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Somatized depression as a subgroup of fibromyalgia (FM) syndrome

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By Meyer-Lindenberg A, Gallhofer B • www.ProHealth.com • April 15, 1998


An increase of depressive symptoms in fibromyalgia patients
has been noted in a number of studies. The etiologic
significance of this finding remains, however, controversial.
We suggest that a subgroup of patients with this symptom
combination may be pragmatically classified as suffering from
somatized depression. Clinical indicators such as a family
history of depressive disorders, circadian disturbances,
pronounced loss of appetite or libido, and chronic
psychosocial stressors should be assessed and, if present,
prompt the initiation of psychiatric evaluation and treatment
including pharmaco- and psychotherapeutic modalities. Other
psychiatric diseases arising in the differential diagnosis of
fibromyalgia are discussed.




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