Both cognitive-behavioral therapy and acceptance and commitment therapy demonstrate effectiveness in minimizing depression and anxiety in fibromyalgia.

Characterized by persistent musculoskeletal pain, fibromyalgia frequently coexists with anxiety and depression. In such instances, initial medical interventions can be effectively complemented by psychological approaches.

Notably, cognitive-behavioral therapy and acceptance and commitment therapy rank among the extensively studied methodologies concerning chronic pain, including fibromyalgia. This review aimed to assess the effectiveness of these psychological treatments in mitigating emotional distress associated with fibromyalgia.

An extensive search was carried out on databases like Web of Science, PubMed, and Scopus. Clinical trials meeting the eligibility criteria were encompassed. A meta-analysis was carried out on depression and anxiety scores post-treatment, with heterogeneity evaluated through Chi2 and I2 indicators. To assess publication bias, a funnel plot graph was employed.

Overall, 17 reports were chosen, with 4 articles specifically investigating the effectiveness of commitment and acceptance therapy. Demographic characteristics across the incorporated samples were consistent. The overall effect size was for depression and anxiety reached statistical significance (Table 1).

Utilizing cognitive-behavioral therapy and acceptance and commitment therapy interventions in clinical practice holds promise for enhancing standard medical treatments in cases of fibromyalgia accompanied by emotional disorders. Hence, psychotherapeutic protocols can be reliably integrated into comprehensive treatments, aiding emotional adaptation within the context of physical disability and pain.