Fibromyalgia is a somatic functional syndrome characterized by widespread muscoloskeletal pain, stiffness, sleep distrubances, fatigue; there is often a comorbidity with anxiety and depressive disorders; the course of fibromyalgia is generally chronic. Although the etiology is still unclear, the hypothesis is that several factors may be involved (biological, psychological and socio-cultural factors). Abrief psychotherapeutic intervention should identify and treat the psychological factors that are relevant for the specific patient, with the aim to improve global functioning and quality of life. This paper aims to be a guide for therapists approaching fibromyalgic patients. The proposed psychotherapeutic intervention is composed by three main steps: the first step is dedicated to build up a working alliance; the second one aims at approaching the affective world (auto-observation and affective regulation); the third step aims at promoting an active role of patient, increasing his/her resources. Finally we introduce a clinical case, Anna’s case, a 60 years old woman who has been suffering from chronic pain since the age of 13.
Keywords: Fibromyalgia, psychotherapy, brief intervention, somatic functional syndrome, chronic pain
Benedetta Vicino, Rita Bianca Ardito, Annunziata Romeo, Riccardo Torta, Lorys Castelli, Cognitive therapy in the psychosomatic setting: a treatment’s proposal for fibromyalgia syndrome in "QUADERNI DI PSICOTERAPIA COGNITIVA" 38/2016, pp. 16-30, DOI:10.3280/QPC2016-038002