The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome.
نویسندگان
چکیده
OBJECTIVE Although 2 recent studies have found associations between catastrophizing and poor medical outcomes in patients with fibromyalgia syndrome (FMS), neither assessed these findings in comparison with a similar group of patients with chronic pain. Our study examined the complex relationships between depression, catastrophizing, and the multidimensional aspects of pain in women with FMS and compared these relationships with those in women with rheumatoid arthritis (RA). METHODS Sixty-four FMS patients and 30 RA patients completed the Coping Strategies Questionnaire (CSQ), the Beck Depression Inventory II (BDI-II), and the McGill Pain Questionnaire. RESULTS Compared with subjects with RA, FMS subjects scored significantly higher on the catastrophizing subscale of the CSQ. FMS patients also earned higher scores on overall depression and on the cognitive subscale of the BDI-II. Furthermore, the relationship between catastrophizing and depression was significant in the FMS group only. Regression analyses revealed that in FMS, catastrophizing as a measure of coping predicted patients' perception of pain better than demographic variables such as age, duration of illness, and education. CONCLUSION Cognitive factors, such as catastrophizing and depressive self-statements, have a more pronounced role in the self-reported pain of patients with FMS than in patients with RA. Clinically, this indicates that treating pain and depression in FMS by adding cognitive therapy and coping skills components to a comprehensive treatment program may improve the outcomes obtained with pharmacologic interventions.
منابع مشابه
Effectiveness of group acceptance and commitment therapy on pain catastrophizing and depression of women with fibromyalgia
Aims and background: Fibromyalgia is a common chronic pain disorder. Various psychological treatments have been somewhat effective in reduction of symptoms severity and increasing mental health of these patients. The aim of this study was to evaluate the effectiveness of group acceptance and commitment therapy on pain catastrophizing and depression of women with fibromyalgia. Materials and...
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ورودعنوان ژورنال:
- Arthritis and rheumatism
دوره 43 11 شماره
صفحات -
تاریخ انتشار 2000