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Yıl:2017; Cilt: 20; Sayı: 40>> Özet
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Türk Psikoloji Yazıları; 2017;20(40):58-72
Biyopsikososyal Model Çerçevesinde Fibromiyalji ve Depresyon
MD Nazlıgül, Ö Bozo
Çankaya Üniversitesi ,Ankara
Fibromiyalji sendromu yaygın kas iskelet ağrısı, yaygın anatomik bölge hassasiyeti ve yorgunluk gibi bir dizi semptomla karakterize olan psikosomatik bir hastalık olarak kabul edilmektedir. Günümüzde sağlık alanına hâkim olan biyopsikososyal yaklaşım biyolojik, psikolojik ve sosyal etmenleri bir arada değerlendirerek FMS’ye bütüncül bir bakış açısı sağlamaktadır. Depresyon, FMS hastalarının aldığı eş tanılar arasında en yaygın olanıdır. Araştırmalar FMS ile depresyonun bir arada görülmesini ortak patofizyolojik etmenler ve tetikleyici etmenler ile açıklamaktadır. Yapılan çalışmalar, bilişsel davranışçı terapiler ve edimsel davranışçı tedavilerin bu hastaların ağrıyı algılamalarında ve ağrıyı yönetmelerinde etkili olduğunu göstermektedir.
Fibromyalgia and Depression within the Framework of Biopsychosocial Model
Fibromyalgia syndrome (FMS), which is characterized by generalized bodily pain and sensitivity at specific tender points, chronic widespread pain and fatigue, is considered as a psychosomatic disorder. In recent years, the biopsychosocial model provided a comprehensive approach for FMS by considering the features of psychological and social variables as well as the biological ones. Among the psychiatric comorbidities, FMS patients present high lifetime and current diagnosis of depression. The high occurrence of depression in fibromyalgia took into account two considerations - shared pathophysiologic mechanisms and precipitating factors. Several research showed that cogntive and behavioral therapy and operant conditioning treatment are efficient interventions for pain perception and pain management of these patients.

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