Bruzzone, M

Castelli, L.

Colonna, F

Di Tella, M

Fusaro, E

Geminiani, Gc

Ghiggia, A

Larice, S

Romeo, A

Tesio, V

English

Institutional Research Information System University of Turin

18/12/17, 14:46PrintPagina 1 di 2about:blankEFIC17eP27-CLINICAL PAIN STATES: FIBROMYALGIAAbstract: 81PSYCHOLOGICAL AND PSYCHOSOMATIC COMPONENTS OFPAIN: A COMPARISON BETWEEN FIBROMYALGIA ANDRHEUMATOID ARTHRITISA. Ghiggia1, S. Larice1, V. Tesio1, A. Romeo1, M. Di Tella1, F. Colonna2, M.Bruzzone3, E. Fusaro3, G.C. Geminiani1, L. Castelli11University of Turin, Department of Psychology, Turin, Italy 2A.O.U. Città Della Salute e Della Scienza, Clinical and Oncological PsychologyUnit, Turin, Italy 3A.O.U. Città Della Salute e della Scienza, Rheumatology Unit, Turin, Italy Background and aims: The aim of the study was to evaluate the prevalence ofanxiety and depressive symptoms, psychosomatic syndromes (according toDiagnostic Criteria for Psychosomatic Research – DCPR) and traumatic events ina group of patients with Fibromyalgia (FM), compared to patients withRheumatoid Arthritis (RA).Methods: 76 consecutive female with FM and 80 with RA were assessed by:Visual Analogue Scale (VAS) for pain, Beck Depression Inventory - II (BDI-II),State-Trait Anxiety Inventory (STAI-Y2), Toronto Alexithymia Scale (TAS-20),DCPR and Traumatic Experiences Checklist (TEC).Results: FM patients reported significantly higher levels of anxiety anddepressive symptoms, difficulty in identifying emotions and psychosomaticsyndromes, compared to RA patients (p<.001). TEC results highlighted that FMpatients reported a higher number of traumatic events than RA, with higherpercentages on emotional abuse and neglect (p<.001). The logistic binaryregression showed that pain (OR=1.797; 95% CI=1.40-2.31), psychosomaticsyndromes (OR=1.798; 95% CI=1.30-2.49) and the trauma score (OR=1.08;95% CI=1.02-1.15) were statistically significant predictors of groupmembership. The final model explained 65% of the variance, with 83.3% ofpatients correctly categorized as FM/RA.Conclusions: The present study revealed a higher prevalence of psychosomaticsyndromes and a greater number of lifetime trauma in FM patients, compared toRA patients. What is more, psychosomatic syndromes and childhood traumawere significant predictors for identify an individual as having a diagnosis of FM,rather than RA. These results highlight the importance of a multidisciplinary18/12/17, 14:46PrintPagina 2 di 2about:blankapproach, which takes into account also the psychological aspects in thetreatment of FM.

Psychological and psychosomatic components of pain: a comparison between fibromyalgia and rheumatoid arthritis

https://iris.unito.it/bitstream/2318/1654923/1/Ghiggia_EFIC_2017.pdf

Psychological and psychosomatic components of pain: a comparison between fibromyalgia and rheumatoid arthritis

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