[Characterization of the pain, sleep and alexithymia patterns of patients with fibromyalgia treated in a Brazilian tertiary center].

Autor:	Avila LA; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil., de Araujo Filho GM; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil. Electronic address: filho.gerardo@gmail.com., Guimarães EF; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil., Gonçalves LC; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil., Paschoalin PN; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil., Aleixo FB; Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
Jazyk:	portugalština
Zdroj:	Revista brasileira de reumatologia [Rev Bras Reumatol] 2014 Sep-Oct; Vol. 54 (5), pp. 409-13. Date of Electronic Publication: 2014 Jul 06.
DOI:	10.1016/j.rbr.2014.03.017
Abstrakt:	Objectives: Fibromyalgia (FM) is a complex syndrome that is characterized by lasting and diffuse chronic musculoskeletal pain, derived from non-inflammatory causes and classically associated with the presence of specific tender points. However, studies have highlighted other important symptoms associated with a lower quality of life (QOL) in FM, such as sleep disturbances and alexithymia. This study aimed to investigate the pain, sleep and alexithymia patterns of FM patients treated in a Brazilian tertiary center. Methods: 20 patients with FM who were followed-up in the Rheumatology outpatient clinic of a Brazilian tertiary center (Faculdade de Medicina de São José do Rio Preto - FAMERP, São Paulo, Brazil) and 20 patients without FM from other outpatient services of the FAMERP completed a clinical and socio-demographic questionnaire, the Fibromyalgia Impact Questionnaire (FIQ), the Pittsburgh Sleep Quality Index (PSQI), the Toronto Alexithymia Scale (TAS-20) and the SF-36 (WHOQOL). Results: The patients with FM presented worse performances in all QOL dimensions of the SF-36 and higher scores on the PSQI (p=0.01), and the TAS-20 (p=0.02). Patients with FM also scored significantly higher in all specific domains of PSQI and TAS-20. Discussion: The present data were in accordance with literature, disclosing a worse performance of patients with FM on pain impact, sleep complains and more presence of alexithymia. Conclusion: Studies have disclosed the presence of important and frequently underdiagnosed symptoms beyond pain complaints in FM, such as sleep complaints and alexithymia, and a better knowledge of such disturbances might improve FM patients' approach and treatment. (Copyright © 2014 Elsevier Editora Ltda. All rights reserved.)
Databáze:	MEDLINE
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