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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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Jenewein Josef
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Abstract:
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 -
Affective Symptoms - diagnosis
Affective Symptoms - epidemiology
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Anxiety Disorders - diagnosis
Anxiety Disorders - epidemiology
Anxiety Disorders - psychology
Comorbidity -
Depressive Disorder - diagnosis
Depressive Disorder - epidemiology
Depressive Disorder - psychology
Female -
Female -
Humans -
Male -
Middle Aged -
Pain - epidemiology
Pain - psychology
Personality Inventory - statistics & numerical data
Psychometrics -
Quality of Life - psychology
Socioeconomic Factors -
Somatoform Disorders - diagnosis
Somatoform Disorders - epidemiology
Somatoform Disorders - psychology
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Alexithymia
Chronic pain
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Quality of life
Somatoform pain disorder
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