Banca de QUALIFICAÇÃO: MELINA PIMENTEL CAVALCANTE PEDROSA

Uma banca de QUALIFICAÇÃO de MESTRADO foi cadastrada pelo programa.
STUDENT : MELINA PIMENTEL CAVALCANTE PEDROSA
DATE: 15/09/2021
TIME: 10:00
LOCAL: google meet
TITLE:

Study of association between early trauma and clinical manifestations in patients with fibromyalgia.

KEY WORDS:

fibromyalgia; early trauma; pain; mental suffering.

PAGES: 35
BIG AREA: Ciências da Saúde
AREA: Medicina
SUMMARY:

Introduction: Fibromyalgia (FM) is a chronic painful syndrome that affects mostly adult women (18-55 years). It has a prevalence of approximately 2.5% in the Brazilian population. Estimated at 2% to 8% in the world population. It is characterized by generalized musculoskeletal pain, often accompanied by fatigue, non-restorative sleep, cognitive disorders, anxiety, and depression. There is no well-established etiology and causes as well as an enlightened pathophysiology. Current studies have demonstrated the association between early trauma as a factor of worsening in the quality of life of fibromalgic patients as well as a triggering factor for changes in pain modulation and greater psychic distress. Objective: The general objective of this study is to investigate the association between the history of early trauma and the clinical characteristics in women with FM. Methodology: This is an observational, cross-sectional and quantitative study conducted at the pain medicine service of the general outpatient clinic of the Professor Alberto Antunes University Hospital (HUPAA) of the Federal University of Alagoas (UFAL). The sample is non-probabilistic and convenience performed during the period of outpatient care. 50 women with FM participated in the research. Data collection occurred based on a sociodemographic and clinical questionnaire, diagnostic questionnaire and validated psychometric questionnaires. The diagnostic criteria for FM of the American Society of Rheumatology (ACR) were applied to confirm the diagnosis; the questionnaire on the impact of FM (IQ) that assesses functionality and quality of life; The analogous visual scale (VAS), to assess intensity of physical pain; Psychache Scale to assess the intensity of psychological distress; Beck Depression Inventory (BDI), to measure the intensity of depressive symptoms and the Early Trauma Self-Assessment Inventory: Reduced Version (ETISR-SF) that assesses the history of trauma up to 18 years of age. Results: 41 of the 50 women reported some type of history of early trauma, with a prevalence of 82% in the sample. 62% reported general trauma, 72% reported physical abuse, 66% reported emotional abuse and 50% reported sexual abuse. The mean age of the participants was 49.84 (±8.25), 58% had a partner and the mean schooling was 7(±5.77) years of schooling. There were no significant differences regarding the sociodemographic characteristics of the group with or without a history of trauma. Dysfunction, depressive symptoms, psychological pain and diagnostic criteria scores (CRF) were more intense in fibromyalgic patients with a history of early trauma (P< 0.025; P<0,000; p<0,000; p <0,003, respectively) compared to the group without a history of trauma. Women who suffered sexual abuse were more severe in all related aspects, including the intensity of physical pain(p<0,016). Conclusion: Patients with FM who had a history of early trauma present greater severity of depressive symptoms, dysfunction, psychological pain and higher score in the diagnostic criteria of CRF than the group without a history of early trauma. Sexual abuse is the type of trauma that negatively impacts with more intensity on all criteria evaluated, in addition to physical pain, a characteristic that was not statistically significant in other types of early trauma.

BANKING MEMBERS:
Presidente - 1728726 - VALFRIDO LEAO DE MELO NETO
Interno - 1137473 - CLAUDIO TORRES DE MIRANDA
Interna - 7530212 - MERCIA LAMENHA MEDEIROS
Externo à Instituição - ANDRÈ BARCIELA VERAS - UFMS