Intervenção comportamental para dor e sono em mulheres com Fibromialgia

• Kirchner, L. F. ^[1] ; Maria de Jesus Dutra dos Reis ^[2] ; Francine Náthalie Ferraresi Rodrigues Queluz ^[3]
  1. [1] Universidade Católica Dom Bosco

     Universidade Católica Dom Bosco

     Brasil

     
  2. [2] Universidade Federal de São Carlos

     Universidade Federal de São Carlos

     Brasil

     
  3. [3] Universidade São Francisco

     Universidade São Francisco

     Brasil

     

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• Localización: Acta comportamentalia: revista latina de análisis del comportamiento, ISSN 0188-8145, Vol. 27, Nº. 3, 2019, págs. 371-388
• Idioma: portugués
• Títulos paralelos:
  • Behavioral intervention for pain and sleeping in women with Fibromyalgia
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• Resumen
  • English

    Conducting studies of the effect analysis of behavioral intervention components is useful for clinical and applied research in Behavior Analysis. It allows to identify the impact of both component for the same group of individuals and increasing the efficacy and validity of treatment in future studies. Behavioral intervention components for pain and sleep management in people with fibromyalgia (FM) have been extensively tested in the literature, but it is unclear which is the best order of application for. Assessing this aspect may be important because, considering the bidirectional relationship between pain and sleep in people with Fibromyalgia, the application of one of the components may alter the effectiveness of the other, leading to the identification of which condition (pain or sleep) should be first treated. This study evaluated the effects of the order of application of two components in women with Fibromyalgia and poor sleeping quality, and the effect at the end of the intervention. The intervention consisted of 8 individual 90-minute encounters, that is, 4 for management of pain and 4 for management of sleep. The sample (n=8) was paired between two groups: the Group TS+TD started with the sleep component followed by the pain component and the Group TD+TS started with the pain component, followed by the sleep component. According to the results, the intervention was effective in both groups, but more consistent (lower variability of results among the participants and lower number of absences in sessions) in the Group TS+TD, so, an order effect was observed. Hypothesizes that a justification is the history of the complaints and demands of the women who sought the intervention. Although all participants reported poor sleeping quality, the main complaints were related to the experience with the painful process, making intervention in this theme a condition of greater establishing operation. When the intervention was directed to coping with the painful process, the reinforcing value seemed to be greater, and a reduction in the number of absences in sessions was also observed. The Sleep Diary seemed to be a reliable sleeping evaluation, that indicated positive and strong correlations with the Actigraph. This study stands out as embryonic in the area, which incites the possibility of further investigations.

  • português

    O estudo avaliou efeitos da ordem de aplicação de dois componentes de intervenção comportamental em mulheres com Fibromialgia e má qualidade do sono, e os efeitos ao final de toda a intervenção. Um componente consistiu em 4 sessões para manejo da dor e o outro em 4 sessões para manejo do sono. As sessões foram individuais, semanalmente, com duração de 90 minutos. A amostra (n=8) foi pareada entre dois grupos: um grupo iniciou com o componente de sono seguido pelo componente de dor (TS+TD) e o outro iniciou com o componente de dor, seguido pelo componente sono (TD+TS). Medidas diretas (Actígrafo e Algômetro Digital de Pressão), instrumentos padronizados (SF-MPQ e PSQI-Br) e formulário de autorregistro (Diário de Dor e Sono) foram utilizados para a avaliar a dor e o sono, antes e depois de cada componente. Os dados mostraram eficácia ao final da intervenção para os dois grupos, porém no grupo TS+TD os dados foram mais consistentes, com menor variabilidade dos resultados entre as participantes e o menor número de faltas em sessões. Destaca-se que estudos visando a avaliação da ordem de aplicação de componentes, como este, ainda são embrionários na área, o que incita a possibilidade de novas investigações.