Objective. To provide a brief and comprehensive summary of the recent evidence from clinical trials testing psychotherapeutic interventions in patients with fibromyalgia with particular interest in their possible effect on physical pain. Methods. Bibliographical search was performed in PubMed, PsycInfo, Web of Science, Scopus, and Cochrane Library databases. Content of the manuscripts was studied to obtain, if available, the following information: year of publication, location of the research team, design, type of psychotherapeutic intervention tested, pain measures, and a brief description of the psychotherapy, groups, and outcomes regarding physical pain. Results. Initial search eliciting 475 citations got reduced to 13 relevant papers. Most research studies from Spain (n = 8) are randomized control trials (n = 10) and used guided imagery (n = 5) or cognitive behavioral therapy (n = 4). The Visual Analogue Scale (n = 4) and the Fibromyalgia Impact Questionnaire (n = 4) were the physical pain measures mostly used. Improvements on physical pain were reported on all studies with published results; nevertheless, only in five cases, differences were significant. Conclusions. Evidence on the effect of psychotherapy on physical pain in patients with FS was divergent; though most studies report a reduction in pain, this was not always lasting and/or significant. Diversity of the results might be due to the selected psychotherapeutic approaches, assessment tools, and other internal (e.g., personality traits, (sub)clinical psychiatric symptoms, and treatment adherence) and external (e.g., family environment and social support) variables worth to be considered in the future research.

中文翻译：

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纤维肌痛患者心理疼痛的心理治疗：系统评价。

目标。提供有关临床试验的简要而全面的摘要，该试验对患有纤维肌痛的患者进行心理治疗干预，这些试验对身体疼痛的可能影响特别感兴趣。方法。在PubMed，PsycInfo，Web of Science，Scopus和Cochrane图书馆数据库中进行了书目搜索。研究了手稿的内容，以获取以下信息（如果有）：出版年份，研究团队的所在地，设计，所测试的心理治疗干预类型，止痛措施以及对心理治疗，组和与治疗有关的结局的简要说明身体上的痛苦。结果。最初的检索被475篇引文减少到13篇相关论文。西班牙的大多数研究（n  = 8）是随机对照试验（n  = 10），并使用了引导影像（n  = 5）或认知行为疗法（n  = 4）。视觉模拟量表（n  = 4）和纤维肌痛影响问卷（n  = 4）是最常用的身体疼痛测量方法。所有研究均报告了身体疼痛的改善，并已发表结果；但是，仅在五种情况下，差异是显着的。结论。心理治疗对FS患者身体疼痛的影响的证据分歧。尽管大多数研究表明疼痛减轻了，但这并不总是持久的和/或显着的。结果的多样性可能是由于所选择的心理治疗方法，评估工具以及其他值得考虑的内部变量（例如，人格特质，（亚）临床精神症状和治疗依从性）和外部变量（例如，家庭环境和社会支持）导致的。在未来的研究中考虑。