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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Comorbid Depression and Anxiety in Fibromyalgia Syndrome: Relationship to Somatic and Psychosocial Variables.
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Comorbid Depression and Anxiety in Fibromyalgia Syndrome: Relationship to Somatic and Psychosocial Variables.

机译：纤维肌痛综合症的抑郁症和焦虑症：与躯体和社会心理变量的关系。

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OBJECTIVE: The prevalence as well as predictors of psychiatric disorders (Diagnostic and Statistical Manual of Mental Disorders, 4th edition [DSM-IV] axis I and II) in patients with fibromyalgia syndrome (FMS) was evaluated.METHOD: One-hundred fifteen patients with FMS participated in the Structured Clinical Interview for DSM-IV to assess current mental disorders. In addition, patients completed standardized questionnaires regarding pain, pain impact, anxiety, depression, posttraumatic stress disorder-like symptoms, and sexual and physical abuse. RESULTS: Patients were grouped into one of three psychosocial subgroups based on responses to the Multidimensional Pain Inventory (MPI)-Dysfunctional (DYS), Interpersonally Distressed (ID), and Adaptive Copers (AC). Axis I diagnoses were present in 74.8% of the participants overall with the DYS subgroup mainly reporting anxiety and the ID group mood disorders. The AC group showed little comorbidity. Axis II diagnoses were present in only 8.7% of the FMS sample.CONCLUSION: These results suggest that FMS is not a homogeneous diagnosis, but shows varying proportions of comorbid anxiety and depression dependent on psychosocial characteristics of the patients. The results demonstrate the importance of not treating patients with FMS as a homogeneous group. Assessment should not only examine the presence of widespread pain and the number of tender points, but also the presence of affective distress. Treatment should focus both on physical and emotional dysfunction.
机译：目的：评估纤维肌痛综合征（FMS）患者的精神疾病患病率和预测指标（《精神疾病诊断和统计手册》，第四版[DSM-IV]第一和第二轴）。方法：一百零五名患者与FMS一起参加了DSM-IV的结构化临床访谈，以评估当前的精神障碍。此外，患者完成了有关疼痛，疼痛影响，焦虑，抑郁，创伤后应激障碍样症状以及性虐待和身体虐待的标准化问卷。结果：根据对多维疼痛量表（MPI）-功能障碍（DYS），人际关系困扰（ID）和适应性Copers（AC）的反应，将患者分为三个社会心理亚组之一。轴心I型诊断占全部参与者的74.8％，其中DYS亚组主要报告焦虑和ID组情绪障碍。 AC组合并症很少。结论：FMS样本中只有8.7％存在Axis II诊断。结论：这些结果表明FMS并非均一的诊断方法，但显示出不同比例的合并症焦虑症和抑郁症，具体取决于患者的心理社会特征。结果证明了不将FMS患者作为同质人群的重要性。评估不仅应检查广泛疼痛的存在和压痛点的数量，还应检查情感困扰的存在。治疗应同时关注身体和情绪障碍。

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