AB1426-HPR Evaluation of socio-demographic variables, psychiatric comorbidity, and pain in fibromyalgia patients

Autor: D.F. Pollak, Jamil Natour, M.E. Costa, P.J. Oliveira, A. M. Canzonieri
Rok vydání: 2013
Předmět:
Zdroj: Annals of the Rheumatic Diseases. 71:756.8-756
ISSN: 1468-2060
0003-4967
DOI: 10.1136/annrheumdis-2012-eular.1418
Popis: Background Fibromyalgia isa chronic pain syndrome of unknown etiology associated to emotional disorders and low levels in health related quality of life. Objectives To compare socio-demographic variables, psychiatric comorbidity, and pain among fibromyalgia patients and a healthy control group. Methods Observational quantitative research through the collection of socio-demographic data, psychiatric disorders (Structured Clinical Interview DSM-IV – SCID) and pain (Visual Analogue Scale – VAS). In 100 patients in the rheumatology outpatient clinic of the Universidade Federalde Sao Paulo (UNIFESP) and 50 people without a diagnosis of fibromyalgia in Sao Paulo were recruited. Results Results have shown that fibromyalgia patients present ahigher frequency of psychiatric comorbidity, a lower rate ofcollege graduates, and more difficultyin performing professional activities compared to the healthy group. In terms of working status, there is a higher prevalence of unemployment, sick-leave, and precarious employment among fibromyalgia patients. The contributionto the household budget between patients and healthy individuals is 42% - 58%.In 14% of patients have their own income compared to 34% of healthy group.SCID have revealed that the most prevalent psychiatric disorders among fibromyalgia patients are: previous major depression (14%), current major depression (25%), consumption of alcohol (12%), panic associated to agoraphobia (9%), panic without agoraphobia (13%), agoraphobia (18%), hypochondria (13%), and bulimia (1%). Comparing fibromyalgia patientsand healthy individuals in terms of psychiatric comorbidity the following percentages must be noted:dysthymic mood (21% - 4%), social phobia (27% - 2%), specific phobia (42% - 9%), obsessive compulsive disorder (57% -11%), generalized anxiety disorder (76% -17%), somatization (72%>6%), and binge eats (10% - 6%). In 94% of patients have mild, moderate, or severe social – occupational difficulties; 26% of healthy individuals do not present this kind of difficulty,and the remaining report minimal difficulties which do not interferewith daily activities. In fibromyalgia patients thetimeof illnessranges between 5 to10 years. VAS has shown that patients have a high rate of pain,given that 61% of them have scores above 6 cm (on a scale of 0 to 10 cm) and 15% report 10 cm. Conclusions Fibromyalgiapatients have more psychiatric disorders and worst socio-demographic indicators compared to healthy individuals. References Agugliaa A, Mainaa G, Rossettob I; Agugliab E.Fibromyalgia syndrome and depressive symptoms: Comorbidity and clinical correlates. Journal of Affective Disorders 2011; 128: 262-266. Assumpcao A, Cavalcante AB, Capela CE, Sauer JF, Chalot SD. Prevalencia de fibromialgia em um baixo nivel socioeconomico populacao. BMC Musculoskeletal Disorders 2009;10: 64. Cardoso FS, Curtolo M, Natour J, Lombardi I. Avaliacao da qualidade de vida, forca muscular e capacidade funcional em mulheres com fibromialgia. Rev. Bras. Reumatol. 2011; 51. Kati T, Turk DC, Herta F. Comorbid Depression and Anxiety in Fibromyalgia Syndrome: Relationship to Somatic and Psychosocial Variables. Psychosomatic Medicine 2004; 66:837–844. Oliveira P, Costa ME. Psychosocial predictors of health status in fibromyalgia: comparative study with rheumatoid arthritis. Journal of Pain Management 2009; 2: 135-144. Disclosure of Interest A. M. Canzonieri Grant/Research support from: CAPES, D. Pollak Grant/Research support from: FAPESP, P. Oliveira: None Declared, M. Costa: None Declared, J. Natour: None Declared
Databáze: OpenAIRE
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