Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

Soriano‐Maldonado, Alberto; Amris, Kirstine; Ortega, Francisco B.; Segura‐Jiménez, Víctor; Estévez‐López, Fernando; Álvarez‐Gallardo, Inmaculada C.; Aparicio, Virginia A.; Fernández, Manuel Delgado; Henriksen, Marius; Ruiz, Jonatan R.

doi:10.1007/s11136-015-1045-0

Cited by 50 publications

(44 citation statements)

References 21 publications

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“…It has also been shown that there is a significant correlation between depressive symptoms and pain severity in FM patients, as in other chronic pain groups (42,43). In the hierarchical regression analysis of our study, in the first block depressive symptoms affected the pain severity, in the second block this effect has resolved, and at the same time it was observed that the somatoform dissociation had an effect on the pain severity.…”

Section: Discussionsupporting

confidence: 74%

The relationship of childhood trauma, dissociative experiences and depression with pain in female patients with fibromyalgia: a cross-sectional study

Karaş¹,

Yıldırım²,

Küçükgöncü³

et al. 2017

Dusunen Adam

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The relationship of childhood trauma, dissociative experiences and depression with pain in female patients with fibromyalgia: a cross-sectional studyObjective: The aim of this study was to investigate childhood trauma (CT) and dissociative symptoms in patients with fibromyalgia and evaluate the relationship of these characteristics with pain intensity. Methods: Forty patients followed up with fibromyalgia diagnosis in the physical therapy and rehabilitation outpatient clinic; and as a control group, 38 healthy individuals who have similar age, gender, and educational status, were included in the study. A sociodemographic and clinical data form, Beck Depression Inventory (BDI), Childhood Trauma Questionnaire (CTQ), Dissociative Experiences Scale (DES), Somatoform Dissociation Questionnaire (SDQ) and Visual Analogue Scale (VAS) were administered to participants. Results: Emotional abuse, physical neglect, physical abuse, CTQ total, SDQ and DES scores were found to be significantly higher in the fibromyalgia group than the control group. Only the difference for SDQ scores remained significant when a comparison made between groups by controlling depression levels. Somatoform dissociation scores were found to be a significant predictor of pain intensity in patients with fibromyalgia. Conclusion: Somatoform dissociative symptoms are found to be higher in patients with fibromyalgia than the control group. These symptoms may contribute to development and exacerbation of pain in fibromyalgia. Taking the dissociative symptoms into account have an important role in the treatment of patients with fibromyalgia who have a frequent history of CT, so the treatment of these patients should be carried out in cooperation with psychiatrists. Keywords: Childhood trauma, dissociation, fibromyalgia, somatoform dissociation ÖZET Kadın fibromiyalji hastalarında çocukluk çağı travmaları, disosiyatif yaşantılar ve depresyonun ağrı ile ilişkisi: Kesitsel bir çalışma Amaç: Bu çalışmanın amacı fibromiyalji (FM) hastalarında çocukluk çağı travmaları ile disosiyatif belirtileri araştırmak ve bu özelliklerin FM'deki ağrı şiddeti ile ilişkisini incelemektir. Yöntem: Fizik tedavi ve rehabilitasyon polikliniğinde fibromyalji tanısıyla takip edilmekte olan 40 hasta ile kontrol grubu olarak yaş, cinsiyet ve öğrenim durumu açısından benzer olan 38 sağlıklı kişi çalışmaya dahil edildi. Katılımcılara sosyodemografik ve klinik veri toplama formu, Beck Depresyon Ölçeği (BDÖ), Çocukluk Çağı Travmaları Ölçeği (ÇÇTÖ), Disosiyatif Yaşantılar Ölçeği (DYÖ), Somatoform Disosiyasyon Ölçeği (SDÖ) ve Görsel Analog Skala (GAS) uygulandı. Bulgular: FM grubunda duygusal istismar, fiziksel ihmal, fiziksel istismar, ÇÇTÖ toplam, SDÖ ve DYÖ puan ortalamaları kontrol grubuna göre anlamlı derecede yüksek bulundu. Gruplar arasında depresyon düzeyleri kontrol edilerek karşılaştırma yapıldığında ise sadece SDÖ puan farklılığının anlamlı olarak devam ettiği görüldü. Somatoform disosiyasyon puanlarının FM hastalarında ağrı şiddetinin anlamlı belirleyicisi olduğu saptan...

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Section: Discussionsupporting

confidence: 74%

The relationship of childhood trauma, dissociative experiences and depression with pain in female patients with fibromyalgia: a cross-sectional study

Karaş¹,

Yıldırım²,

Küçükgöncü³

et al. 2017

Dusunen Adam

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“…Fibromyalgia has the potential to cause functional impairment in patients when compared with the normal population, especially when there is exacerbation of painful symptoms or associated psychiatric conditions [14][15][16][17]. Limitations in work capacity caused by pain, fatigue, cognitive alterations, reduction of muscular strength and physical resistance have been described in the literature [18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Work disability in fibromyalgia and other soft tissue disorders: analysis of preventive benefits in Brazil from 2006 to 2015

Gomides

Bezerra²,

Souza

et al. 2018

Adv Rheumatol

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Background: Fibromyalgia is a common chronic disease characterized by persistent diffuse pain, fatigue, sleep disorders and functional symptoms. The disease can have negative consequences in personal and social life, in addition to significant public health expenses caused by treatment and work leave. The purpose of this article is to evaluate the number of social security benefits granted due to incapacity for work in Brazil in patients with ICD M79 and variants in the period 2006-2015.There has been no previous study with data referring to work withdrawals caused by fibromyalgia in Brazil. Methods: Data for this study were obtained through an official Social Security platform. The disability and retirement benefits were analyzed. Results: A total of 95,882 social security disability benefits were granted to ICD M79 and variants in the period from 2006 to 2015. Regarding gender, 69,420 benefits (72.3%) were granted to women and 26,562 (27.7%) to men. Regarding the types of benefits, we found 93,556 (97.5%) temporary withdrawals from work and 2426 (2.5%) permanent withdrawals. When comparing the initial and final years, we observed a significant reduction in the number of awards: 15,562 in 2006 to 6163 in 2015. Conclusion: Fibromyalgia was an important cause of withdrawal due to incapacity for work in Brazil, with consequent public health expenditure. These data may serve as a basis for new studies and can alert professionals of the need for adequate management of fibromyalgia to reduce work withdrawal and its consequences.

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“…4 Some studies have reported that the quality of life in patients with FM is affected by physical, social, and psychological variables and is related to the number of children, age, educational level, pain intensity, and depression and anxiety levels. [5][6][7] In addition, FM adversely affects work capacity, 8,9 as symptoms and recurrent absences reduce productivity by about 65%. 8 Current treatment for FM is palliative, as there is no cure.…”

Section: Introductionmentioning

confidence: 99%

Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

Andrade

Vilarino

2019

PM&R

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Background Patients with primary symptoms of fibromyalgia (FM) have a lower quality of life than healthy people of the same age. The current treatment for FM is palliative, as there is no cure. Therefore, among strategies used to alleviate the symptoms, physical exercise has been recommended. Objective To investigate the effects of a resistance training (RT) program on quality of life and associated factors in patients with FM. Design Nonrandomized clinical trial. Brazilian Clinical Trials: http://www.ensaiosclinicos.gov.br/ (no. RBR‐74pcmw). Participants Forty‐nine women with FM (mean age ± SD: 51.35 ± 9.34 years) allocated to an RT group (n = 26) or control group (CG; n = 23). Intervention The intervention consisted of 4 weeks of a supervised RT program. Three, 60‐minute, training sessions per week were conducted. Participants were evaluated before and after 4 weeks of exercise intervention. Main Outcome Measurements The Fibromyalgia Impact Questionnaire was used to assess quality of life, and secondary outcomes were assessed with the Pittsburgh Sleep Quality Inventory, Beck Depression Inventory, and Beck Anxiety Inventory. The Wilcoxon test was used to verify the differences after 4 weeks of intervention (12 sessions) and the Mann‐Whitney U test was used to compare the results for the RT group and CG. Results The results demonstrated that 4 weeks of RT reduces the impact of FM on quality of life, depression, and anxiety (P < .05). Higher depression and anxiety scores were related to worsening quality of life. The CG did not show significant changes. Conclusions RT reduces the impact of FM on the quality of life, and alleviates symptoms in women with FM. Level of Evidence II [Correction added on June 21, 2019, after first online publication: Level of Evidence changed from I to II.]

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Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

Abstract: These results extend current knowledge on the association of signs of depression with FM severity and quality of life in women with FM, and suggest that severity of depressive symptoms could potentially be a prognostic factor to be considered in future prospective intervention studies.

Cited by 50 publications

References 21 publications

The relationship of childhood trauma, dissociative experiences and depression with pain in female patients with fibromyalgia: a cross-sectional study

The relationship of childhood trauma, dissociative experiences and depression with pain in female patients with fibromyalgia: a cross-sectional study

Work disability in fibromyalgia and other soft tissue disorders: analysis of preventive benefits in Brazil from 2006 to 2015

Resistance Training Improves Quality of Life and Associated Factors in Patients With Fibromyalgia Syndrome

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