Cognitive-behavioral and personal construct therapies for depression in women with fibromyalgia: a randomized controlled trial

• Mari Aguilera ^[1] ; Clara Paz ^[2] ; Marta Salla ^[1] ; Victoria Compañ ^[1] ; Joan Carles Medina ^[1] ; Leticia Medeiros-Ferreira ^[3] ; Guillem Feixas ^[1]
  1. [1] Universitat de Barcelona

     Universitat de Barcelona

     Barcelona, España

     
  2. [2] Universidad de Las Américas, Quito, Ecuador
  3. [3] Nou Barris Nord Adult Mental Health Centre, España

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• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 22, Nº. 2, 2022, págs. 41-50
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2022.100296
• Títulos paralelos:
  • Terapias cognitivo-conductual y de constructos personales para la depresión en mujeres con fibromialgia: un estudio controlado aleatorizado
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  • Texto completo
• Resumen
  • español

    Antecedentes/Objetivo La fibromialgia es un trastorno de dolor crónico que los síntomas depresivos agravan. El objetivo del estudio es probar la eficacia de la Terapia de Constructos Personales (TCP), aproximación que enfatiza las características identitarias y los significados personales como foco de la intervención, para el tratamiento de síntomas depresivos en mujeres con fibromialgia.

    Método Comparamos la TCP con la Terapia Cognitivo-Conductual (TCC) en un ensayo multicéntrico paralelo aleatorizado. Mujeres con fibromialgia y síntomas depresivos (n = 106) fueron aleatorizadas a TCC (n = 55) o TCP (n = 51), en formato individual y modular para ajustarse a las necesidades de las pacientes. Los datos se analizaron usando modelos lineales de efectos mixtos.

    Resultados Ambas condiciones redujeron significativamente los síntomas depresivos sin encontrarse diferencias significativas después del tratamiento (β = -0,47, t = -0,49, p = 0,63) ni en el seguimiento (β = -1,12, t = -1,09, p = 0,28). Resultados similares se encontraron para la ansiedad, el impacto de la fibromialgia, la distribución del cambio clínicamente significativo para los síntomas depresivos y el dolor.

    Conclusiones La TCP y la TCC parecerían ser igualmente efectivas para el tratamiento de los síntomas depresivos, postulando la TCP como una alternativa de tratamiento.

  • English

    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.

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