Fibromyalgia and Negative Emotion(<Special Issue>Psychosomatic Medicine for Chronic Pain)

  • Murakami Masato
    Division of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital:Department of Respiratory Medicine, Nihon University School of Medicine
  • Matsuno Toshio
    Division of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital
  • Kim Woesook
    Division of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital:Division of Psychology, Faculty of Nursing, Hyogo Prefectural University
  • Miura Katsuhiro
    Division of Psychosomatic Internal Medicine, Nihon University Itabashi Hospital:Department of Hematology and Rheumatology, Nihon University School of Medicine

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Other Title
  • 線維筋痛症と否定的感情(<特集>慢性疼痛の心身医学)
  • 線維筋痛症と否定的感情
  • センイキンツウショウ ト ヒテイテキ カンジョウ

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Abstract

Fibromyalgia (FM) is characterized by long-lasting widespread pain of muscular-skeletal system and is regarded as the representative disease of chronic pain. The onset and clinical course of FM involves many psychosocial factors, and their symptoms are often affected by weather, environment, social events, psychosocial stress and physical condition. The pain and variable symptoms of FM patients are sometimes highly susceptible to the negative or unfavorable emotion such as anger, grudge, anxiety, or catastrophic and depressive mood. Personality attributes may be involved in the formation of their emotion like strong tendency of obsession-compulsion, enthusiasm, perfection and nervousness. Their biased lifestyle such as over-adjustment and self-injunction based on so call "life-script" were also problems. Negative emotion and subsequent psychophysical exhaustion may arouse the muscle spasm, ischemic change, and hypersensitivity of general system including muscular-skeletal and visceral organs resulting in enhancement and prolongation of the pain. For the resolving and treatment of their emotional stress and personality problems, combined therapy of pharmacological and psychosomatic approach such as cognitive behavioral therapy, transactional analysis, brief psychotherapy and other specialized psychotherapies are expected to be contributable. We conclude that consideration from the viewpoint of psychosomatic medicine is important in the evaluation of pathogenesis and treatment of FM.

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