P126  The effectiveness of pharmacological interventions and cognitive behavioural therapy in improving sleep in fibromyalgia: a systematic review

Conclusion The optimal management of sleep disorders in FM is complex and needs to be tailored to the individual patient. We have shown that there are varying degrees of efficacy throughout a range of commonly used drugs in FM. Unfortunately, lack of consistency in outcome measures between studies makes it difficult to draw definitive conclusions pertaining to superiority between these agents. Conversely, CBT interventions appear to show consistent sleep improvement in FM. It is not clear whether this translates to online variations of CBT. We believe that a longitudinal appraisal of sleep as a primar y variable, with robust consistent outcome measures, using pharmacological interventions with CBT would benefit future research.Disclosure A. Pathak: None.I. Brennan: None.R. Amarnani: None.A. Soni: Grants/research support; UCB Prize Fellowship.
Source: Rheumatology - Category: Rheumatology Source Type: research