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The Role of Obsessive Compulsive Traits in Fibromyalgia: Is Pain-Related Obsessive Ideation Involved in Pathogenesis?
Bat-El Lugassy-Galper1,2, Mor Amital3, Howard Amital1,2,3
1Department of Medicine B & The Center for Autoimmune Diseases, Sheba Medical Center, Tel-HashomerRamat-Gan 5262100, Israel.
Medicina (Kaunas, Lithuania)
|July 27, 2024
Summary
Fibromyalgia patients often experience obsessive thoughts about pain, leading to increased suffering and functional issues. These obsessive compulsive patterns significantly worsen pain perception and cognitive difficulties in fibromyalgia syndrome.
Area of Science:
- Neurology
- Psychiatry
- Rheumatology
Background:
- Fibromyalgia syndrome (FMS) is a chronic pain condition with widespread pain and stiffness.
- Neuropsychological symptoms like fatigue and cognitive impairment are common in FMS.
- The link between FMS and obsessive compulsive disorder (OCD) is under-researched.
Purpose of the Study:
- To investigate the prevalence of obsessive compulsive disorder (OCD) patterns in fibromyalgia syndrome (FMS) patients.
- To assess the impact of these patterns on pain perception and functional impairment.
Main Methods:
- 37 FMS patients from a rheumatology clinic participated.
- Validated questionnaires assessed pain intensity, personality, stress, pain catastrophizing, pain obsession, and OCD severity (Y-BOCS).
Main Results:
- FMS patients reported daily intrusive pain thoughts, increasing anxiety, pain catastrophizing, and functional impairment.
- 27% experienced severe malfunction due to pain ideation; 49% showed mild OCD symptoms correlated with pain and impairment.
Conclusions:
- Obsessive compulsive thinking significantly contributes to pain magnification in fibromyalgia.
- These cognitive patterns are a key factor in the experience of fibromyalgia syndrome.
Keywords:
disabilityfibromyalgiaobsessive compulsive disorder (OCD)obsessive compulsive symptoms (OCS)painMore Related Videos
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