Fibromyalgia Clinical Trial
Official title:
Efficacy of Acceptance and Commitment Therapy (ACT) in Group in Fibromyalgia: a Randomized, Controlled Study.
The main objective is to assess the efficacy of Acceptance & Commitment Therapy (ACT) in
group for the treatment of fibromyalgia. The secondary aims are: 1.- To assess the
cost-effectiveness of ACT and 2.- To assess the efficacy of ACT in other variables such as
anxiety, depression, pain or global function. 3.- To evaluate the usefulness or
electroencephalographic cordance as a prognostic variable of the treatment.
HYPOTHESIS: ACT in group is effective for improvement of pain acceptance and other outcome
variables (pain, anxiety, depression, global function) in fibromyalgia, and it is
cost-effective. Cordance is an useful predictor of treatment efficacy in these patients.
DESIGN: Multicentre, randomized, controlled study, with parallel groups, and a 6-month
follow-up period. Participants will be randomly allocated to one of two conditions: 1.-
Group Acceptation & Commitment Therapy or 2.- Treatment as usual by his general
practitioner. Patients diagnosed of fibromyalgia, according to the American College of
Rheumatology, will be recruited in primary care. Assuming an alpha=0.05 and p=80%, using two
tails, and calculating 5% of refusals, it will be necessary a sample size of 55 patients for
each group of patients.
The main outcome will be pain acceptance. Other outcome measures will be global function (assessed with the Fibromyalgia Impact Questionnaire, FIQ), cost-effectiveness (evaluated by the Client Service Receipt Inventory, CSRI) and electroencephalographic cordance. The mediating variables included are anxiety and depression (assessed with the Hospital Anxiety and Depression scale, HADS) and pain (measured with an analog visual scale). A psychiatric interview will be administered to the participants to diagnose Posttraumatic Stress Disorder. Statistical analysis will be carried out for intention to treat, and using the method Last Observation Carried Forward. A Repeated Measures Mixed Model will be used to study the main outcome. All calculations will be made with two tails and a significance of 0.05. ;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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