F-3-04-03
PSYCHIATRIC SYMPTOMS IN PREADOLESCENTS WITH MI3SCULOSKELETAL PAIN AND FIBROMYALGIA
Marja Mikkelsson (Rheumatism Foundation Hospital, Heinola, Finland), Andre Sourander, Jorma Piha (Department of Child Psychiatry, University Hospital of Turku, Turku, Finland), Jouko J. Salminen (Department of Physical Medicine and Rehabilitation, University Hospital of Turku, Turku, Finland)
The aim was to study the association of musculoskeletal pain with emotional and behavioral problems, especially depressive symptoms in Finnish preadolescents by comparing children with widespread pain (WSP, n=124) with children with neck pain (NP, n=108) and with pain-free controls (n=131).
Children completed the Children's Depression Inventory (CDI) and a sleep questionnaire. A blinded clinical examination was done to detect fibromyalgia. For parental evaluation, the Child Behavior Checklist and a sociodemographic questionnaire were used. For teacher evaluation the Teacher Report Form was used.
Children with WSP had significantly higher total emotional and behavioral scores than controls and higher mean CDI scores than NP group. Children with fibromyalgia had significantly higher CDI scores than the other children with WSP.
Musculoskeletal pain, especially fibromyalgia, and depressive symptoms had high comorbidity. Pain and depressive symptoms should be recognized to prevent a chronic pain problem.
F-3-04-04
REHABILITATION OF PATIENTS WITH PSYCHOGENIC FACIAL PAIN
Vladimir A. Karlov, Alexei V. Karlov (Medical Stomatology Institute, Moscow, Russia)
Aim: To develop pathogenetic methods of rehabilitation of patients with psychogenic facial pain.
Methods: Clinic, psychologic, electrophysiologic, X-ray examination.
Results: 66 patients were examined. 46 suffered from glossalgia and 20 from psychalgia. Correlation between personaliti profile, disease trigger factors and peculiarities of brain neurodynamic were revealed. Rehabilitation programs including combination of methods of psychogenic factor desactualization with social activity and pharmacotherapy were developed. It was elaborate different rehabilitation programs for patient groups: multicomponent somatization psychalgia, psychalgia with panic attacs and facialgia as a result of myofacial pain disfunction.
Conclusion: The choice of rehabilitation programs and patients with facial psychalgia depending on psychological, clinical and neurophysiological data is motivated.
