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Fibromyalgic syndrome [FM]: depression & abnormal illness behavior. Multicenter investigation

  [ 265 votes ]   [ Discuss This Article ] • January 2, 1994

This study reports psychological symptoms assessed in 327
patients with fibromyalgia (FS) in a multicenter
investigation. Two self-report scales, in their validated
Italian translations, were used for screening: the CES-D (the
Center of Epidemiologic Studies-Depression) developed at the
NIMH for measuring depression and the Illness Behavior
Questionnaire (IBQ) developed by Pilowsky and Spence.
The cutoff point of 23 in the CES-D scores revealed about
49% of the fibromyalgic patients as depressed. In analyzing
patterns of illness behavior patients with FS showed a high
score on IBQ scales of disease conviction, psychological
versus somatic focusing and denial. CES-D scores showed
significant correlations with illness behavior scales. These
results and their implications for the treatment of
fibromyalgic patients are discussed.

Ercolani M, Trombini G, Chattat R, Cervini C, Piergiacomi G, Salaffi
F, Zeni S,Marcolongo R

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