Alvos Terapêuticos Para o Tratamento Psicológico da Fibromialgia

Abstract

Fibromyalgia is a chronic pain syndrome that is associated with a variety of symptoms and subjective complaints, related to worsening and maintenance of pain. This complexity is not taken into account in an integrated way in the treatment models for chronic pain. Generally the interventions target an isolated aspect of pain, like the interpersonal function, a related cognitive distortion or the role of fear. The present study aims to construct a set of treatment goals for an integrative psychological intervention with Fibromyalgia. This endeavor was based on the real-life context of five patients with Fibromyalgia, though the reports and the experiences in a psychotherapy group. The participants were women between 45 and 52 years of age. The data were collected through semi-structured open interviews and recordings of the 12 sessions of psychotherapy. The interventions were based on the experiences that appeared in the group, guided by current trends in behavioral therapy. The data were submitted to inductive analysis, following the directives of grounded theory. The treatment goals that emerged from this work were then organized in five themes, namely: Interpersonal Experiences, Interpersonal Coping Strategies, Subjective Meanings, Negative Emotions, and Positive Emotions.