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Guideline [Alternative and complementary therapies in fibromyalgia syndrome] 2008
Langhorst J, Häuser W, Irnich D, Speeck N, Felde E, Winkelmann A, Lucius H, Michalsen A, Musial F. · Klinik für Innere Medizin V, Naturheilkunde und Integrative Medizin, Kliniken Essen-Mitte, Am Deimelsberg 34a, 45276 Essen. · Schmerz. · Pubmed #18463899 No free full text.
Abstract: INTRODUCTION: Interdisciplinary S3 level guidelines were devised in cooperation with 8 medical, 2 psychological and 2 patient support groups. Results were elaborated in a multilevel group process. METHODS: On the bases of the "Cochrane Library" (1993-2006), "Medline" (1980-2006), "PsychInfo" (2006) and "Scopus" (2006) controlled studies and meta-analyses of controlled studies were analyzed. RESULTS: Only few controlled studies were found supporting in part the effectiveness of CAM therapies in the treatment of fibromyalgia syndrome. Due to the lack of information on long term efficacy and cost-effectiveness, only limited recommendations for CAM therapies can be given. CONCLUSION: Within a multicomponent therapy setting, selective CAM therapies (acupuncture, vegetarian diet, homeopathy, Tai Chi, Qi Gong, music-oriented and body-oriented therapies) can be recommended for a limited period of time.
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Article Parental bonding and alexithymia in adults with fibromyalgia. free! 2008
Pedrosa Gil F, Weigl M, Wessels T, Irnich D, Baumüller E, Winkelmann A. · Psychosomatic Outpatient Clinic, Department of Internal Medicine, Ludwig-Maximilian-University, Munich, Germany. · Psychosomatics. · Pubmed #18354064 links to free full text
Abstract: In a cross-sectional study, the authors investigated 40 female patients with fibromyalgia syndrome (FS) for the degree of alexithymia and parental bonding style. Alexithymia was assessed by the Toronto Alexithymia Scale-26; parental style by the FDEB (a German version of the Measure of Parental Style). In 15% of patients with FS, clinically significant alexithymia was found. Also, there was a positive association between the alexithymia scores (TAS total score) and "maternal abuse" and higher values in "paternal indifference," which predicted higher scores on "Difficulties identifying feelings" (TAS). The results of this study suggest that parental styles are associated with higher alexithymia scores.
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Article [Acupuncture in pain therapy] 2007
Grasmüller S, Irnich D. · Interdisziplinäre Schmerzambulanz, Klinik für Anästhesiologie, LMU München. · MMW Fortschr Med. · Pubmed #17713049 No free full text.
Abstract: The neurobiological mechanisms of acupuncture have been investigated in many cases and provide plausible explanatory approaches for its effectiveness. However, only some of these mechanisms depend on the ,,point-specifity". Evaluation following evidence-based medicine criteria shows level 1 evidence for the efficacy of acupuncture for post-operative dental pain as well as for nausea and vomiting. In addition there are positive results for the efficacy of acupuncture for treating headaches, lumbar spine pain, temporomandibular dysfunction, fibromyalgia, osteoarthritis of the knee and epicondylitis. Acupuncture can be part of a multimodal therapeutic concept for chronic pain disorders with biopsychosocial components.
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