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Causal attributions and alexithymia in female patients with fibromyalgia or chronic low back pain.

Abstract：

AIMS:Our general objective was to assess the psychological symptoms and the types of causal attributions linked to the symptoms among women chronic pain. METHODS:70 fibromyalgia (FM) patients, 56 chronic low back pain (CLBP) patients and 72 healthy controls were assessed within a general hospital setting, using the Toronto Alexithymia Scale, Brief Symptom Inventory and Symptom Interpretation Questionnaire. Three-way analysis of variance and chi-square tests were used for inter-group comparisons, followed by multivariate correlation, covariate analysis and linear regression. RESULTS:Alexithymia, somatization, depression, anxiety and hostility scores were significantly higher in FM patients relative to CLBP patients and healthy controls (P < 0.05). Alexithymia was linked to psychological attributions in FM patients and to somatic attributions in CLBP patients. Psychological attributions, the number of symptoms and difficulty in describing emotions were related to increased anxiety in FM patients. Depression, anxiety and somatization were significantly increased in subjects with high alexithymia scores in the FM group. There was no difference between groups regarding causal attributions. CONCLUSIONS:Causal attributions do not seem to have distinctive features between functional somatic syndromes like FM and CLBP, though differences might exist between groups as to the effects of coexisting psychological distress symptoms like anxiety and depression.

journal_name

Nord J Psychiatry

journal_title

Nordic journal of psychiatry

authors

Tuzer V,Bulut SD,Bastug B,Kayalar G,Göka E,Beştepe E

doi

10.3109/08039488.2010.522596

subject

Has Abstract

pub_date

2011-04-01 00:00:00

pages

138-44

issue

2

eissn

0803-9488

issn

1502-4725

journal_volume

65

pub_type

杂志文章

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