Resultados de una intervención psicoeducativa interdisciplinar con EMDR en pacientes con fibromialgia: experiencia de un centro privado
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
Objective: To evaluate the effects of a multidisciplinary protocol (psychology, rheumatology, sports medicine, sleep unit and nutrition) in patients with fibromyalgia. Material and methods: Changes in the state of anxiety (main objective), intensity of pain, its impact on daily activities and “in situ” subjective limitations, were evaluated. The psychological approach included a psychoeducational process as a general framework and eye movement desensitization and reprocessing techniques (EMDR) as an instrument of emotional regulation. An intra-subject design was used with pre and post-study measurements whose instruments were the trait anxiety inventory (STAI), the WOMAC pain dimension (Western Ontario and McMaster Universities Osteoarthritis Index), a specific test measuring the impact of pain on daily life activities (designed on purpose) and a subjective “in situ” scale of pain intensity (Thierry scale). The use of EMDR practices (bilateral music, the butterfly-hug programanoeuvre or similar) and the degree of patient satisfaction were assessed in percentage terms at the end of the study Results: A total of 56 women with a mean age of 51 (± 10) years and aged between 30 to 73 years were studied. The participants were distributed from 2016 to 2020 in 8 successive groups of no more than 10 members per group. Each group received 10 sessions (one per week) lasting an hour and a half that were divided into 6 sessions of psychology and 1 session of rheumatology, sports medicine, sleep unit and nutrition. The results showed significant positive effects after the program, with post-intervention improvements in the state of trait anxiety (p = 0.0000/p < 0.005) (d = 0.427) intensity of pain (p = 0.0003) (d = 0.344), impact of pain on daily activities (p = 0.0000/p < 0.005) (d = 0.486) and in the subjective sensation of pain intensity (no patients exhibiting “very significant pain”). At the end of the study, 46 patients (83 %) had adopted EMDR (self-administered practice) to reduce anxiety and pain and in addition, a high degree of satisfaction post- intervention was reported. Conclusions: A multidisciplinary approach based on a general psychoeducational intervention and a self-administered EMDR technique could help to soften the symptomatic impact of fibromyalgia.
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.006 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.003 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it