Bayram Korhan, Erol Almıla
Clinic of Physical Therapy and Raabilitation, İzmir Atatürk Training and Research Hospital, İzmir, Turkey.
Clinic of Psychiatry, İzmir Atatürk Training and Research Hospital, İzmir, Turkey.
Noro Psikiyatr Ars. 2014 Dec;51(4):344-349. doi: 10.5152/npa.2014.6958. Epub 2014 Dec 1.
The close relationship between chronic pain, anxiety, depression, and childhood traumatic experiences is well known. The aim of this study is to investigate childhood traumatic experiences, anxiety, and depression levels in patients with fibromyalgia and rheumatoid arthritis, which are diseases that cause chronic pain.
A total of 30 patients with fibromyalgia, 30 patients with rheumatoid arthritis, and 30 healthy controls, matched with patients with respect to gender, age, and education, were included in the study (90 participants in total). All participants were given a form for sociodemographic characteristics, the Childhood Trauma Questionnaire (CTQ), and Hospital Anxiety and Depression Scale (HAD). Patients were also asked to complete a numeric pain scale (NPS).
Patients with fibromyalgia reported significantly higher scores for CTQ emotional abuse and HAD depression compared with healthy controls. Patients with fibromyalgia reported significantly higher scores for HAD anxiety than both healthy controls and patients with rheumatoid arthritis. Patients with rheumatoid arthritis reported significantly higher scores for CTQ emotional abuse and HAD depression compared with healthy controls. Pain scores of patients with fibromyalgia were higher than in patients with rheumatoid arthritis. Participants who had scores over the threshold on HAD anxiety and depression had significantly higher scores on CTQ sexual abuse.
Both patients with fibromyalgia and patients with rheumatoid arthritis have high levels of childhood traumatic experiences and depression. Patients with pain-related disorders should be examined for childhood traumatic experiences, anxiety, and depression for better treatment outcomes.
慢性疼痛、焦虑、抑郁与童年创伤经历之间的密切关系已广为人知。本研究旨在调查纤维肌痛和类风湿性关节炎患者的童年创伤经历、焦虑和抑郁水平，这两种疾病都会导致慢性疼痛。
本研究共纳入30名纤维肌痛患者、30名类风湿性关节炎患者以及30名健康对照者，健康对照者在性别、年龄和教育程度上与患者相匹配（共计90名参与者）。所有参与者均填写了一份关于社会人口学特征的表格、儿童创伤问卷（CTQ）以及医院焦虑抑郁量表（HAD）。患者还被要求完成数字疼痛量表（NPS）。
与健康对照者相比，纤维肌痛患者在CTQ情感虐待和HAD抑郁量表上的得分显著更高。纤维肌痛患者在HAD焦虑量表上的得分显著高于健康对照者和类风湿性关节炎患者。与健康对照者相比，类风湿性关节炎患者在CTQ情感虐待和HAD抑郁量表上的得分显著更高。纤维肌痛患者的疼痛评分高于类风湿性关节炎患者。在HAD焦虑和抑郁量表上得分超过阈值的参与者在CTQ性虐待量表上的得分显著更高。
纤维肌痛患者和类风湿性关节炎患者均有较高水平的童年创伤经历和抑郁。对于患有疼痛相关疾病的患者，应检查其童年创伤经历、焦虑和抑郁情况，以获得更好的治疗效果。
