The management of fibromyalgia from a psychosomatic perspective: an overview. (3rd September 2017)

• Record Type: Journal Article
• Authors: Sancassiani, Federica; Machado, Sergio; Ruggiero, Valeria; Cacace, Enrico; Carmassi, Claudia; Gesi, Camilla; Dell'Osso, Liliana; Carta, Mauro Giovanni
• Is Part Of: International review of psychiatry. Volume 29:Number 5(2017)
• Page Start: 473
• Page End: 488
• Publication Date: 2017-09-03
• Subjects: Fibromyalgia -- pain management -- psychosomatics -- psychiatric comorbidity -- psychological factors; Mental illness -- Periodicals; Psychiatry -- Periodicals; Psychology, Pathological -- Periodicals; 616.89
• DOI: 10.1080/09540261.2017.1320982
• Languages: English
• ISSNs: 0954-0261

Abstract

Abstract: Fibromyalgia (FM) is a central sensitization syndrome characterized by chronic widespread pain. FM is often comorbid with psychiatric disorders, as well as psychological distress that worsens the quality-of-life of people affected. The aim was to collect current evidence about the management of FM from a psychosomatic perspective. The literature was synthesized and summarized in a narrative format. The literature search was carried out in PubMed; review articles, meta-analysis, overview, and guidelines published in the last 10 years written in English were included. Five main topics (Diagnostic criteria of FM; Pathogenesis of chronic widespread pain in FM; Early stress and trauma as predisposing factors for central sensitization; FM and Psychiatric comorbidity; Implications for treatment) were pointed out and discussed. Much evidence underlies the importance of considering and treating the comorbidity of FM with psychiatric disorders and psychological factors that affect pain management. Validation of FM as a central sensitization syndrome by a clinician facilitates therapeutic strategies that involve patients as active participants in the pain management process, likely leading to improved outcomes.