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Table 1 Session outlines for the Cognitive Behavioral Therapy (CBT) group treatment protocol

From: Cost-utility of cognitive behavioral therapy versus U.S. Food and Drug Administration recommended drugs and usual care in the treatment of patients with fibromyalgia: an economic evaluation alongside a 6-month randomized controlled trial

Session Group CBT
1 Discussing the connection between stress and pain
2 Identification of automated, negative thoughts
3 Evaluation of automated, negative thoughts
4 Challenging the automatic, negative thoughts and constructing alternatives
5 Nuclear beliefs
6 Nuclear beliefs about pain
7 Changing coping strategies
8 Coping with ruminations-obsessions-worrying. Session focused on pain catastrophizing.
9 Expressive writing and assertive communication