Table 2.
Session | FibroQoLa |
---|---|
1 | Introduction and general information. Patients’ Expectations. History and epidemiology of the syndrome. Common symptoms in FM. Physiological mechanisms involved in the genesis of pain. |
2 | Collect information on the goals of each patient, explain differences between physical and emotional pain, clarify differences between hypnosis and self-hypnosis, administer hypnotisability test, hypnosis “safe place”. |
3 | Diagnosis and prognosis. Pharmacological and non-pharmacological treatments. Current model of health care in Catalonia and units specialised in the treatment of FM patients. |
4 | Discussion of goals and the difficulties that obstruct them, emphasize common personality characteristics, highlight exceptions to the problem, hypnosis “candle and bubbles”. |
5 | Strategies to increase self-esteem and regulate emotions. Pain experience and recurrent invalidation. Social support from family and close friends. |
6 | Exploration of possible changes, difference between acute and chronic pain, hypnosis: “imagination of a journey”. |
7 | Reviews the goals, ask for a future possible change (the miracle question), commitment to consolidation of the changes, hypnosis: “watch a photo album”. |
8 | Benefits of physical exercise in FM and closing remarks |
aNOTE: The current FibroQoL version contains eight 2-h sessions instead of 9. The multidisciplinary team decided to dismantle the FibroQoL program, eliminating the session focused on “Holistic Medicine” because it contained some information about meditation/mindfulness. Thus, both MBSR and FibroQoL are structurally equivalent, which provides a comparison of MBSR with an intervention that matches MBSR in non-specific factors, but does not contain mindfulness ingredients