强迫观念对纤维肌痛的影响：情绪功能障碍和强迫症状的中介作用

IF 3.5 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-04-12 DOI:10.1016/j.jpsychores.2025.112128

Burak Okumus , Makbule Esen Oksuzoglu , Nihal Yılmaz , Hande Gunal Okumus

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引用次数: 0

摘要

强迫性信念在纤维肌痛综合征（FMS）发展和维持中的作用尚不清楚。本研究旨在比较FMS患者和对照组在强迫信念、生活质量和共病精神症状方面的差异。此外，本研究采用结构方程模型（SEM）检验强迫信念是否直接或通过中介因素影响FMS症状严重程度。方法本研究在土耳其uuriak培训与研究医院进行，纳入116名成人，其中FMS患者76例（平均年龄43.2岁），对照组40例（平均年龄45.8岁）。两组均完成短表12健康调查（SF-12）、强迫信念问卷（OBQ）和症状检查表-90修订版（SCL-90-R）， FMS组另外完成纤维肌痛影响问卷（FIQ）。应用扫描电镜研究强迫信念对FMS症状严重程度的直接和间接影响。结果FMS组SF-12量表得分较低，而OBQ-44和SCL-90-R量表得分（除愤怒-敌意、恐惧焦虑和偏执意念外）均高于对照组(p <；. 05)。最终模型显示，obq总分负向预测SF-12角色情绪（β = - 0.22, p = 0.042），正向预测SCL-90强迫症（β = 0.25, p = 0.013）。SF-12角色情绪负向预测FIQ (β = - 0.50, p <；.001)和SCL-90强迫症（β = - 0.40, p = .001），而SCL-90强迫症正预测FIQ （β = 0.39, p = .002）。结论我们的研究结果强调了强迫信念和情绪障碍在FMS严重程度中的作用，提示针对这些因素可能有助于缓解症状。未来的研究应该研究靶向治疗，以增强FMS患者的情绪调节和认知灵活性。

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The impact of obsessive beliefs on fibromyalgia: The mediating role of emotional dysfunction and obsessive-compulsive symptoms

Background

The role of obsessive beliefs in the development and maintenance of Fibromyalgia syndrome (FMS) remains unclear. This study aims to compare patients with FMS and controls in terms of obsessive beliefs, quality of life, and comorbid psychiatric symptoms. In addition, this study uses structural equation modelling (SEM) to examine whether obsessive beliefs influence FMS symptom severity directly or through mediating factors.

Method

This study was conducted at Uşak Training and Research Hospital, Turkey, involving 116 adults, including 76 FMS patients (mean age = 43.2) and 40 controls (mean age = 45.8). Both groups completed the Short Form 12 Health Survey (SF-12), Obsessive Beliefs Questionnaire (OBQ) and Symptom Checklist-90 Revised (SCL-90-R), with the FMS group additionally completing the Fibromyalgia Impact Questionnaire (FIQ). SEM was applied to examine the direct and indirect effects of obsessive beliefs on FMS symptom severity.

Results

In the FMS group, SF-12 subscale scores were lower, while OBQ-44 and SCL-90-R subscale scores (except for anger-hostility, phobic anxiety, and paranoid ideation) were higher compared to controls (all p < .05). The final model showed that the OBQ-Total Score negatively predicted SF-12 Role Emotional (β = −0.22, p = .042) and positively predicted SCL-90 Obsessive-Compulsive (β = 0.25, p = .013). SF-12 Role Emotional negatively predicted both the FIQ (β = −0.50, p < .001) and SCL-90 Obsessive-Compulsive (β = −0.40, p = .001), while SCL-90 Obsessive-Compulsive positively predicted the FIQ (β = 0.39, p = .002).

Conclusions

Our findings highlight the role of obsessive beliefs and emotional dysfunction in FMS severity, suggesting that targeting these factors may help alleviate symptoms. Future research should examine targeted therapies to enhance emotional regulation and cognitive flexibility in FMS.

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.