“INTEGRO INTEGRated Psychotherapeutic InterventiOn” on the Management of Chronic Pain in Patients with Fibromyalgia: The Role of the Therapeutic Relationship

Ilenia Pasini, Cinzia Perlini, Valeria Donisi, Anna Mason, Vittorio Schweiger, Erica Secchettin, Fabio Lugoboni, Gaetano Valenza and Lidia Del Piccolo ()
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Ilenia Pasini: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
Cinzia Perlini: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
Valeria Donisi: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
Anna Mason: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy
Vittorio Schweiger: Pain Therapy Centre, Department of Surgery, Dentistry, Maternal and Infant Sciences, Verona University Hospital, Policlinico GB Rossi, 37134 Verona, Italy
Erica Secchettin: Pain Therapy Centre, Department of Surgery, Dentistry, Maternal and Infant Sciences, Verona University Hospital, Policlinico GB Rossi, 37134 Verona, Italy
Fabio Lugoboni: Unit of Addiction Medicine, Department of Internal Medicine, Integrated University Hospital of Verona, Policlinico GB Rossi, 37134 Verona, Italy
Gaetano Valenza: Bioengineering and Robotics Research Center “E. Piaggio”, Department of Information Engineering, School of Engineering, University of Pisa, 56122 Pisa, Italy
Lidia Del Piccolo: Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, 37134 Verona, Italy

IJERPH, 2023, vol. 20, issue 5, 1-18

Abstract: Fibromyalgia (FM) is a chronic disease characterized by a heterogeneous set of physical and psychological conditions. The chronic experience of disability felt by patients and the impact on quality of life (QoL) of the disease may worsen the cognitive reappraisal ability and contribute to maintaining an altered pain modulation mechanism. This paper presents the study protocol of an INTEGRated psychotherapeutic interventiOn on the management of chronic pain in patients with fibromyalgia (INTEGRO). The aim of the study is to investigate the efficacy of an integrated psychotherapeutic intervention focused on pain management on QoL and pain perception, in a pilot sample of 45 FM patients with idiopathic chronic pain. The contribution of perceived therapeutic relationship (alliance) and physiological attunement, in both the patient and therapist, will be considered as possible mediators of intervention efficacy. Attachment dimensions, traumatic experiences, difficulties in emotion regulation, mindfulness attitude and psychophysiological profile will also be considered as covariates. The objectives are to evaluate longitudinally if patients will experience an increase in QoL perception (primary endpoint), pain-managing self-efficacy and emotion-regulation abilities as well as a reduction in pain intensity (secondary endpoints), considering the mediating role of perceived therapeutic alliance and physiological attunement in both the patient and therapist.

Keywords: fibromyalgia; integrated psychotherapy; attunement; psychophysiological synchronization; chronic pain; therapeutic alliance; cognitive behavioral therapy (CBT); psychophysiology (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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