Depression and anxiety in patients with fibromyalgia syndrome; [Fi̇bromyalji̇ sendromlu hastalarda depresyon ve anksi̇yete]
No Thumbnail Available
Date
2000
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Several observations showed that psychiatric disorders may be involved in the pathogenesis of Fibromiyalgia Syndrome (FMS). In this study we aimed to compare the depression and anxiety levels among FMS, major depression and healthy controls and to investigate which depression and anxiety features are especially discriminating. We also investigated the relationship between clinical features and depression and anxiety. The study included 34 female patients with FMS, 21 patients with major depression and 14 educational status, age and sex matched healthy controls. Beck Depression Scale (BDS), Hamilton Depression Rating Scale (HDRS) and State Anxiety Inventory (SAI) were significantly lower than major depression, and were higher than healthy controls in FMS (p<0.05). Results of discrimant analysis for SAI showed that nervousness was exactly, and patient discomfort was low level discriminating for FMS. Similarly, in analysis of HDRS and BDS, It was found that somatic anxiety and patient discomfort was low level discriminating for FMS. We found statistically significant correlation between BDS and HDRS scores and intensity of general pain, intensity of pain after physical activity, intensity of pain with palpation (p<0.05). We also found positive significant correlation between HDRS scores and sleep disturbance scores (p<0.05). But there was no correlation between SAI scores and clinical features (p>0.05). Our study indicates that depression and anxiety levels are higher than healthy controls, but don't reach levels of major depression, and nervousness is the major discriminating psychiatric feature of FMS. We concluded that there was a relationship between psychiatric disorders and FMS and psychiatric disturbance may play role in the pathogenesis of FMS.