Apego, transtorno depressivo-ansioso, violência sexual e suas associações com o grau de incapacidade e qualidade de vida em mulheres com Síndrome da Fibromialgia

Abstract

Fibromyalgia Syndrome (FMS) is a clinical condition characterized by generalized musculoskeletal pain, fatigue, sleep disturbances, gastrointestinal and cognitive alterations. Several studies observe the association of FMS with psychosocial factors and the existence of predisposing, triggering or maintaining factors. The objective of this study is to study the association of attachment styles, the presence of sexual abuse and depressive-anxiety disorders and the degree of functional disability and quality of life of women with FMS in specialized care services. An associative study was carried out with quantitative data on 95 women diagnosed with FMS to assess depressive anxiety disorder (Beck Anxiety Inventory and Beck Depression Inventory); Sexual violence (Sexual Violence Questionnaire); attachment styles, (Adult Attachment Scale, Portuguese version); quality of life, (World Health Organization Quality of Life Assessment Instrument -WHOQoL); and disability (World Health Organization Disability Scale - WHO-DAS 2.0), and socio-demographic data with a structured questionnaire. An association was observed between insecure attachment styles and greater impairment of the functional capacity of patients with FMS and worse quality of life in the sample, as well as between depressive-anxiety disorder, history of sexual violence in adult life and the presence of functional disability in these patients, indicating that life history and mental health are vulnerability factors in the most severe condition in FMS.