Discomfort and Psychosocial Difficulties in Fibromyalgia
Discomfort and Psychosocial Difficulties in Fibromyalgia
The patients who were not pain control, are referred to the Chronic Pain Unit so its
 complexity is greater. Made two different interventions in three groups of people with
 fibromyalgia. In the first group will proceed to infiltrate the painful area with medication,
 in the second GPST (Group Problem Solving Technique) and the third group both techniques.
 GPST will want to identify problems that people associate with fibromyalgia, as well as
 proposed solutions and it they have been carried out successfully or not. Will be essential
 to identifying and solving problems and using techniques to increase assertiveness,
 self-esteem and eliminating negative thoughts. Observing if after performing any of these
 techniques (infiltration, GPST or both) there is a better quality of life, reduce thoughts of
 suicide, pain and improves sleep quality. We also analyzed the satisfaction or not with
 therapies received and perceived usefulness.
It is a clinical trial. STUDY SUBJECTS. By random sampling will distribute women diagnosed
 with fibromyalgia in three groups. 30 people are expected to include in each of the three
 groups. Group 1. Infiltration, GPST Group 2, Group 3 GPST+ Infiltration The sample size is
 approximately 30 so that alpha risk of 0.05, and a lower risk beta 0.2, 29 subjects needed to
 detect a difference equal to or greater than 0.25 units. It is assumed that the proportion in
 the control group is 0.8. has estimated a loss rate of 20% follow-up.

 Fibromyalgia patients attending the chronic pain unit referred by family doctors and other
 specialists. These are patients who have painful symptoms that could not be controlled in the
 first level of health care or health centers.Not form part of the study all patients with
 fibromyalgia but only those who have discomfort in the cervical area preferably.To include in
 the study the patient acceptance of its participation is required by informed
 consent.Anesthesiologists assigned patients into three different groups according to the
 intervention takes place; infiltration, TRP (Problem Solving Therapy) or both interventions.
 When patients have met 8-10 start TRP group. Each group will be directed by a trained
 professional nursing. If we if we haven't enough sample will search in Fibromyalgia
 Associations.

 The information of all variables are entered into a database (Excel) of which will be
 imported to a statistical program (SPSS) for analysis.

 Qualitative variables were expressed as frequencies and percentages and quantitative mediated
 by central tendency and (mean and standard deviation) dispersion.The relationship between
 variables was analyzed by the χ2, comparison of means (t-student), analysis of variance
 (ANOVA) and Spearman, depending on the type of variable.Multivariate analysis will be
 performed to try to determine factors that may promote improved quality of life / patients.

 It is considered that the difference between variables is significant when the significance
 level is less than or equal to 0.05 (p ≤ 0.05).
Inclusion Criteria:

 -  Diagnosing Fibromyalgia.

 -  Diagnosing Fibromyalgia + other causative pathology of chronic pain (chronic and / or
 chronic low back pain neck pain).

 -  Acceptance of study participation by informed consent

 Exclusion Criteria:

 -  Severe disability that makes a first indication infiltration (disc herniation and / or
 lumbar spinal stenosis).

 -  cognitive Impairment

 -  Life expectancy less than 12 months