AI Article Synopsis

  • Fibromyalgia (FM) affects 2.7% of people and is associated with psychological trauma; researchers are exploring if trauma-focused therapy like EMDR, combined with brain stimulation (MtCS), can help reduce pain symptoms in FM patients.
  • A study will randomly assign 45 FM patients with trauma histories to different treatment groups, including EMDR with either active or sham MtCS, while keeping participants and therapists unaware of the specific treatment details.
  • This trial aims to determine the effectiveness of EMDR in alleviating FM pain and whether adding MtCS enhances this effect, with follow-up evaluations at 6 months.

Article Abstract

Background: Fibromyalgia (FM) is a generalized, widespread chronic pain disorder affecting 2.7% of the general population. In recent years, different studies have observed a strong association between FM and psychological trauma. Therefore, a trauma-focused psychotherapy, such as eye movement desensitization and reprocessing (EMDR), combined with a non-invasive brain stimulation technique, such as multifocal transcranial current stimulation (MtCS), could be an innovative adjunctive treatment option. This double-blind randomized controlled trial (RCT) analyzes if EMDR therapy is effective in the reduction of pain symptoms in FM patients and if its potential is boosted with the addition of MtCS.

Methods: Forty-five patients with FM and a history of traumatic events will be randomly allocated to Waiting List, EMDR + active-MtCS, or EMDR + sham-MtCS. Therapists and patients will be kept blind to MtCS conditions, and raters will be kept blind to both EMDR and MtCS. All patients will be evaluated at baseline, post-treatment, and follow-up at 6 months after post-treatment. Evaluations will assess the following variables: sociodemographic data, pain, psychological trauma, sleep disturbance, anxiety and affective symptoms, and wellbeing.

Discussion: This study will provide evidence of whether EMDR therapy is effective in reducing pain symptoms in FM patients, and whether the effect of EMDR can be enhanced by MtCS.

Trial Registration: ClinicalTrials.gov NCT04084795 . Registered on 2 August 2019.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7844777PMC
http://dx.doi.org/10.1186/s13063-021-05042-wDOI Listing

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