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Fibromyalgia: Influence of Depressive Symptoms on the Outcome after Rehabilitation
Die Rehabilitation, 10/28/09

Lange M et al. – For the therapy of fibromyalgia a multimodal therapy with patient education is recommended. It integrates pain management and stress management as well as cognitive restructuring...Immediately after therapy, a general improvement was found regarding depressiveness and pain (strong effect size) as well as regarding pain–related anxiety (medium effect sizes). Only “countertraded activity” of coping with pain did not show any improvement. The “rehabilitation status” improved significantly whereas, in contrast, the “physical health” aspect did not improve. A significant increase was found on the “pain” scale. Additionally, depressive symptoms had a strong impact on the aspects “physical health”, “subjective health” and on “rehabilitation status”. In particular, patients with fibromyalgia and depressiveness showed poorer outcomes regarding these aspects than patients with fibromyalgia without depressiveness. A multimodal therapy with patient education can have a positive impact on the outcome of rehabilitation.