The impact of fibromyalgia syndrome and the role of comorbidity with mood and post-traumatic stress disorder in worsening the quality of life

Carta, Mauro Giovanni; Moro, Maria Francesca; Pinna, Francesca; Testa, Giorgia; Cacace, Enrico; Ruggiero, Valeria; Piras, Martina; Romano, Ferdinando; Minerba, Luigi; Machado, Sérgio; Freire, Rafael C.; Nardi, Antônio Egídio; Sancassiani, Federica

doi:10.1177/0020764018795211

Cited by 38 publications

(28 citation statements)

References 39 publications

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“…The control group included 76 subjects with no diagnosis of Tako-Tsubo Syndrome randomly selected from the databank of an epidemiological survey on health and mental health in Italy [14-16]. The selection of sex- age- and residence- matched controls from the 3498 subjects was carried out with a randomized block design.…”

Section: Methodsmentioning

confidence: 99%

Takotsubo Syndrome is Associated with Mood Disorders and Antidepressants Use, not with Anxiety and Impairment of Quality of Life Due to the Psychiatric Disorder

Sancassiani¹,

Carta²,

Montisci³

et al. 2018

CPEMH

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Background:The aim was to study the association between mood and anxiety disorders and the Tako-Tsubo Syndrome (TTS) and to determine the role of antidepressants and the impairment of quality of life due the comorbid psychiatric disorder.Methods:Case-control study: 19 consecutive patients (17 female) with TTS compared to 76 controls without TTS, were randomly selected from the database of a nationwide epidemiological study after matching (gender, age and residence) by controls. Psychiatric diagnoses were carried out according to the ICD-10 using semi-structured interview tools (ANTAS-SCID) administered by clinical staff. Quality of Life (Qol) was assessed by means of SF-12.Results:Only Major Depressive Disorders (MDD) showed higher frequencies in cases with statistical significance difference (p=0.014) as well as at least one Mood Disorder Diagnosis [MDD or BD] (p=0.002). The lifetime prevalence of at least one anxiety disorder with no comorbid mood disorder did not show a higher frequency in cases (p=0.57).The score at SF-12 in the TTS group was similar to those of controls (p=0.71)In the TTS group, the score at SF-12 in people with one mood or anxiety diagnosis (N=7) was similar to those without mood or anxiety diagnosis (p=0.75). The use of antidepressants was higher in TTS group (15.79% vs 1.31%; p=0.030).Conclusion:The study shows an association between TTS with depressive disorders and antidepressants use and does not confirm the association with anxiety syndromes. The study suggests the need to investigate the possible interactions between antidepressants use and mood disorders in studies with appropriate design and sample size.

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Section: Methodsmentioning

confidence: 99%

Takotsubo Syndrome is Associated with Mood Disorders and Antidepressants Use, not with Anxiety and Impairment of Quality of Life Due to the Psychiatric Disorder

Sancassiani¹,

Carta²,

Montisci³

et al. 2018

CPEMH

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“…Carta et al in 2018 [12] explained that association of the depression, bipolar disorders, and other comorbidity decreases the quality of life and productivity of patients with FM. Given the lack of research in clinical care for patients with fibromyalgia and we feel that the dissemination of our clinical experience can help nursing care for patients with this disease.…”

Section: Discussionmentioning

confidence: 99%

The Impact of Fibromyalgia on Daily Women: A Contribution to Nursing Assistants

Prestes-Carneiro¹,

Geronasso²,

Nascimento³

et al. 2019

JBiSE

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Objective: To evaluate the impact of fibromyalgia in daily and associated factors in women treated at the polyclinic in Paraná. Method: A descriptive, cross-sectional study was conducted with individualized data for 52 women ≥ 50 years from the policlinic of the Curitiba of Paraná State, Brazil. Data were collected an online survey and the quality of life was assessed by one specific instrument, the Fibromyalgia Impact Questionnaire (FIQ). Verbal or written informed consent was obtained from all participants. Results: A total of 157 patients completed the survey. The average age was approximately 50 years (range 29 -77 years). The most frequent comorbidities were depression (61.5%) and (19%) arthrosis. Conclusion: The understanding of the commodities associated with fibromyalgia helps health professionals to reach the patient efficiently in their orientations about nursing care in women with fibromyalgia. Data AnalysisStatistical analyzes were performed using the software (Prism 6.0, Graph Pad Software Inc., La Jolla, Calif). We used descriptive statistics to summarize data demographics, and Common clinical presentation of fibromyalgia. The data were expressed in numbers and percentage. RESULTSA total of 157 women in treatment (52 women) completed the survey. The average age was approximately 50 years (range 29 -77 years) (Table 1).Depression (61.5%) and arthrosis (19%) were the most commonly reported by women, followed by hypertension problems, hypothyroidism, bursitis and diabetes (Table 2).

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“…The high prevalence of mood disorders in people with chronic pain syndromes exposes these patients to the risk of suicide (Hooley et al, 2014; Racine, 2017), and probably contributes to a pejorative course of the somatic condition, which might account partially for the high burden in terms of years lived with disability (GBD Disease and Injury Incidence and Prevalence Collaborators, 2017). Patients with fibromyalgia are especially exposed to the higher burden caused by a mood disorder (Carta et al, 2018). A mood disorder might be a predisposing factor for the development of fibromyalgia (Chang et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…A mood disorder might be a predisposing factor for the development of fibromyalgia (Chang et al, 2015). Mood disorders can also contribute to worsening the quality of life in people with fibromyalgia (Sancassiani et al, 2017; Carta et al, 2018). Finally, they may affect the choice of treatment (Carta et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

BEEP—Bodily and Emotional Perception of Pain. A Questionnaire to Measure Reaction to Pain in Chronic Pain Disorders

et al. 2019

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Background: The assessment of pain and its impact on quality of life is central to the evaluation of chronic pain syndromes. However, most available tools focus on the nociceptive experience of pain, and at best only consider the occurrence of anxious, depressive, or cognitive problems. Here is a new questionnaire aimed at measuring the multifaceted impact of pain in chronic pain syndromes, the Bodily and Emotional pErception of Pain (BEEP).Methods: All consecutive patients who accessed a center for the treatment of pain were invited to take part in the study. The sample included 222 participants (51 with fibromyalgia, 84 with low back pain; 87 with other chronic pain syndromes). Women were 77% of the sample, the mean age was 61 ± 15. Participants completed the BEEP, the Patient Health Questionnaire-9 (PHQ-9), and the Mood Disorder Questionnaire (MDQ).Results: Reliability was good for all questionnaires. The expected three dimensions of the BEEP were confirmed by confirmatory factor analysis, and a bifactor model with three orthogonal factors showed a good fit as well. Participants diagnosed with fibromyalgia showed higher scores on the BEEP than the participants who had been diagnosed with low back pain or other chronic pain syndromes. The prevalence of probable cases of major depression and bipolar disorder in the sample was higher than expected for non-clinical samples. Levels of depression, as measured by the PHQ-9, were associated with the three dimensions of the BEEP and with the intensity of pain.Conclusions: The BEEP is a promising measure of the impact of pain in daily life and differentiates fibromyalgia from other chronic pain syndromes. The BEEP may be helpful to evaluate the patient's response to the treatment over time and may favor the identification of unmet needs in patients' personal, social, and daily functioning.

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The impact of fibromyalgia syndrome and the role of comorbidity with mood and post-traumatic stress disorder in worsening the quality of life

Cited by 38 publications

References 39 publications

Takotsubo Syndrome is Associated with Mood Disorders and Antidepressants Use, not with Anxiety and Impairment of Quality of Life Due to the Psychiatric Disorder

Takotsubo Syndrome is Associated with Mood Disorders and Antidepressants Use, not with Anxiety and Impairment of Quality of Life Due to the Psychiatric Disorder

The Impact of Fibromyalgia on Daily Women: A Contribution to Nursing Assistants

BEEP—Bodily and Emotional Perception of Pain. A Questionnaire to Measure Reaction to Pain in Chronic Pain Disorders

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