Percepção de estresse e sintomas depressivos: funcionalidade e impacto na qualidade de vida em mulheres com fibromialgia

Abstract

Introduction: Depression is one of the most frequent psychiatric comorbidities in patients with fi bromyalgia (FM), and chronic stress might be one of the triggering events of the characteristic FM symptoms. Objectives: To compare depressive symptoms and stress perception between women with and without FM, in addition to investigate the relationship between those characteristics and the functionality and the impact on the quality of life of those patients. Methods: The study included 20 women with FM (FM group) and 20 healthy women (control group). The following instruments were used: Beck Depression Inventory, Perceived Stress Scale-10, Health Assessment Questionnaire, Fibromyalgia Impact Questionnaire, and Visual Analogue Scale for pain (0-10 cm). Results: The FM group showed higher severity of the depressive symptoms (24.10 ± 11.68) and greater perception of stress (25.10 ± 4.82) as compared with those of the control group (10.20 ± 12.78, P < 0.01; and 15.45 ± 7.29, P < 0.01; respectively). A higher incidence of depressive symptoms was observed in the FM group (75%) than in the control group (25%) (χ 2 = 10.00, P < 0.01). In the FM group, a positive correlation was observed between the depressive symptoms and perceived stress (r = 0.54, P < 0.05), pain (r = 0.58, P < 0.01), impaired functionality (r = 0.56, P < 0.01), and impact on the quality of life (r = 0.46, P < 0.05). In this group there was also correlation between perceived stress and impaired functionality (r = 0.50; P < 0.05). Pain showed no relationship with perceived stress. Conclusion: The relationship between stress, depression and functionality seems to be part of a complex mechanism, which might affect the quality of life of patients with FM.

Fibromialgia

“…Quando analisados os subitens do FIQ também houve correlação entre piora da qualidade de vida, sintomas de depressão e dor (Tabelas 5 e 6). Esses achados também foram apontados por Homann et al ao comparar pacientes com FM a um grupo controle 35 . No grupo de pacientes com FM, os sintomas depressivos correlacionaram-se com maior percepção de dor, comprometimento da funcionalidade e impacto na qualidade de vida.…”

Autopercepção dos pacientes fibromiálgicos sobre o tratamento fisioterápico

“…Em um estudo não foi possivel verificar uma relação direta da dor como estresse. No entanto, o comprometimento da funcionalidade nos pacientes com fibromialgia relacionase com uma maior percepção de estresse (10) . Os sujeitos estudados no presente trabalho relatam que a dor transcende ao físico e não apresentam muitas perspectivas de melhora, devido ser uma patologia complexa e de difícil compreensão social, porém, procuram ajuda para superar suas dificuldades.…”

Construction and validation of the Adult Stressors Inventory (ASI)

“…2 Manifestation occurs in phases; an initial transitory stress, of low or high intensity, may progress to a state of deterioration that debilitates the immune system, at which point serious diseases may begin to emerge. [3][4][5][6][7] Several different studies have identified the presence of stress as a contributing factor in dermatological diseases 8 cardiovascular diseases, 9,10 and fibromyalgia, 11 and its role in mental disorders has also been demonstrated. 12 The stress response and the concept of homeostasis deal with the same phenomenon, i.e., the ways that organisms regulate and adjust in response to challenges.…”