Keywords
Coping strategies
Primary health care
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Abstract
Objective: To evaluate the different coping strategies that may contribute to symptom reduction and improvement of quality of life in patients with fibromyalgia in Primary Health Care. Methods: Integrative review of 15 studies, selected from Sistema Regional de Información en línea para Revistas Científicas de América Latina, el Caribe, España y Portugal (Latindex), US National Library of Medicine National Institutes of Health (PubMed), and Biblioteca Virtual em Saúde (BVS) databases covering articles published between 2004 and 2024. Studies in Portuguese, English, and Spanish were included and analyzed using structured tables. Results: Fifteen studies met the inclusion criteria, highlighting multidisciplinary approaches (33.3%), cognitive-behavioral therapy (20%), and social support (26.67%). Active strategies such as disease acceptance, physical exercise, and relaxation techniques demonstrated positive associations with reduced pain and improved functionality. Group therapies and remote interventions also reinforced beneficial effects in reducing anxiety, depression, and catastrophizing, enhancing emotional resilience and self-management skills. Conclusion: Integrated coping strategies, such as multidisciplinary approaches and social support, are effective in managing fibromyalgia in PHC. The synthesis of international evidence highlights the need for practices adapted to local contexts, though future research should prioritize methodological standardization to enhance applicability.
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