Combined Effects of Hypnotic-Cognitive Therapy with Therapeutic Exercise on Quality of Life in Individuals with Fibromyalgia: A Pilot Feasibility Randomized Controlled Trial

Fibromyalgia (FM) is characterized by widespread musculoskeletal pain accompanied by diverse psychological and physical symptoms. The current study assessed the feasibility of an intervention that combines hypnotic cognitive therapy (HYP-CT) with therapeutic exercise for individuals with FM. Randomization of 16 participants was conducted in one of two treatment conditions: (1) HYP-CT (HYP-CT combined with therapeutic exercise) or (2) attention control (AC; attention control combined with therapeutic exercise). All predetermined feasibility criteria were exceeded, evidenced by high recruitment rates, complete data completion, treatment adherence, and no serious adverse events. Intervention acceptability was notably high, with participants allocated to the HYP-CT group indicating higher satisfaction and perceived improvement compared to those in the AC group, along with interest in continuin with the intervention. Overall, the findings indicate that the study procedures and intervention were feasible, safe, and acceptable, supporting progression to a fully powered randomized controlled trial.