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Yıl:2015; Cilt: 16; Sayı: 5>> Özet
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Anadolu Psikiyatri Dergisi; 2015;16(5):329-336
Kadın fibromiyalji hastalarında hastalıkalgısının ağrı ve depresyonla ilişkisi
İ Sönmez, F Köşger, S Karasel, Ö Tosun
Yakın Doğu Üniversitesi, Kıbrıs
Amaç: Fibromiyalji tanı ölçütlerinde ağrı halen en önemli bulgu iken, mental belirtiler de tanıda önemli bir yer tutmak-tadır. Fibromiyaljide ağrı ve hastalık algısı ilişkisini araştıran çok az çalışma vardır. Bu çalışmada fibromiyaljide hastalık algısının ağrı ve depresyonla ilişkisinin araştırılması amaçlanmıştır. Yöntem: Ayaktan izlenen ve altı aydan uzun süredir fibromiyalji tanısı olan 50 kadın hasta çalışmaya alındı. Hastalık Algısı Ölçeği (HAÖ), Görsel Ağrı Skalası (GAS) ve Beck Depresyon Ölçeği (BDÖ) ölçüm araçları olarak kullanıldı. Bulgular: Çalışmamızda GAS puanı ile HAÖ’nün alt ölçekleri olan hastalık belirti sayısı, bu belirtilerin hastalığı ile ilgili olduğunu düşünme, hastalık süresi, kişisel kontrol ve duygusal temsiller ile ilişki saptandı. GAS puanı ile yaş, tedavi süresi, BDÖ puanı ve HAÖ’nün alt ölçekleri olan hastalık sonuçları algısı, tedavi kontrolü ve hastalığı anlayabilme arasında ilişki saptan-madı. Sonuç: Bulgularımız fibromiyaljide ağrı ve duygudurum belirtilerinin farklı düzeneklerle oluşuyor olabileceğini düşündürmektedir.
The relationship among pain, depression, and illness perception in female patients with fibromyalgia
Objective: While pain is still the most important symptom among diagnostic criteria for fibromyalgia, mental symptoms also have an important role in diagnosis. There are a limited number of studies investigating the relationship between pain and illness perception in fibromyalgia. It was aimed to investigate the relationship between pain, depression and illness perception in this study. Methods: Fifty patients who were followed outpatiently and who had a diagnosis of fibromyalgia for more than 6 months were included in the study. Illness Perception Questionnaire (IPQ-R), Visual Analogue Scale for Pain (VAS) and Beck Depression Inventory (BDI) were used as measuring tools. Findings: In our study, a significant positive correlation between VAS score and subscale scores of IPS which are number of illness symptoms, thinking that these symptoms are related with the illness, duration of illness, personal control and emotional representations. There was no relation between VAS and age, duration of illness, BDI score and the subscales of IPS that are perception of illness consequences, treatment control and understanding the illness. Conclusion: Our findings make us think that pain and mood symptoms may occur due to different mechanisms in fibromyalgia.Objective: While pain is still the most important symptom among diagnostic criteria for fibromyalgia, mental symptoms also have an important role in diagnosis. There are a limited number of studies investigating the relationship between pain and illness perception in fibromyalgia. It was aimed to investigate the relationship between pain, depression and illness perception in this study. Methods: Fifty patients who were followed outpatiently and who had a diagnosis of fibromyalgia for more than 6 months were included in the study. Illness Perception Questionnaire (IPQ-R), Visual Analogue Scale for Pain (VAS) and Beck Depression Inventory (BDI) were used as measuring tools. Findings: In our study, a significant positive correlation between VAS score and subscale scores of IPS which are number of illness symptoms, thinking that these symptoms are related with the illness, duration of illness, personal control and emotional representations. There was no relation between VAS and age, duration of illness, BDI score and the subscales of IPS that are perception of illness consequences, treatment control and understanding the illness. Conclusion: Our findings make us think that pain and mood symptoms may occur due to different mechanisms in fibromyalgia.

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