Prevalence of Irritable Bowel Syndrome and Depression in Fibromyalgia

Kurland, Jayde; Coyle, Walter; Winkler, Anne E.; Zable, Elizabeth

doi:10.1007/s10620-006-3154-7

Cited by 66 publications

(56 citation statements)

References 26 publications

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“…In another study, there was a high prevalence of intestinal constipation in MPS patients, which was consistent with the data found in the literature that reported a frequency of constipation that ranged from 42% to 63% in patients with chronic musculoskeletal pain [11,38]. Results similar to those found in this sample were also found in a study conducted by Helfestein Jr. et al [11], that involved patients with fibromyalgia-type musculoskeletal pain, wherein the most frequent IBS subtype was constipation-predominant, resulting in a 60.5% prevalence of constipation among all patients in the study.…”

Section: Discussionsupporting

confidence: 86%

Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study

et al. 2017

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A B S T R A C T ObjectiveTo identify the occurrence of constipation in patients with myofascial pain syndrome and to correlate these disorders with the clinical and nutritional variables. MethodsThis report describes a case-control study performed with 98 adults of both sexs, including 49 patients and 49 individuals without pain. The intensity of the reported pain was evaluated using the Pain Visual Analog Scale, which provided a simple and efficient measurement of pain intensity consisting of a 10cm horizontal line with Revista de NutriçãoRev. Nutri., Campinas, 30(5):567-581, set./out., 2017 https://doi.org/10.1590/1678-98652017000500003 568 JA BARROS-NETO et al.the ends marked "absence of pain" and "worst possible pain". The occurrence of constipation was evaluated using the Rome III criteria. A multivariate linear regression was proposed to investigate risk factors between the frequency of bowel movements per week and independent variables this study. ResultsThe mean ages of the patients and controls were 45.9 (7.6) years and 41.2 (12.2) years, respectively. The intensity of the reported pain showed a mean of 7.3 (1.6) points. The likelihood of exhibiting constipation was 4.5 times higher in the patients than in the controls (p=0.001). The number of stools per week was negatively correlated with the intensity of the reported pain (r=-0.613, p<0.001). The use of benzodiazepines was negatively correlated with the frequency of bowel movements per week, while the use of muscle relaxants appeared to increase the frequency of defecation when combined with the use of benzodiazepines and adjusted for the intake of fiber, water and sexs (p=0.037). ConclusionConstipation was a frequent nosological entity in this patient population and the persistence of a change in intestinal motility showed a significant correlation with the pain intensity and low water intake. The reduction of the number of stools per week seems to be associated with the use of benzodiazepines.Keywords: Chronic pain. Constipation. Myofascial pain syndromes. (r=-0,613, p<0,001 R E S U M O Objetivo Identificar a ocorrência de constipação em pacientes com síndrome dolorosa miofascial e correlacionar essa desordem da motilidade intestinal com variáveis clínicas e nutricionais. Métodos Trata-se de um estudo de caso-controle, realizado com 98 indivíduos adultos de ambos os sexos I N T R O D U C T I O NChronic pain is considered a serious and growing public health problem worldwide. Affected people require medical attention approximately five times more frequently than the rest of the population. These patients have impaired physical, mental and social wellbeing, resulting in disability and work absenteeism [1,2].Myofascial Pain Syndrome (MPS) is characterized by regional chronic muscle pain located in a single muscle or in muscle groups.Revista de Nutrição Rev. Nutri., Campinas, 30(5):567-581, set./out., 2017 CONSTIPATION IN PATIENTS WITH MYOFASCIAL PAIN SYNDROME 569

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Section: Discussionsupporting

confidence: 86%

Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study

et al. 2017

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“…Recent epidemiologic surveys have reported the prevalence of depression in fibromyalgia between 22-55% depending on the scale used (22). In the present study, we found that BDS was associated with sleep disturbance and total subgroups of PSQI.…”

Section: Discussionsupporting

confidence: 58%

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2017

Eur J Ther

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“…Those with FMS have been found to have elevated rates of major depression when compared to the general population which range from 20 to 60% in clinical samples from the US [11][12][13] and Europe [14][15][16][17][18] to 26% in US community-based studies [2]. The risk ratio of FMS and major depression in the US has been reported to be between 2.8 and 2.9 for males and females [9], and the odds ratio of co-occurrence between major depression and FMS when compared to matched controls with rheumatoid arthritis to be 2.7 [19].…”

Section: Introductionmentioning

confidence: 99%

Individuals with fibromyalgia and depression: Findings from a nationally representative Canadian survey

2011

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The aim of the study is to determine the prevalence of and factors associated with major depression among those with Fibromyalgia Syndrome (FMS) in a Canadian representative sample. The study was a secondary analysis of a large, nationally representative sample from the Canadian Community Health Survey. The full sample (n = 126,805) was used to determine the prevalence of FMS and odds ratio of depression among those with FMS (n = 1,635) compared to those without (n = 125,170). A subsample of those with FMS (n = 1,635) was used to determine the prevalence of major depression and the demographic, psychosocial and health-related factors associated with it. Those with FMS had approximately three times higher odds of depression in comparison with those without FMS, even when controlling for important socio-demographic characteristics (OR = 2.90; 95% CI = 2.52, 3.33). Based on the subsample of those with FMS, it was found that 22% had current major depression. A multivariate logistic regression model of those with FMS showed depression was associated with younger age, female gender, being unmarried, food insecurity, number of chronic conditions, and limitations in activities. Two-fifths of those with depression and FMS had not discussed mental health concerns with any health professionals in the previous year, highlighting the underuse of mental health services and the need for health professionals to increase screening within this population. The findings may help clinicians target mental health assessments and interventions for their patients with fibromyalgia.

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Prevalence of Irritable Bowel Syndrome and Depression in Fibromyalgia

Cited by 66 publications

References 26 publications

Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study

Constipation in patients with myofascial pain syndrome as important aspect for clinical and nutritional treatment: A case-control study

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Individuals with fibromyalgia and depression: Findings from a nationally representative Canadian survey

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