A Randomized Trial to Evaluate the Efficacy of a Pain Neuroscience Education Program on Executive Function and Pain Intensity in Women With Fibromyalgia.
To evaluate the efficacy of a brief, structured pain neuroscience education (PNE) program on executive function and pain intensity in women with fibromyalgia (FM). Randomized clinical trial. Rheumatology and pain clinics in Mexico and Colombia. Sixty-two women aged 40-60 years diagnosed with FM acco...
| Publicado en: | Archives of Physical Medicine & Rehabilitation Vol. 107; no. 6; pp. 1258 - 1268 |
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| Autores principales: | , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
W B Saunders
Jun2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=194167316&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 194167316 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00039993 1XL jtl: Archives of Physical Medicine & Rehabilitation issn: 00039993 maglogo: N pubinfo: dt: Jun2026 vid: 107 iid: 6 pid: 1351 pub: W B Saunders place: Philadelphia, Pennsylvania artinfo: ui: 194167316 194167316 194167316 10.1016/j.apmr.2026.02.006 194167316 ppf: 1258 ppct: 10 formats: tig: atl: A Randomized Trial to Evaluate the Efficacy of a Pain Neuroscience Education Program on Executive Function and Pain Intensity in Women With Fibromyalgia. aug: au: Morales-Osorio, Marco Antonio Ordoñez-Mora, Leidy Tatiana Mejía-Mejía, Johana Román, Fabian Lopez-Perez, Pedro Javier Ramírez-Vélez, Robinson affil: Universidad San Sebastián, Facultad de Ciencias de la Rehabilitación y Calidad de Vida, Escuela de Kinesiología, Carrera de Kinesiología, Concepción, Chile sug: subj: Fibromyalgia Women's Health Neuroscience Care Education Program Evaluation Executive Function Evaluation Pain Measurement Human Mexico Colombia Female Adult Middle Age Randomized Controlled Trials Random Assignment Task Performance and Analysis Visual Analog Scaling Questionnaires Wisconsin Card Sorting Test Descriptive Statistics Anxiety Evaluation Comparative Studies Depression Memory, Short Term State-Trait Anxiety Inventory Adult: 19-44 years Middle Aged: 45-64 years Female ab: To evaluate the efficacy of a brief, structured pain neuroscience education (PNE) program on executive function and pain intensity in women with fibromyalgia (FM). Randomized clinical trial. Rheumatology and pain clinics in Mexico and Colombia. Sixty-two women aged 40-60 years diagnosed with FM according to American College of Rheumatology 2010 criteria. Participants were randomly divided to either PNE plus usual care or usual care alone. The intervention consisted of ten 40-45-minute online PNE sessions delivered over 5 weeks. Coprimary outcomes were pain intensity, assessed with the visual analog scale; FM impact, assessed with the Fibromyalgia Impact Questionnaire–Revised; and executive function (multidimensional domain), assessed with 4 tasks: the Wisconsin Card Sorting Test (cognitive flexibility), the Simon Task (inhibition), the Corsi Block-Tapping Task (visuospatial working-memory capacity), and the Digit Span Forward Task (phonological working-memory capacity). Secondary outcomes were central sensitization (Central Sensitization Inventory), pain catastrophizing (Pain Catastrophizing Scale), kinesiophobia (Tampa Scale for Kinesiophobia-11), depressive symptoms (Beck Depression Inventory-II), and anxiety (State-Trait Anxiety Inventory). Compared with controls, the PNE group showed greater reductions in pain (−3.24; P =.001), FM impact (−15.14; P =.001), central sensitization (−22.36; P =.001), catastrophizing (−7.24; P =.020), and kinesiophobia (−8.68; P =.001). Depressive symptoms also improved (−6.78; P =.023). Trait anxiety decreased more in the control group (P =.001). Executive-function effects were domain specific: phonological working memory (Digit Span Forward) improved significantly (P =.007), whereas no significant effects were observed for visuospatial working memory, cognitive flexibility, or inhibition after multiplicity adjustment. PNE plus usual care significantly improves pain, functional impact, central sensitization, catastrophizing, kinesiophobia, and phonological working memory in FM. Cognitive effects were selective (no improvement in flexibility, inhibition, or visuospatial working memory) and mood outcomes were mixed. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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