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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