RESUMO
Our objective was to observe whether dysfunctional psychological dimensions of pain could be detected in fibromyalgia patients through the development of a new questionnaire. An original questionnaire composed of 51 items was given to 250 patients (185 females and 65 males, mean age 55+/-12.8 years) suffering from chronic fibromyalgia according to the criteria of the Multicenter Criteria Committee of the American College of Rheumatology. A Varimax computerized program of factorial analysis with orthogonal and oblique rotation of the axes was used to analyze the data. Five strong independent factors were identified: 1) catastrophizing and 2) external control beliefs (cognitive); 3) alexithymia (emotional); 4) restless behavior (behavioral); and 5) need for support (relational). Our questionnaire is a preliminary development of an Italian language psychological characterization of FM patients which may be a relevant and useful tool for the evaluation of the outcome of clinical/psychological treatment of FM.
Assuntos
Fibromialgia/psicologia , Transtornos Mentais/psicologia , Índice de Gravidade de Doença , Inquéritos e Questionários , Doença Crônica , Feminino , Fibromialgia/complicações , Fibromialgia/fisiopatologia , Humanos , Itália , Masculino , Transtornos Mentais/complicações , Transtornos Mentais/fisiopatologia , Pessoa de Meia-Idade , Dor/etiologia , Dor/psicologia , Medição da Dor , Qualidade de VidaRESUMO
164 patients with early cancer of the lungs, i.e., without extrathoracic spread or distant metastasis, were examined. Subjective and objective characteristics of the pain were studied. A correlation was found between the location of the neoplasm, the location of the pain and the characteristics of the sensory changes. These observations may be a useful contribution to the early diagnosis of primary carcinomas of the lungs.