Nermin Gündüz1, Aslıhan Polat2, Erkal Erzincan3, Hatice Turan4, Ilgın Sade5, Ümit Tural2. 1. Department of Psychiatry, Dumlupınar University School of Medicine Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey. 2. Department of Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey. 3. Department of Psychiatry, Erenkoy Mental Health and Psychiatry Training and Research Hospital, İstanbul, Turkey. 4. Department of Psychiatry, İstanbul Moodist Psychiarty and Neurology Hospital, İstanbul, Turkey. 5. Department of Physical Medicine and Rehabilitation, Kocaeli University School of Medicine, Kocaeli, Turkey.
Abstract
OBJECTIVES: In this study, we aimed to compare patients with fibromyalgia syndrome (FMS) and those with myofascial pain syndrome (MPS) and healthy women and to investigate the prevalence of childhood traumatic experiences (CTEs) in relation to comorbid mood and anxiety disorders. PATIENTS AND METHODS: Between February 2014 and May 2014, a total of 136 women including 52 with FMS, 35 with MPS, and 49 healthy controls were included in the study. The Sociodemographic Data Form, Mood and Anxiety Disorders Modules of Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV) Axis I Disorders (SCID-I), Fibromyalgia- related Symptom Scale (FSS), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Childhood Trauma Questionnaire-28 (CTQ-28) were applied to participants. RESULTS: As a result of the semi-structured clinical interview conducted by a psychiatrist experienced in psychological trauma, the prevalence of any mood or anxiety disorder were found to be significantly more common in the FMS group. Childhood traumatic experiences, not only in general, but also with all subtypes, were also reported to be significantly more in FMS patients. Besides, only in patients with FMS, a significant relationship was found between the psychiatric diagnoses and the presence of CTEs. Furthermore, the CTQ-28 scores were correlated positively with the FSS scores as well as HDRS and HARS. Among the symptoms screened by the FSS, only crying and over-reacting to incidents were significantly associated with CTEs in FMS group. CONCLUSION: Based on our study results, CTEs may play a critical role in the development of fibromyalgia and may be related with comorbid mood and anxiety disorders in FMS patients. Associating psychological symptoms such as crying or over-reacting to incidents in FMS patients should be, therefore, alerting for psychiatric consultation.
OBJECTIVES: In this study, we aimed to compare patients with fibromyalgia syndrome (FMS) and those with myofascial pain syndrome (MPS) and healthy women and to investigate the prevalence of childhood traumatic experiences (CTEs) in relation to comorbid mood and anxiety disorders. PATIENTS AND METHODS: Between February 2014 and May 2014, a total of 136 women including 52 with FMS, 35 with MPS, and 49 healthy controls were included in the study. The Sociodemographic Data Form, Mood and Anxiety Disorders Modules of Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV) Axis I Disorders (SCID-I), Fibromyalgia- related Symptom Scale (FSS), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Childhood Trauma Questionnaire-28 (CTQ-28) were applied to participants. RESULTS: As a result of the semi-structured clinical interview conducted by a psychiatrist experienced in psychological trauma, the prevalence of any mood or anxiety disorder were found to be significantly more common in the FMS group. Childhood traumatic experiences, not only in general, but also with all subtypes, were also reported to be significantly more in FMS patients. Besides, only in patients with FMS, a significant relationship was found between the psychiatric diagnoses and the presence of CTEs. Furthermore, the CTQ-28 scores were correlated positively with the FSS scores as well as HDRS and HARS. Among the symptoms screened by the FSS, only crying and over-reacting to incidents were significantly associated with CTEs in FMS group. CONCLUSION: Based on our study results, CTEs may play a critical role in the development of fibromyalgia and may be related with comorbid mood and anxiety disorders in FMS patients. Associating psychological symptoms such as crying or over-reacting to incidents in FMS patients should be, therefore, alerting for psychiatric consultation.
Authors: E Legangneux; J J Mora; O Spreux-Varoquaux; I Thorin; M Herrou; G Alvado; C Gomeni Journal: Rheumatology (Oxford) Date: 2001-03 Impact factor: 7.580
Authors: James I Hudson; Barbara Mangweth; Harrison G Pope; Christine De Col; Armand Hausmann; Sarah Gutweniger; Nan M Laird; Wilfried Biebl; Ming T Tsuang Journal: Arch Gen Psychiatry Date: 2003-02
Authors: I Gardoki-Souto; O Martín de la Torre; B Hogg; D Redolar-Ripoll; A Valiente-Gómez; L Martínez Sadurní; J M Blanch; W Lupo; V Pérez; J Radua; B L Amann; A Moreno-Alcázar Journal: Trials Date: 2021-01-29 Impact factor: 2.279
Authors: Andrea Deregibus; Martina Ferrillo; Maria Grazia Piancino; Maria Chiara Domini; Alessandro de Sire; Tommaso Castroflorio Journal: Turk J Phys Med Rehabil Date: 2021-03-04