Turkish Journal of Physical Medicine and Rehabilitation
Psychiatric comorbidity and childhood trauma in fibromyalgia syndrome
Nermin Gündüz 1 ,Aslıhan Polat 2 ,Erkal Erzincan 3 ,Hatice Turan 4 ,Ilgın Sade 5 ,Ümit Tural 2
1 Department of Psychiatry, Dumlupınar University School of Medicine Kütahya Evliya Çelebi Training and Research Hospital, Kütahya, Turkey
2 Department of Psychiatry, Kocaeli University School of Medicine, Kocaeli, Turkey
3 Department of Psychiatry, Erenkoy Mental Health and Psychiatry Training and Research Hospital, İstanbul, Turkey
4 Department of Psychiatry, İstanbul Moodist Psychiarty and Neurology Hospital, İstanbul, Turkey
5 Department of Physical Medicine and Rehabilitation, Kocaeli University School of Medicine, Kocaeli, Turkey
DOI : 10.5606/tftrd.2018.1470 Objectives: In this study, female patients with FMS are compared with patients with Myofascial Pain Syndrome (MPS) and healthy women. The aim is to investigate the prevalance of Childhood traumatic experiences (CTE) in relation to comorbid mood and anxiety disorders.

Patients and methods: Fifty-two consecutive FMS patients, 35 MPS patients and 49 healthy controls are included in the study. A Sociodemographic Data Form, Mood and Anxiety Disorders Modules of Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Fibromyalgia-related Symptoms Scale, Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), Childhood Trauma Questionnaire-28 (CTQ-28) were applied to participants.

Results: As a result of the semi-structured clinical interview conducted by a psychiatrist experienced in psychological trauma, prevalance of any mood or anxiety disorder were found to be significantly more common in FMS group. CTE, not only in general but also with all subtypes, were also reported to be significantly more in FMS patients. Besides, only in patients with FMS, a significant relationship was found between the psychiatric diagnoses and the presence of CTE. Furthermore, CTQ-28 scores were correlated positively with FSS scores as well as HDRS and HARS. In addition to these, among the symptoms screened by FSS, only crying and over-reacting to

Conclusion: CTE may play a critical role in development of fibromyalgia. CTE could also be related with comorbid mood and anxiety disorders in FMS. Associating psychological symptoms like crying or over-reacting to incidents in FMS patients should be alerting for psychiatric consultation when necessary. Keywords : Anxiety; childhood traumatic experiences; depression; fibromyalgia; myofascial pain