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The impact of obsessive beliefs on fibromyalgia: The mediating role of emotional dysfunction and obsessive-compulsive symptoms
Yazarlar (4)
Burak Okumuş
Uşak Üniversitesi, Türkiye
Dr. Öğr. Üyesi Makbule ESEN ÖKSÜZOĞLU Dr. Öğr. Üyesi Makbule ESEN ÖKSÜZOĞLU
Kastamonu Üniversitesi, Türkiye
nihal yılmaz
Uşak Üniversitesi, Türkiye
hande günal okumuş
Türkiye
Devamını Göster
Özet
Abstract
Background:
The role of obsessive beliefs in the development and maintenance of Fibromyalgia syndrome
(FMS) remains unclear. This study aims to compare patients with FMS and controls in terms
of obsessive beliefs, quality of life, and comorbid psychiatric symptoms. In addition, this
study uses structural equation modelling (SEM) to examine whether obsessive beliefs
influence FMS symptom severity directly or through mediating factors.
Method:
This study was conducted at Uşak Training and Research Hospital, Turkey, involving 116
adults, including 76 FMS patients (mean age = 43.2) and 40 controls (mean age = 45.8). Both
groups completed the Short Form 12 Health Survey (SF-12), Obsessive Beliefs Questionnaire
(OBQ) and Symptom Checklist-90 Revised (SCL-90-R), with the FMS group additionally
completing the Fibromyalgia Impact Questionnaire (FIQ). SEM was applied to examine the
direct and indirect effects of obsessive beliefs on FMS symptom severity.
Results:
In the FMS group, SF-12 subscale scores were lower, while OBQ-44 and SCL-90-R subscale
scores (except for anger-hostility, phobic anxiety, and paranoid ideation) were higher
compared to controls (all p < .05). The final model showed that the OBQ-Total Score
negatively predicted SF-12 Role Emotional (β = -.22, p = .042) and positively predicted SCL90 Obsessive-Compulsive (β = .25, p = .013). SF-12 Role Emotional negatively predicted
both the FIQ (β = -.50, p < .001) and SCL-90 Obsessive-Compulsive (β = -.40, p = .001),
while SCL-90 Obsessive-Compulsive positively predicted the FIQ (β = .39, p = .002).
Conclusions:
Our findings highlight the role of obsessive beliefs and emotional dysfunction in FMS
severity, suggesting that targeting these factors may help alleviate symptoms. Future research
should examine targeted therapies to enhance emotional regulation and cognitive flexibility in
FMS.
Anahtar Kelimeler
Fibromyalgia; obsessive beliefs; emotional dysfunction; obsessive-compulsive symptoms
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı Journal of Psychosomatic Research
Dergi ISSN 0022-3999 Wos Dergi Scopus Dergi
Dergi Tarandığı Indeksler SCIE
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 05-2025
Cilt No 192
Doi Numarası 10.1016/j.jpsychores.2025.112128