RESUMO
The features of clinical symptoms, neurotic disorders and the level of subjective control were studied in patients with fibromyalgia. The analysis of relationship between the level of subjective control and neurotic symptoms (asthenia, depression, anxiety, hypochondria) depending the severity of main clinical manifestations of the disease was carried out. It was found that high intensity of fatigue, muscle pain, stiffness, insomnia, and an increase in the number of diagnostic tender points contribute to the formation of inverse correlation between the level of subjective control and neurotic disturbances. Thus, the increase of the externality of the level of subjective control allows indicating to the formation of patients' passivity in relation to their disease, the lack of adherence to prescribed course of treatment (low compliance). Although drug therapy is the main component of complex treatment of fibromyalgia patients, patients require significantly more - successful treatment requires active involvement of patients in the therapy process, as well as changes in their attitudes and lifestyle, which can be achieved by training in so-called "schools" for patients, use of psychotherapeutic methods.
Assuntos
Ansiedade/psicologia , Astenia/psicologia , Depressão/psicologia , Síndrome de Fadiga Crônica/psicologia , Fibromialgia/psicologia , Hipocondríase/psicologia , Adulto , Analgésicos/uso terapêutico , Ansiedade/diagnóstico , Ansiedade/fisiopatologia , Ansiedade/terapia , Astenia/diagnóstico , Astenia/fisiopatologia , Astenia/terapia , Treinamento Autógeno/métodos , Estudos de Coortes , Depressão/diagnóstico , Depressão/fisiopatologia , Depressão/terapia , Síndrome de Fadiga Crônica/diagnóstico , Síndrome de Fadiga Crônica/fisiopatologia , Síndrome de Fadiga Crônica/terapia , Feminino , Fibromialgia/diagnóstico , Fibromialgia/fisiopatologia , Fibromialgia/terapia , Humanos , Hipnose/métodos , Hipocondríase/diagnóstico , Hipocondríase/fisiopatologia , Hipocondríase/terapia , Pessoa de Meia-Idade , Projetos de Pesquisa , Índice de Gravidade de DoençaRESUMO
Biofeedback is the process of gaining greater awareness of many physiological functions primarily using instruments that provide information on the activity of those same systems, with a goal of being able to manipulate them at will. In this work, the analysis of efficiency of biofeedback therapy in treatment of patients suffering from rheumatoid arthritis (RA) is carried out. This analysis was fulfilled by studying the dynamics of clinical, laboratory and psychological (level of subjective control) indices and their comparison in patients of main and control groups before and after the treatment. During the course of combined therapy alongside biofeedback therapy, an analgesic and anti-inflammatory effects, and improved functional capabilities were noticed in the patients. Thus, the additional use of biofeedback mechanism in complex treatment of RA patients promote increased efficiency of medical and rehabilitation process and improvement of level of self-control in the patients.