This systematic review addresses the effectiveness of occupational therapy–related interventions for adults with fibromyalgia. This study examines literature between 200 and 2014, reviewing 322 abstracts from five databases. Forty-two Level I studies met the inclusion criteria. Studies were evaluated primarily with regard to the following outcomes: daily activities, pain, depressive symptoms, fatigue, and sleep. Strong evidence was found for interventions categorized for this review as cognitive–behavioral interventions; relaxation and stress management; emotional disclosure; physical activity; and multidisciplinary interventions for improving daily living, pain, depressive symptoms, and fatigue. There was limited to no evidence for self-management, and few interventions resulted in better sleep.
Janet L. Poole, PhD, OTR/L, FAOTA, is Professor and Program Director, Occupational Therapy Graduate Program, University of New Mexico, Albuquerque; Patricia Siegel, OTD, OTR/L, CHT, is Lecturer II, Occupational Therapy Graduate Program, University of New Mexico, Albuquerque.
1. List symptoms of fibromyalgia and effect on occupational performance
2. Describe the types of occupational-therapy related interventions that are used for adults with fibromyalgia
3. Explain the efficacy of occupational therapy-related interventions for adults with fibromyalgia and implications for OT practice and research
Learning Level: Intermediate
Target Audience: Occupational therapists and occupational therapy assistants
Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention