Contemporary Family Therapy

, Volume 27, Issue 4, pp 559–576 | Cite as

Family Resilience and the Management of Fibromyalgia: Implications for Family Therapists

  • J. Cameron Preece
  • Jonathan G. SandbergEmail author


Fibromyalgia Syndrome (FMS) is one of the most troubling rheumatic disorders for patients, significant others, and the health care providers who treat them. Responses from 150 participants provided valuable information on the relationship between family resilience and the management of fibromyalgia. Self reported family stressors, strains, and distress were significantly associated with an increase in health problems/functional disability, whereas family hardiness and family social support were associated with a decrease. Family stressors and family strains were also positively associated with the frequency of medication use. Medical family therapy interventions that consider the familial context are recommended for treatment. Additional implications for clinical practice and future research are discussed.


fibromyalgia family resilience family therapy medical internet research 


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  1. Aaron, L. A., Bradley, L. A., Alarcon, G. S., Triana-Alexander, M., Alexander, R. W., Martin, M. Y. 1997Perceived physical and emotional trauma as precipitating events in fibromyalgiaArthritis & Rheumatism40453460Google Scholar
  2. Alfici, S., Sigal, M., Landau, M. 1989Primary fibromyalgia syndrome—a variant of depressive disorder?Psychotherapy Psychosomatic51156161Google Scholar
  3. Alonso, C., Loevinger, B. L., Muller, D., Coe, C. L. 2004Menstrual cycle influences on pain and emotion in women with fibromyalgiaJournal of Psychosomatic Research57451458CrossRefPubMedGoogle Scholar
  4. Bennett, R. M. 1986Current issues concerning management of the fibrositis/fibromyalgia syndromeAmerican Journal of Medicine811518PubMedGoogle Scholar
  5. Bennett, R. M. 1993Fibromyalgia and the factsRheumatic Disease Clinics of North America194549PubMedGoogle Scholar
  6. Bennett, R. M. 1996Multidisciplinary group programs to treat fibromyalgia patientsRheumatic Disease Clinics of North America22351367CrossRefPubMedGoogle Scholar
  7. Bennett, R., Smythe, H., Wolfe, F. 1992Recognizing fibromyalgiaPatient Care26211228Google Scholar
  8. Burckhardt, C. S., Bjelle, A. 1994Education programmes for fibromyalgia patients: Description and evaluationClinical Rheumatology8935955PubMedGoogle Scholar
  9. Burckhardt, C. S., Clark, S. R., Bennett, R. M. 1991The fibromyalgia impact questionnaire: Development and validationJournal of Rheumatology18728733PubMedGoogle Scholar
  10. Campbell, T. L. 2003The effectiveness of family interventions for physical disordersJournal of Marital and Family Therapy29263281PubMedGoogle Scholar
  11. Campbell, J., Swank, P., Vincent, K. 1991The role of hardiness in the resolution of griefOmega235365Google Scholar
  12. Department of Commerce, United States (2000). Falling through the net: Toward digital inclusion. A Report on Americans’ Access to Technology Tools.
  13. Voogd, J. N., Knipping, A. A., Blecourt, A. C. E., Rijswijk, M. H. 1993Treatment of fibromyalgia syndrome with psychomotor therapy and marital counsellingJournal of Musculoskeletal Pain1273281Google Scholar
  14. Drory, Y., Florian, V. 1991Long-term psychosocial adjustment to coronary artery diseaseArchives of Physical and Medical Rehabilitation72326331Google Scholar
  15. Fitzcharles, M., Costa, D., Poyhia, R. 2003A study of standard care in fibromyalgia syndrome: A favorable outcomeThe Journal of Rheumatology30154159PubMedGoogle Scholar
  16. Goldenberg, D. L. 1989Treatment of fibromyalgia syndromeRheumatic Disease Clinics of North America156171PubMedGoogle Scholar
  17. Gordon, S., Morrison, C. 1998Fibromyalgia and its primary care implicationsMedsurg Nursing7207213PubMedGoogle Scholar
  18. Greenfield, S., Fitzcharles, M., Esdaile, J. M. 1992Reactive fibromyalgia syndromeArthritis Rheumatology35678681CrossRefGoogle Scholar
  19. Gusteborgs, M., Gaston-Johansson, F. 1996Pain intensity and health locus of control: A comparison of patients with fibromyalgia syndrome and rheumatoid arthritisPatient Education & Counseling29179188Google Scholar
  20. Harris, S. M., Dersch, C. A. 1999Conducting research on the Internet: Potential concerns, and reflectionsKappa Omicron Nu Forum115568Google Scholar
  21. Hull, J. G., Treuren, R. R., Virnelli, S. 1987Hardiness and health: A critique and alternative approachJournal of Personality and Social Psychology53518530CrossRefPubMedGoogle Scholar
  22. Jensen, M. P., Karoly, P. 1991Control beliefs, coping efforts and adjustment to chronic painJournal of Consulting and Clinical Psychology59431438CrossRefPubMedGoogle Scholar
  23. Jensen, M. P., Turner, J. A., Romano, J. M., Strom, S. E. 1995The chronic pain coping inventory: Development and preliminary validationPain60203216CrossRefPubMedGoogle Scholar
  24. Kaplan, K. H., Goldenberg, D. L., Galvin-Nadeau, M. 1993The impact of a meditation-based stress reduction program on fibromyalgiaGeneral Hospital Psychiatry15284289CrossRefPubMedGoogle Scholar
  25. Kiecolt-Glaser, J. K., Newton, T. L. 2001Marriage and health: His and hersPsychosomatic Medicine55395409Google Scholar
  26. Kobasa, S. 1979Stressful life events, personality, and health: An inquiry into hardinessJournal of Personality and Social Psychology37111PubMedGoogle Scholar
  27. Kobasa, S., Maddi, S., Kahn, S. 1982Hardiness and health: A prospective studyJournal of Personality and Social Psychology42168177PubMedGoogle Scholar
  28. Lash, A. A., Ehrlich-Jones, L., McCoy, D. 2003Fibromyalgia: Evolving concepts and management in primary care settingsMEDSURG Nursing12145159PubMedGoogle Scholar
  29. Lawler, K. A., Schmied, L. A. 1992A prospective study of women’s health: The effects of stress, hardiness, locus of control, Type A behavior, and physiological reactivityWomen Health192741CrossRefPubMedGoogle Scholar
  30. Marcus, D. A. 2003Current trends in fibromyalgia researchExpert Opinion on Pharmacotherapy416871695PubMedGoogle Scholar
  31. McCain, G. A. 1990Management of the fibromyalgia syndromeAdvances in Pain Research and Therapy17289303Google Scholar
  32. McCubbin H. I. (1987). Family Index of Regenerativity and Adaptation-General (FIRAG). In: H. I. McCubbin, A. I. Thompson & M. A. McCubbin (Eds.), (1996). Family assessment: Resiliency, coping and adaptation—inventories for research and practice. Madison: University of Wisconsin System, pp. 823–841Google Scholar
  33. McCubbin, H. I., Thompson, A. I., McCubbin, M. A. 1996Family assessment: Resiliency, coping and adaptation—inventories for research and practiceUniversity of Wisconsin SystemMadisonGoogle Scholar
  34. Nicassio, P. M., Schuman, C., Radojevic, V., Weisman, M. H. 1999Helplessness as a mediator of health status in fibromyalgiaCognitive Therapy & Research23181196CrossRefGoogle Scholar
  35. Patterson, J. M., Garwick, A. W. 1994The impact of chronic illness on families: A family systems perspectiveAnnals of Behavioral Medicine16131142Google Scholar
  36. Pfeiffer, A., Thomson, J. M., Nelson, A., Tucker, S., Luedtke, C., Finnie, S. 2003Effects of a 1.5-day multidisciplinary outpatient treatment program for fibromyalgia: A pilot studyAmerican Journal of Medical Rehabilitation82186191Google Scholar
  37. Revenson, T. A. 1994Social support and marital coping with chronic illnessAnnals of Behavioral Medicine16122130Google Scholar
  38. Robles, T. F., Kiecolt-Glaser, J. K. 2003The physiology of marriage: Pathways to healthPhysiology & Behavior79409416CrossRefGoogle Scholar
  39. Rolland, J. S. 1990Anticipatory loss: A family systems developmental frameworkFamily Process29229244CrossRefPubMedGoogle Scholar
  40. Rossy, L. A., Buckelew, S. P., Dorr, N., Hagglund, K. J., Thayer, J. F., McIntosh, M. J., Hewett, J. E., Johnson, J. C. 1999A meta-analysis of fibromyalgia treatment interventionsAnnals of Behavioral Medicine21180191PubMedCrossRefGoogle Scholar
  41. Russell, I. J. 1996Neurochemical pathogenesis of fibromyalgia syndromeJournal of Musculoskeletal Pain46192Google Scholar
  42. Schaefer, D. R., Dillman, D. A. 1998Development of a standard E-mail methodology: Results of an experimentPublic Opinion Quarterly62378397CrossRefGoogle Scholar
  43. Shuer, M. L. 2003Fibromyalgia: Symptom constellation and potential therapeutic optionsEndocrine226775CrossRefPubMedGoogle Scholar
  44. Steinglass, P. 1998Multiple family discussion groups for patients with chronic medical illnessFamily Systems & Health165570Google Scholar
  45. Turk, D. C., Okifuji, A., Sinclair, J. D., Starz, T. W. 1998Differential responses by psychosocial subgroups of fibromyalgia syndrome patients to an interdisciplinary treatmentArthritis Care Research11397404CrossRefGoogle Scholar
  46. Unger, J. 1996FibromyalgiaJournal of the American Academy of Nurse Practitioners8192198Google Scholar
  47. Walsh, F. 1996The concept of family resilience: Crisis and challengeFamily Process35261281CrossRefPubMedGoogle Scholar
  48. Waylonis, G. W., Perkins, R. H. 1994Post-traumatic fibromyalgia: A long-term follow-upAmercian Journal of Physical Medicine and Rehabilitation73403412Google Scholar
  49. Wolf, F., Smythe, H. A., Yunus, M. B. 1990The American College of Rheumatology 1990 criteria for classification of fibromyalgia: Report of the Multicenter Criteria CommitteeArthritis & Rheumatism33160172Google Scholar
  50. Wolfe, F., Anderson, J., Harkness, D., Bennett, R. M., Caro, X. J., Goldenberg, D. L. 1997Post-traumatic fibromyalgia. A long-term follow-upAmerican Journal of Physical Medicine and Rehabilitation73403412Google Scholar
  51. Yunus, M. B. 1992Towards a model of pathophysiology of fibromyalgia: Aberrant central pain mechanism with peripheral modulationJournal of Rheumatology19846850PubMedGoogle Scholar
  52. Yunus, M. B. 1994Psychological aspects of fibromyalgia syndrome: A component of the dysfunctional spectrum syndromeClinical Rheumatology8811837PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2005

Authors and Affiliations

  1. 1.Sage Health Care, PLLCBoise
  2. 2.Department of Marriage and Family TherapySyracuse UniversitySyracuse

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