Abstract

Fibromyalgia Syndrome (FMS) is a chronic pain syndrome that often coexists with common musculoskeletal pain, sleep disorders, bowel syndrome, mood disorders, and fatigue. Although the aetiology of FMS pain has not been elucidated yet, psychotherapy methods are used in addition to physical methods to treat these pains. This study aims to examine the effect of psychodrama on a 62-year-old patient with back and chest pain and who lived alone. This patient participated in psychodrama group psychotherapy with 8 members who were all female and diagnosed with FMS. An informed consent form was obtained from the case for the study. This research is important because there are very few studies on fibromyalgia complaints with psychodrama group therapy, and it contributes to the literature. Studying the case with past trauma and losses in the psychodrama scene has led to a significant reduction in fibromyalgia complaints. As a result, the patient's pain level decreased from 90% to 32.5%, and the anxiety level decreased from advanced to normal. Thus, psychodrama group psychotherapy was found to be effective in reducing FMS pain.

Highlights

  • Fibromyalgia syndrome (FMS), widespread musculoskeletal pain, is a chronic pain syndrome characterised by the presence of sensitive spots in certain parts of the body, in addition to sleep disorders and fatigue (Bergman, 2005; Bernard, 2020; Yunus et al, 1981)

  • This study examines the effect of psychodrama group practices on FMS by addressing a case diagnosed with FMS and living with FMS pain for more than 10 years

  • Two physicians working in a public hospital in Istanbul referred 16 patients diagnosed with FMS to the psychodramatist and conducted preliminary interviews with 16 patients

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Summary

Introduction

Fibromyalgia syndrome (FMS), widespread musculoskeletal pain, is a chronic pain syndrome characterised by the presence of sensitive spots in certain parts of the body, in addition to sleep disorders and fatigue (Bergman, 2005; Bernard, 2020; Yunus et al, 1981). Studies show that it is known that FMS is seen more frequently in various psychiatric cases such as posttraumatic stress disorder, anxiety, eating disorders, substance use disorder, and bipolar disorder, it is most often accompanied by depression (Bernard, 2000; Verbunt, 2008). Since fibromyalgia patients cannot find a cure for their complaints most of the time, their lives pass by going from doctor to doctor. It comes to a deadlock, either directly, such as prescriptions and nutritional supplements, or indirectly, such as job deficiencies and job loss (Altınkılıç et al, 2020; Spaecth, 2009; Wassem and Hendrix, 2003;)

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