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Title: | Cognitive-Behavioral and Personal Construct Therapies for Depression in Women with Fibromyalgia: A Randomized Controlled Trial |
Other Titles: | Terapias Cognitivo-Conductual y de Constructos Personales para la depresión en mujeres con fibromialgia: un estudio controlado aleatorizado |
Author: | Aguilera, Mari Paz, Clara Salla, Marta Compañ, Victoria Medina, Joan Carles Medeiros-Ferreira, Leticia Feixas, Guillem |
Others: | Universitat de Barcelona (UB) Universitat Oberta de Catalunya. eHealth Center Universidad de las Américas Universitat Oberta de Catalunya. Estudis de Psicologia i Ciències de l'Educació |
Citation: | Aguilera, M. [Mari], Paz, C. [Clara ], Salla, M. [Marta ], Compañ, V. [Victoria], Medina, J.C.[Joan Carles], Medeiros-Ferreira, L. [Leticia], Feixas, G. [Guillem]. (2022). Cognitive-Behavioral and Personal Construct Therapies for Depression in Women with Fibromyalgia: A Randomized Controlled Trial. International Journal of Clinical and Health Psychology, 22(2). doi: 10.1016/j.ijchp.2022.100296 |
Abstract: | Background/Objective Fibromyalgia is a chronic pain syndrome that depressive symptoms can aggravate. The aim of the present study was to test the efficacy of Personal Construct Therapy (PCT), an approach that emphasizes identity features and interpersonal meanings as the focus of the treatment of depressive symptoms, in women with fibromyalgia. Method We compared PCT with Cognitive Behavioral Therapy (CBT) in a multicenter parallel randomized trial. Women with fibromyalgia and depressive symptoms (n = 106) were randomly allocated to CBT (n = 55) or PCT (n = 51) in individual and modular formats to adjust to their needs. Analysis was by linear mixed-effects models. Results Participants in both conditions had significantly reduced depressive symptoms, and we found no significant difference when comparing groups both post-treatment (β = -0.47, t = -0.49, p = .63) and at follow-up (β = -1.12, t = -1.09, p = .28). Results were similar between conditions for anxiety, fibromyalgia's impact, and the distribution of clinically significant changes in depressive symptoms and pain. Conclusions PCT and CBT seem to be equally effective in the treatment of depressive symptoms, making PCT a viable alternative treatment. |
Keywords: | pain cognitive therapies case conceptualization self-identity experiment |
DOI: | https://doi.org/10.1016/j.ijchp.2022.100296 |
Document type: | info:eu-repo/semantics/article |
Version: | info:eu-repo/semantics/publishedVersion |
Issue Date: | 2-May-2022 |
Publication license: | https://creativecommons.org/licenses/by-nc-nd/4.0/ |
Appears in Collections: | Articles Articles cientÍfics |
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File | Description | Size | Format | |
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Cognitive_Behavioral_and_Personal-Construct_Therapies_for_Depression_in_Women_with_Fibromyalgia_A_Randomized_Controlled_Trial.pdf | 541,94 kB | Adobe PDF | View/Open |
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