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Clinical profile of patients with fibromyalgia syndrome

机译:纤维肌痛综合征患者的临床概况

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Introduction : The new diagnostic criteria for fibromyalgia (FM) include the presence of chronic, widespread pain associated with other symptoms such as fatigue, sleep disturbance, anxiety and depression. All these symptoms should be considered when thinking and clinical decision making of physiotherapists dealing with FM. However, it is clear that the other symptoms that accompany the pain are often neglected. Objective : To measure the levels of fatigue, sleep disturbances, anxiety and depression in patients with FM and compare them to levels found in healthy controls. Methods : Forty-six women diagnosed with FM and 30 healthy controls participated in the study. The levels of each of the symptoms were assessed by four validated questionnaires in Brazil (Piper Fatigue Scale - Revised, Pittsburgh Sleep Quality Index, Beck Anxiety Inventory and the Beck Depression Inventory). Statistical analysis was performed using GraphPad Prism software and all tests used a significance level of 5% (?± = 0.05). Results : FM patients had significantly elevated levels of fatigue (p = 0.0005), sleep disturbances (p = 0.003), anxiety (p = 0.0012) and depression (p = 0.0003) compared to healthy controls. Symptoms fatigue and depression correlated strongly and positively with one another and with other symptoms evaluated. Conclusion : The other symptoms that comprise the clinical picture of FM need be considered not only in order to recover the health of patients, but above all in an attempt to preserve it and promote it.
机译:简介:纤维肌痛(FM)的新诊断标准包括与其他症状(如疲劳,睡眠障碍,焦虑和抑郁症)相关的慢性广泛性疼痛的存在。在处理FM的物理治疗师的思考和临床决策时,应考虑所有这些症状。但是,很明显,伴随疼痛的其他症状常常被忽略。目的:测量FM患者的疲劳,睡眠障碍,焦虑和抑郁水平,并将其与健康对照者的水平进行比较。方法:46名被诊断患有FM的妇女和30名健康对照者参加了研究。通过巴西的四份经过验证的问卷(Piper疲劳量表-修订版,匹兹堡睡眠质量指数,贝克焦虑量表和贝克抑郁量表)评估了每种症状的水平。使用GraphPad Prism软件进行统计分析,所有测试的显着性水平为5%(?±= 0.05)。结果:与健康对照组相比,FM患者的疲劳水平(p = 0.0005),睡眠障碍(p = 0.003),焦虑症(p = 0.0012)和抑郁症(p = 0.0003)明显升高。症状疲劳和抑郁与彼此之间以及与所评估的其他症状密切相关。结论:构成FM临床症状的其他症状不仅需要考虑,以恢复患者的健康,还必须首先考虑,以维护和促进它。

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