 1409–1415.
Weir, P. T., Harlan, G. A., Nkoy, F. L., Jones, S. S., Hegman, K. T., Gren, L. H., et al. (2006). The incidence of fibromyalgia and its associated comorbidities: A population based retrospective cohort study based on International Classification of Diseases, 9th Revision Codes. Journal of Clinical Rheumatology, 12(3), 124–128.
Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L., et al. (1997). Work and disability status of persons with fibromyalgia. Journal of Rheumatology, 24(6), 1171–1178.
Zucker, T. L., Samuelson, K. W., Muench, F., Greenberg, M. A., & Gevirtz, R. N. (2009). The effects of respiratory sinus arrhythmia biofeedback on heart rate variability and post traumatic stress: A pilot study. Applied Psychophysiology and Biofeedback, 34(2), 135–143.
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McGrady, A., Moss, D. (2013). Fibromyalgia Syndrome. In: Pathways to Illness, Pathways to Health. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1379-1_13
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DOI: https://doi.org/10.1007/978-1-4419-1379-1_13
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