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Journals / Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi / 2014 / Cilt: 60 - Sayı: 3

Fibromiyalji hastalarında travma sonrası stres bozukluğu, aleksitimi ve somotoform dissosiyasyon

Post-traumatic stress disorder,alexithymia and somatoform dissociation in patients with fibromyalgia

Önder KAVAKCI
Halil PEKŞEN
Mehmet Sıddık TUNÇAY
Esra SEMİZ AYDINKAL
Ece KAPTANOĞLU
Murat SEMİZ
Zafer ÖZER
Pages
245–251
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Treatment strategies may be developed to managepsychiatric conditions in fbromyalgia.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: We investigated the prevalence of post-traumatic stress disorder,alexithymia, and somatoform dissociative symptoms in patients withfbromyalgia (FM).Material and Methods: Fifty-six consecutive patients with FM admittedto the outpatient department were enrolled in this study after providinginformed consent.
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Key Findings & Data:The impact of FM was measured with the Fibromyalgia ImpactQuestionnaire (FIQ).Results: The number of patients reporting at least one traumatic event washigher in the FM (19, 33.9%) than in the RA (6, 13%) (X2=5.9, p=0.015)group.
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Conclusion & Impact:Treatment strategies may be developed to managepsychiatric conditions in fbromyalgia.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: We investigated the prevalence of post-traumatic stress disorder,alexithymia, and somatoform dissociative symptoms in patients withfbromyalgia (FM).Material and Methods: Fifty-six consecutive patients with FM admittedto the outpatient department were enrolled in this study after providinginformed consent. Forty-six patients with rheumatoid arthritis (RA) wereenrolled as controls. Participants completed the Somatoform DissociationQuestionnaire (SDQ), the Post-traumatic Diagnostic Scale (PDS), theToronto Alexithymia Scale (TAS), and The Childhood Trauma Questionnaire(CTQ). The impact of FM was measured with the Fibromyalgia ImpactQuestionnaire (FIQ).Results: The number of patients reporting at least one traumatic event washigher in the FM (19, 33.9%) than in the RA (6, 13%) (X2=5.9, p=0.015)group. Post-traumatic stress disorder (PTSD) was found in six (10.7%) ofthe 56 subjects with FM. In the RA group, no patients met the criteria forPTSD. Current PTSD prevalence was higher in the FM than in the RA group.Among those with FM group and traumatic experiences, FIQ scores werehigher in patients with than without PTSD (p=0.02). Additionally, a positivecorrelation between traumatic experiences and use of analgesics (r=0.415,p=0.002) was also observed. FM patients had signifcantly higher scoresthan did RA patients on the CTQ, SDQ and TAS.Conclusion: The results of this study indicate that PTSD, alexithymia, anddissociative symptoms positively infuence the levels of pain and FM-relateddisability in FM patients. Treatment strategies may be developed to managepsychiatric conditions in fbromyalgia.

Özet

Amaç: Çalışmamızda Fibromiyalji (FM) hastalarında Travma Sonrası StresBozukluğu (TSSB), aleksitimi ve dissosiyatif semptomların yaygınlığınıaraştırdık. Gereç ve Yöntemler: Polikliniğe başvuran 56 FM hastası bilgilendirildiktensonra çalışmaya alındı. Kontrol grubu olarak 46 Romatoid Artrit (RA)hastası çalışmaya dahil edildi. Katılımcılara Somatoform DissosiyasyonÖlçeği (SDÖ), Travma Değerlendirme Ölçeği (TDÖ), Toronto AleksitimiÖlçeği (TAÖ) ve Çocukluk Çağı Travma Ölçeği (ÇTÖ) uygulandı.Fibromiyalji hastalığının etkisi Fibromiyalji Etki Anketi (FEA) ile ölçüldü.Bulgular: Fibromiyalji hastalarında en az bir travmatik olay bildiren hastasayısı (19, %33,9) RA grubundan (6, %13) yüksek bulundu (x2=5,9,p=0,015). Altı (%10,7) FM hastasında TSSB olduğu düşünüldü. Romatoidartrit grubunda TSSB tanı kriterlerini karşılayan hasta yoktu. Travma sonrasıstres bozukluğu yaygınlığının FMde RA grubundan daha yüksek olduğusaptandı. Travmatik yaşantıları olan FM hastalarının FEA skoru travmatikyaşantıları olmayan hastalardan daha yüksekti (p

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Cite This Article

KAVAKCI, Ö., PEKŞEN, H., TUNÇAY, M. S., AYDINKAL, E. S., KAPTANOĞLU, E., SEMİZ, M., ÖZER, Z. (2022). Fibromiyalji hastalarında travma sonrası stres bozukluğu, aleksitimi ve somotoform dissosiyasyon. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, Cilt: 60 - Sayı: 3, 245–251. https://ajindex.com/articles/628789

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