Fibromyalji Sendromu Hastalarının Ağrı İnançları ile Psikiyatrik Belirtileri Arasındaki İlişki

Amaç: Bu çalışma fibromiyalji sendromlu (FMS) hastaların ağrı inançları ile psikiyatrik belirtileri arasındaki ilişkiyi incelemek amacıyla yapılmıştır.Gereç ve Yöntemler: Kesitsel türdeki bu çalışma, Aksaray Üniversitesi Eğitim ve Araştırma Hastanesinin Fizik Tedavi ve Rehabilitasyon polikliniğinde Ağustos 2018 ve Ocak 2019 tarihleri arasında FMS tanısı almış olan 145 hasta ile yapılmıştır. Hastalara yazarlar tarafından hazırlanmış olan sosyodemografik veri formu, Ağrı İnançları Ölçeği (AİÖ), Depresyon Anksiyete Stres Ölçeği (DASÖ) ve Vizüel Analog Skala (VAS) uygulanmıştır.Bulgular: FMS hastalarının yaş ortalamaları 35,42±9,10 yıl olup %57,9’u (n=84) kadın, %70,3’ü (n=102) evli ve %95,9’u (n=139) çekirdek ailede yaşamaktadır. Hastaların %46,9’u (n=68) VAS’a göre ağrıyı 9-10 (ortalama: 8,12±1,29) şiddetinde algıladığını bildirmiştir. Organik inançlar puan ortalaması 4,87±0,77 ve psikolojik inançlar puan ortalaması ise 5,17±0,52’dir. Depresyon (%62,8) ve anksiyete (%33,1) düzeylerinin çok ileri düzeyde olduğu, stres (%45,5) düzeylerinin ise ileri düzeyde olduğu bulunmuştur. DASÖ toplam ve alt ölçeklerden, depresyon, anksiyete ve stres ile hem organik inançlar hem de psikolojik inançlar arasında istatistiksel olarak anlamlı pozitif korelasyon saptanmıştır (tüm p değerleri <0,001).Sonuç: Hastalarının ağrı inançları ve ağrı algılama düzeylerinin yüksek olduğu, aynı zamanda eşlik eden psikiyatrik belirti oranının da yüksek olduğu tespit edilmiştir. Hastaların ağrı inançları artarken depresyon, anksiyete ve stres düzeyleri de artmaktadır. FMS hastalarında tedaviye verilen yanıtı güçlendirebilmek için bütüncül yaklaşımların kullanılması önemlidir.

Anahtar Kelimeler:

Fibromiyalji sendromu, ağrı inançları, psikiyatrik belirtiler

The Relationship between Pain Beliefs and Psychiatric Symptoms of Patients with Fibromyalgia Syndrome

Aim: This study was conducted to examine the relationship between the pain beliefs and psychiatric symptoms of the patients with fibromyalgia syndrome (FMS).Material and Methods: This cross-sectional study was conducted with 145 patients diagnosed with FMS between August 2018 and January 2019 in the Physical Therapy and Rehabilitation polyclinic of Aksaray University Training and Research Hospital. The sociodemographic data form prepared by authors, Pain Beliefs Scale (PBS), Depression Anxiety Stress Scale (DASS) and Visual Analogue Scale (VAS) were applied to the patients.Results: Mean age of FMS patients is 35.42±9.10 years, 57.9% (n=84) are female, 70.3% (n=102) are married and 95.9% (n=139) live in nuclear families. Of the patients, 46.9% (n=68) were reported that they perceived the pain at the severity of 9-10 (mean: 8.12±1.29) according to VAS. Mean score of organic beliefs was 4.87±0.77, and mean score of psychological beliefs was 5.17±0.52. It was found that depression (62.8%) and anxiety (33.1%) levels were very advanced, and stress (45.5%) levels were advanced. A statistically significant positive correlation was detected between the DASS total and the subscales of depression, anxiety and stress and both organic beliefs and psychological beliefs (all p values <0.001).Conclusion: The patients' pain beliefs and pain perception levels were found high and the rate of accompanying psychiatric symptoms was also high. While the patients' pain beliefs increase, their depression, anxiety and stress levels also increase. It is important to use holistic approaches to strengthen the response given to treatment in patients with FMS.

Keywords:

Fibromyalgia syndrome, pain beliefs, psychiatric symptoms,

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