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Psychological disturbance in fibromyalgia (FM): relation to pain severity

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By Celiker R, Borman P, Oktem F, Gokce-Kutsal Y, Basgoze O • www.ProHealth.com • March 10, 1997


Fibromyalgia is a form of nonarticular rheumatism characterized by
musculoskeletal aching and tenderness on palpation. The role
of psychological factors in fibromyalgia has been
controversial. The aim of this study was to evaluate the
relationship of fibromyalgia to the intensity of anxiety and
depression and to determine the correlation between
psychological disturbances with disease duration and pain
severity.

Thirty-nine patients with fibromyalgia and 36
healthy controls were included in this study. Beck depression
inventory, State and trait anxiety inventory and Beck
hopelessness scale were used to evaluate psychological
disturbances. Visual analog scale was used to determine pain
intensity. We found a significant difference in the
psychological status between patients with fibromyalgia and
control subjects as measured by Beck depression inventory and
trait anxiety inventory; 35.9% of the patients scored higher
than the cut-off score on the Beck depression rating scale.
Pain severity was found to be correlated with trait anxiety
inventory scores.

These results suggest that somatic expression of depression is
an important difference between fibromyalgia and control groups.
The difference between state and trait anxiety inventory reflects that
current anxiety is not secondary to pain but trait anxiety is possibly
causally related to pain.




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