Resultados de una intervención psicoeducativa interdisciplinar con EMDR en pacientes con fibromialgia: experiencia de un centro privado
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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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.003 | 0.006 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".