Alexithymia and fibromyalgia: a systematic review

  • Lucas Romagnolli Faculdade de Medicina de São José do Rio Preto
  • Vivian Romanholi Coria Faculdade de Medicina de São José do Rio Preto
  • Sérgio Henrique Navarro Júnior Faculdade de Medicina de São José do Rio Preto
  • João Eduardo Torrecillas Sartori Faculdade de Medicina de São José do Rio Preto
  • Alethea de Souza Romanelli Faculdade de Medicina de São José do Rio Preto
  • úlio Cesar Morgan de Oliveira Faculdade de Medicina de São José do Rio Preto
  • Lívia Gabriélle Gabriélle Silva Carvalho Faculdade de Medicina de São José do Rio Preto
  • Bruno Soleman Maritan Faculdade de Medicina de São José do Rio Preto
  • Marina Leite de Fornasari Faculdade de Medicina de São José do Rio Preto
  • Lazslo Antônio Ávila Faculdade de Medicina de São José do Rio Preto
  • Gerardo Maria de Araújo Filho Faculdade de Medicina de São José do Rio Preto
Palavras-chave: Fibromyalgia, Affective symptoms/psychology, Chronic pain, Psychometrics, Review.

Resumo

Fibromyalgia is a chronic musculoskeletal pain syndrome characterized by the presence of painful points on digito-palpation in anatomical specific areas, called trigger points, followed by psychological disorders like sleeping problems and alexithymia. Alexithymia is a dimension defined as the absence of words for emotions. The patient does not know how to process their own emotions and fail to externalize what feels. The investigation of possible relationship between Fibromyalgia and Alexithymia can increase knowledge about the clinical features resulting from both diseases, especially because alexithymia is poorly explored and has a significant impact in patient’s life quality. Objectives: To execute a literature review searching for a clinical association between Alexithymia and Fibromyalgia (FM), highlighting psychiatric and psychological aspects. Methods: Folowing PRISMA statement the research used Scielo, Pubmed, PsychLit and ISIweb of knowledge data base between 2009 and 2014 with the key-words: “alexithymia”, “fibromyalgia”, “psychosomatics”, “chronical pain”, “psycotherapy”, “psychoanalysis”. Results: Nine studies were selected for analysis which used instruments like the Toronto Alexithymia Scale, the psychoanalysis and cognitive comportamental therapy showing that the patient with Alexithymia and FM has a worse pain interpretation, deals badly with it and suffer the consequences in their physical and mental health due to that. Conclusion: This study suggested the important impact that alexithymia has in patients with FM, since the psychiatric and psychological factors lead to a bigger decrease in life quality of people who have already worse aspects in that, which warn for the importance of this emotional state, since it is under-diagnosed. Due to the fact that there were a small number of reviewed articles, more research about the relation between FM and Alexithymia must be done.

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Biografia do Autor

Lucas Romagnolli, Faculdade de Medicina de São José do Rio Preto
Medicine academic of Faculdade de Medicina de São José do Rio Preto.
Vivian Romanholi Coria, Faculdade de Medicina de São José do Rio Preto
Medicine academic of Faculdade de Medicina de São José do Rio Preto.
Sérgio Henrique Navarro Júnior, Faculdade de Medicina de São José do Rio Preto
Medicine academic of Faculdade de Medicina de São José do Rio Preto.
Lazslo Antônio Ávila, Faculdade de Medicina de São José do Rio Preto

Professor in Psychiatry and Medical Psychology of Faculdade de Medicina de São José do Rio Preto. 

Gerardo Maria de Araújo Filho, Faculdade de Medicina de São José do Rio Preto

Chief of Psychiatry and Medical Psychology of Faculdade de Medicina de São José do Rio Preto.  

Publicado
2016-07-21
Como Citar
Romagnolli, L., Coria, V., Navarro Júnior, S., Sartori, J. E., Romanelli, A., Oliveira, úlio C., Carvalho, L. G., Maritan, B., Fornasari, M., Ávila, L., & Araújo Filho, G. (2016). Alexithymia and fibromyalgia: a systematic review. Revista De Medicina, 95(1), 12-17. https://doi.org/10.11606/issn.1679-9836.v95i1p12-17
Seção
Artigos de Revisão