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Garcia Nuñez, D; Rufer, M; Leenen, K; Majohr, KL; Grabe, H; Jenewein, J.
[Quality of life and alexithymia in somatoform pain disorder].
Schmerz. 2010; 24(1):62-68
Doi: 10.1007/s00482-009-0882-6
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- Co-authors Med Uni Graz
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Jenewein Josef
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- Abstract:
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Patients with somatoform pain disorders (SPD) frequently display reduced quality of life (QoL) and increased levels of alexithymia. This study investigated the association of QoL and alexithymia in a sample of SPD.
Fifty-one patients with SPD (average time since onset: 11.6 years) were assessed in terms of alexithymia (TAS-20), QoL (WHOQOL-BREF), psychological distress and somatisation (SCL-90-R), and depression (MADRS).
In SPD patients a significant negative correlation was observed between QoL and alexithymia, particularly the psychological domain of QoL and the TAS-20 total score (r=-.63, p<.001). The TAS-20 subscale "Difficulty Describing Feelings" was revealed to be a significant predictor of the psychological domain of QoL (beta=-.34, p<.01), even after controlling for depression, somatisation and gender.
Patients with SPD show a remarkably reduced QoL and alexithymia appears to play a significant role for low QoL. Clinicians need to pay careful attention to alexithymia with regard to diagnosis and treatment planning in SPD patients.
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Adult -
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Affective Symptoms - diagnosis
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Affective Symptoms - epidemiology
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Affective Symptoms - psychology
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Anxiety Disorders - diagnosis
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Anxiety Disorders - epidemiology
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Anxiety Disorders - psychology
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Comorbidity -
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Depressive Disorder - diagnosis
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Depressive Disorder - epidemiology
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Depressive Disorder - psychology
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Female -
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Female -
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Humans -
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Male -
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Middle Aged -
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Pain - epidemiology
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Pain - psychology
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Personality Inventory - statistics & numerical data
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Psychometrics -
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Quality of Life - psychology
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Socioeconomic Factors -
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Somatoform Disorders - diagnosis
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Somatoform Disorders - epidemiology
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Somatoform Disorders - psychology
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Alexithymia
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Chronic pain
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Depression
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Quality of life
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Somatoform pain disorder