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The impact of a group-based multidisciplinary rehabilitation program on the quality of life in patients with fibromyalgia : results from the QUALIFIBRO study

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Abstract
Background and Objective Patients with fibromyalgia (FM) have a substantially reduced health-related quality of life (HRQoL). Their management should preferably focus on multidisciplinary nonpharmacological interventions. However, the long-term impact of such multicomponent therapies is not fully established. Waiting lists for patients seeking medical treatment are long, making individual-based approaches often unfeasible. The aim of our pragmatic study was to evaluate long-term HRQoL benefits of a comprehensive 8-week group-based multidisciplinary rehabilitation program focusing on patients' coping ability and self-care. Methods A total of 94 patients with clinically confirmed FM agreed to participate in this study. Before entering the program based on group-based cognitive behavioral therapy and graded activity training, patients completed questionnaires to screen for comorbidities. Health-related quality of life was assessed at the start, at 8 weeks, 6 months, and 1 year using the 36-Item Short-Form Health Survey instrument. Changes in HRQoL scores were analyzed according to linear mixed regression modeling. Results Baseline findings confirmed the substantially low physical and mental HRQoL in FM patients as well as high levels of depression, anxiety, and burnout. Only 2 patients left the program prematurely; 89% participated in the 1-year assessment. By the end of the program, HRQoL was significantly improved in all domains. This effect was maintained at 6 months and 1 year for all subscales. Changes at 1 year were greater in younger patients and those with depressive feelings before the start of treatment. Conclusions Our group-based program offered to FM patients proved successful with significant improvements in their HRQoL both in the short and long term.
Keywords
fibromyalgia, group-based, intervention, multidisciplinary, quality of life, COGNITIVE-BEHAVIORAL THERAPIES, CHRONIC PAIN, RHEUMATOLOGY 1990, HEALTH-STATUS, EFFICACY, SF-36, METAANALYSIS, CLASSIFICATION, ACCEPTANCE, COMMUNITY

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MLA
Jacobs, Herlinde, et al. “The Impact of a Group-Based Multidisciplinary Rehabilitation Program on the Quality of Life in Patients with Fibromyalgia : Results from the QUALIFIBRO Study.” JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, vol. 26, no. 8, 2020, pp. 313–19, doi:10.1097/rhu.0000000000001120.
APA
Jacobs, H., Bockaert, M., Bonte, J., DʼHaese, M., Degrande, J., Descamps, L., … De Bacquer, D. (2020). The impact of a group-based multidisciplinary rehabilitation program on the quality of life in patients with fibromyalgia : results from the QUALIFIBRO study. JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, 26(8), 313–319. https://doi.org/10.1097/rhu.0000000000001120
Chicago author-date
Jacobs, Herlinde, Martine Bockaert, Jan Bonte, Mark DʼHaese, Jan Degrande, Line Descamps, Ulrike Detaeye, et al. 2020. “The Impact of a Group-Based Multidisciplinary Rehabilitation Program on the Quality of Life in Patients with Fibromyalgia : Results from the QUALIFIBRO Study.” JCR-JOURNAL OF CLINICAL RHEUMATOLOGY 26 (8): 313–19. https://doi.org/10.1097/rhu.0000000000001120.
Chicago author-date (all authors)
Jacobs, Herlinde, Martine Bockaert, Jan Bonte, Mark DʼHaese, Jan Degrande, Line Descamps, Ulrike Detaeye, Willem Goethals, Jo Janssens, Koen Matthys, Lieve Muller, Hilde Van de Walle, Ilse Viane, Barbara Vlieghe, Michiel Grillet, Rachael Asher, Bernard Grillet, and Dirk De Bacquer. 2020. “The Impact of a Group-Based Multidisciplinary Rehabilitation Program on the Quality of Life in Patients with Fibromyalgia : Results from the QUALIFIBRO Study.” JCR-JOURNAL OF CLINICAL RHEUMATOLOGY 26 (8): 313–319. doi:10.1097/rhu.0000000000001120.
Vancouver
1.
Jacobs H, Bockaert M, Bonte J, DʼHaese M, Degrande J, Descamps L, et al. The impact of a group-based multidisciplinary rehabilitation program on the quality of life in patients with fibromyalgia : results from the QUALIFIBRO study. JCR-JOURNAL OF CLINICAL RHEUMATOLOGY. 2020;26(8):313–9.
IEEE
[1]
H. Jacobs et al., “The impact of a group-based multidisciplinary rehabilitation program on the quality of life in patients with fibromyalgia : results from the QUALIFIBRO study,” JCR-JOURNAL OF CLINICAL RHEUMATOLOGY, vol. 26, no. 8, pp. 313–319, 2020.
@article{8628973,
  abstract     = {{Background and Objective

Patients with fibromyalgia (FM) have a substantially reduced health-related quality of life (HRQoL). Their management should preferably focus on multidisciplinary nonpharmacological interventions. However, the long-term impact of such multicomponent therapies is not fully established. Waiting lists for patients seeking medical treatment are long, making individual-based approaches often unfeasible. The aim of our pragmatic study was to evaluate long-term HRQoL benefits of a comprehensive 8-week group-based multidisciplinary rehabilitation program focusing on patients' coping ability and self-care. Methods

A total of 94 patients with clinically confirmed FM agreed to participate in this study. Before entering the program based on group-based cognitive behavioral therapy and graded activity training, patients completed questionnaires to screen for comorbidities. Health-related quality of life was assessed at the start, at 8 weeks, 6 months, and 1 year using the 36-Item Short-Form Health Survey instrument. Changes in HRQoL scores were analyzed according to linear mixed regression modeling. Results

Baseline findings confirmed the substantially low physical and mental HRQoL in FM patients as well as high levels of depression, anxiety, and burnout. Only 2 patients left the program prematurely; 89% participated in the 1-year assessment. By the end of the program, HRQoL was significantly improved in all domains. This effect was maintained at 6 months and 1 year for all subscales. Changes at 1 year were greater in younger patients and those with depressive feelings before the start of treatment. Conclusions

Our group-based program offered to FM patients proved successful with significant improvements in their HRQoL both in the short and long term.}},
  author       = {{Jacobs, Herlinde and Bockaert, Martine and Bonte, Jan and DʼHaese, Mark and Degrande, Jan and Descamps, Line and Detaeye, Ulrike and Goethals, Willem and Janssens, Jo and Matthys, Koen and Muller, Lieve and Van de Walle, Hilde and Viane, Ilse and Vlieghe, Barbara and Grillet, Michiel and Asher, Rachael and Grillet, Bernard and De Bacquer, Dirk}},
  issn         = {{1076-1608}},
  journal      = {{JCR-JOURNAL OF CLINICAL RHEUMATOLOGY}},
  keywords     = {{fibromyalgia,group-based,intervention,multidisciplinary,quality of life,COGNITIVE-BEHAVIORAL THERAPIES,CHRONIC PAIN,RHEUMATOLOGY 1990,HEALTH-STATUS,EFFICACY,SF-36,METAANALYSIS,CLASSIFICATION,ACCEPTANCE,COMMUNITY}},
  language     = {{eng}},
  number       = {{8}},
  pages        = {{313--319}},
  title        = {{The impact of a group-based multidisciplinary rehabilitation program on the quality of life in patients with fibromyalgia : results from the QUALIFIBRO study}},
  url          = {{http://dx.doi.org/10.1097/rhu.0000000000001120}},
  volume       = {{26}},
  year         = {{2020}},
}

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