Examining Alexithymia and Post-Traumatic Stress Disorder across Different Levels of Chronic Pain in Patients

Document Type : Original Research

Authors
F. Bagheri Sheykhangafshe 1
H. Farahani 1
M. Dehghani 2
A. Fathi-Ashtiani 3
1 Department of Psychology, Faculty of Humanity, Tarbiat Modares University, Tehran, Iran.
2 Department of Clinical Psychology, Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran.
3 Department of Clinical Psychology, Behavioral Sciences Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
10.22034/IJMPP.9.2.1026
Abstract
Aims: The primary objective of this study is to examine the relationship between alexithymia and Post-Traumatic Stress Disorder (PTSD) among patients experiencing varying degrees of Chronic Pain (CP).

Method and Materials: This study utilized a descriptive causal-comparative approach. The participants were drawn from patients referred to pain and physiotherapy clinics in Tehran from 2022 to 2023. Out of 300 CP patients, 150 patients with high CP levels and an equal number with low CP levels were purposively chosen. The participants completed the Graded Chronic Pain Scale (GCPS), Perth Alexithymia Questionnaire (PAQ), and Posttraumatic Stress Disorder Checklist (PCL). Data analysis was performed using SPSS-24 software, employing multivariate analysis of variance.

Findings: The findings revealed a significant difference in the levels of alexithymia and PTSD between the two groups (P<0.001). Patients with high levels of CP demonstrated increased negative difficulty identifying feelings (F=241.87), positive difficulty identifying feelings (F=389.01), negative difficulty describing feelings (F=190.61), positive-difficulty describing feelings (F=347.81), general-externally orientated thinking (F=376.28), reexperiencing (F=246.75), avoidance (F=100.74), negative alterations (F=378.01), hyperarousal (F=388.46), and emotional numbness (F=388.47) compared to their counterparts (P<0.001).

Conclusion: These findings underscore the intricate relationship between CP, alexithymia, and PTSD. Therefore, the need for comprehensive assessment and management strategies addressing the interplay of these factors in patient care is highlighted.

Keywords

Subjects

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International Journal of Musculoskeletal Pain Prevention
Volume 9, Issue 2
May 2024
Pages 1026-1033