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

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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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