Investigation of Anhedonia, Emotional Expression, and Emotion Regulation Difficulties in Individuals Diagnosed with Fibromyalgia

Ozmen E. S. E. L. C. U. K., KOÇ A. E., HOCAOĞLU Ç., Akgol E.

TURK PSIKIYATRI DERGISI, cilt.36, ss.542-552, 2025 (SSCI) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 36
  • Basım Tarihi: 2025
  • Doi Numarası: 10.5080/u27576
  • Dergi Adı: TURK PSIKIYATRI DERGISI
  • Derginin Tarandığı İndeksler: Social Sciences Citation Index (SSCI), Scopus, Central & Eastern European Academic Source (CEEAS), MEDLINE, Psycinfo
  • Sayfa Sayıları: ss.542-552
  • Recep Tayyip Erdoğan Üniversitesi Adresli: Hayır

Özet

Objective: This study aimed to examine the relationships between anhedonia, emotional expression ability and emotion regulation difficulties in individuals diagnosed with fibromyalgia (FM). Methods: 82 patients with FM and 80 age, gender, and education-matched healthy controls were included in this cross-sectional, descriptive study. Participants completed the Sociodemographic Data Form, Expressing Emotions Scale (EES), Difficulties in Emotion Regulation Scale-Short Form (DERS-16), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and the Clinician-Administered Turkish version of the Snaith-Hamilton Pleasure Scale (SHAPS-C-TR). Results: Higher SHAPS-C-TR scores (OR=1.836, 95% CI: 1.501-2.245; p<0.001) and BAI scores (OR=1.120, 95% CI: 1.020-1.230; p=0.017) were significantly associated with FM diagnosis. Conversely, higher EES scores were negatively associated with FM diagnosis (OR=0.941, 95% CI: 0.896-0.988; p=0.015). Even after controlling for depression, individuals with FM exhibited significantly higher anhedonia scores (F (1.159)=295.10, p<0.001, eta(2)=0.623). Conclusion: Elevated levels of anhedonia and anxiety were significantly associated with FM, whereas greater emotional expressiveness appeared to be a protective factor. These findings underscore the importance of psychological assessment and interventions in FM management.