The management of fibromyalgia from a psychosomatic perspective: an overview

纤维肌痛 共病 慢性疼痛 透视图(图形) 苦恼 医学 临床心理学 叙述性评论 精神科 情感(语言学) 心理学 慢性疲劳综合征 心理治疗师 计算机科学 沟通 人工智能
作者
Federica Sancassiani,Sérgio Machado,Valeria Ruggiero,Enrico Cacace,Claudia Carmassi,Camilla Gesi,Valerio Dell’Oste,Mauro Giovanni Carta
出处
期刊:International Review of Psychiatry [Informa]
卷期号:29 (5): 473-488 被引量:41
标识
DOI:10.1080/09540261.2017.1320982
摘要

Fibromyalgia (FM) is a central sensitization syndrome characterized by chronic widespread pain. FM is often comorbid with psychiatric disorders, as well as psychological distress that worsens the quality-of-life of people affected. The aim was to collect current evidence about the management of FM from a psychosomatic perspective. The literature was synthesized and summarized in a narrative format. The literature search was carried out in PubMed; review articles, meta-analysis, overview, and guidelines published in the last 10 years written in English were included. Five main topics (Diagnostic criteria of FM; Pathogenesis of chronic widespread pain in FM; Early stress and trauma as predisposing factors for central sensitization; FM and Psychiatric comorbidity; Implications for treatment) were pointed out and discussed. Much evidence underlies the importance of considering and treating the comorbidity of FM with psychiatric disorders and psychological factors that affect pain management. Validation of FM as a central sensitization syndrome by a clinician facilitates therapeutic strategies that involve patients as active participants in the pain management process, likely leading to improved outcomes.
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