KADIN FİBROMYALJİ HASTALARINDA ERKEN DÖNEM UYUMSUZ ŞEMALARIN DEĞERLENDİRİLMESİ

Öz

Amaç: Fibromyalji, altta yatan organic bir neden olmaksızın, yaygın kas iskelet sistemi ağrısı ve hassasiyeti ile karakterize bir tablodur. Psikiyatrik faktörlerle ve kişilik özellikleri ile ilişkileri birçok çalışmada bildirilmiştir. Bu çalışmada şema teorisi perspektifinden early maladaptive schemes (EMS) ile fibromyalji şiddeti arasındaki ilişkiyi incelemeyi amaçladık. Gereç ve Yöntemler: Çalışma için Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran ve fibromyalji tanısı konulan 73 fibromyalji tanılı hasta dahil edilmiştir. Ek olarak 78 sağlıklı control (ek psikiyatrik hastalığı olmayan ve kronik ağrısı olmayan) hasta dahil edilmiştir. Katılımcılara sosyodemografik veri formu, Young Schema Questionnarie – Short Form 3 (YSQ -SF3) ve Fibromyalji Impact Questionnarie (FIQ) özbildirim ölçeği olarak uygulanmıştır. Bulgular: Hasta grubunda emotional deprivation, failure to achieve, dependence /ıncompetence, vulnerability to harm, enmeshment, subjugation, self-sacrifice ve pessimisim /negativity şemalarında anlamlı yüksek puanlar saptadık. Ayrıca FIQ puanları ile, emotional deprivation ve vulnerability to harm şemaları ile pozitif korelasyonlar saptadık. Son olarak FIQ üzerinde yaşın pozitif yordayıcılığını saptadık. Yaş kontrol edildikten sonra ise FIQ skorlarını emotional deprivation ve vulnerability to harm şemalarının öngördüğünü saptadık. Sonuç: Fibromyalji, etiyolojisi net olarak belirlenemeyen bir hastalıktır. Bütüncül tedavi yaklaşımında psikolojik faktörler ele alınmalıdır. Bu anlamda şema teorisi yönelimli bakış açısı, tedavi sürecine katkı sağlayabilir.

Anahtar Kelimeler

• fibromyalji
• psikolojik faktörler
• ağrı
• şema terapi

EVALUATION OF EARLY MALADAPTIVE SCHEMES IN FEMALE FIBROMYALGIA PATIENTS

Öz

Aim: Fibromyalgia is a condition characterized by widespread musculoskeletal pain and tenderness without an underlying organic cause. Relationships with psychiatric factors and personality traits have been reported in many studies. In this study, we aimed to examine the relationship between early maladaptive schemes (EMS) and fibromyalgia severity from the perspective of schema theory. Materials and Methods: For the study, 73 patients with fibromyalgia who applied to the Physical Medicine and Rehabilitation outpatient clinic and were diagnosed with fibromyalgia were included. In addition, 78 healthy control patients (without additional psychiatric disease and chronic pain) were included. A sociodemographic data form, Young Schema Questionnaire – Short Form 3 (YSQ -SF3) and Fibromyalgia Impact Questionnaire (FIQ) self-report scale was administered to the participants. Results: We found significantly higher scores on emotional deprivation, failure to achieve, dependence/incompetence, vulnerability to harm, enmeshment, subjugation, self-sacrifice, and pessimism/negativity schemes in the patient group. We also found positive correlations with FIQ scores, emotional deprivation, and vulnerability to harm schemes. Finally, we found that age was a positive predictor on FIQ. After controlling for age, we found that emotional deprivation and vulnerability to harm schemes predicted FIQ scores. Discussion and Conclusion: Fibromyalgia is a disease of unknown etiology. Psychological factors should be considered in the holistic treatment approach. In this sense, schema theory-oriented perspective can contribute to the treatment process.

Anahtar Kelimeler

• Fibromyalgia
• psychological factors
• pain
• schema therapy

Kaynakça

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