Subjective Experiences and Sensitivities in Women with Fibromyalgia: A Quantitative and Comparative Study (original) (raw)

Psychological Factors Related to Fibromyalgia Syndrome Phenomenon

International Journal for Innovation Education and Research

Fibromyalgia is a chronic rheumatic syndrome characterized mainly by diffuse musculoskeletal pain. Its diagnosis is clinical and the presence of 15 to 18 tender specific painful body sites (tender points), with no specific laboratory alterations. It is often associated with other symptoms such as constant fatigue, swelling, morning stiffness, difficulty in memorizing and concentrating, mood swings, anxiety, and depression, among others. This condition mainly affects women, bringing a considerable negative impact on carriers. Pain perception is the result of multiple factors: biological, social, and psychological. This study sought through qualitative research to recognize the psychosocial factors related to fibromyalgia, as well as identify the possible meanings to suffering, seeking to contribute to elucidate the psychogenic phenomena related to the pain of Fibromyalgia Syndrome. Finally, to analyze if patients who are undergoing psychotherapy follow-up benefit from the symptoms ca...

Psychosocial Variables and Healthcare Resources in Patients with Fibromyalgia, Migraine and Comorbid Fibromyalgia and Migraine: A Cross-Sectional Study

International Journal of Environmental Research and Public Health

Fibromyalgia and migraine frequently coexist. We aimed to compare the burden caused by fibromyalgia (FM), migraine (M) and comorbid fibromyalgia and migraine (FM + M) by assessing psychosocial variables and the use of healthcare resources. A survey was posted to the websites of different patients’ associations. It included sociodemographic data, the Patient Health Questionnaire-9, the Insomnia Severity Index, the EuroQOL-5D-5L and a questionnaire evaluating the use of healthcare resources during the past six months. In total, 139 FM patients, 169 M patients and 148 FM + M patients participated in the survey. Mean depression and insomnia scores were clinically relevant in every group and significantly higher in FM + M (16.3 ± 5.4 for depression, 18.5 ± 5.6 for insomnia) than in FM (14.3 ± 5.7 for depression, 16.8 ± 5.5 for insomnia) or M (11.7 ± 5.4 for depression, 13.1 ± 5.9 for depression), where p < 0.001 in both cases. Suicidal ideation was frequent in every group, but signifi...

Online Questionnaire with Fibromyalgia Patients Reveals Correlations among Type of Pain, Psychological Alterations, and Effectiveness of Non-Pharmacological Therapies

Healthcare

Fibromyalgia (FM) is a chronic pain syndrome with an unclear etiology. In addition to pain, FM patients suffer from a diverse array of symptoms and comorbidities, encompassing fatigue, cognitive dysfunction, mood disorders, sleep deprivation, and dizziness. Due to the complexity of FM, the diagnosis and treatment of it are highly challenging. The aim of the present work was to investigate some clinical and psychological characteristics of FM patients, and to uncover possible correlations with pharmacological and non-pharmacological therapies. We conducted a cross-sectional, questionnaire-based study aimed at evaluating pain, psychological traits, and the self-perceived effectiveness of pharmacological and non-pharmacological treatments in an Italian population of FM patients. Descriptive statistics, correlation, and inference analyses were performed. We found a prevalence of a neuropathic/nociplastic type of pain, which correlated with psychological traits such as anxiety, low mood,...

Anxiety, depression and fibromyalgia pain and severity

Behavioral Psychology/Psicologia Conductual

We aimed to analyze the relationship of anxiety and depression with fibromyalgia pain and severity. The study comprised 127 women aged 51.9±7 years. Anxiety and depression was assessed by means of the Hospital Anxiety and Depression Scale (HADS) and fibromyalgia severity with the Fibromyalgia Impact Questionnaire (FIQ). Pain was assessed by four indicators: tenderness (tender points count [TPC] and algometer score) and the Short-Form-36 Health Survey (SF36)-pain and FIQ-pain subscales. Perceived pain, as measured by SF36-pain, was worse in the severe anxiety-group compared with the low and mild anxietygroups and in the severe compared with the low depression-group. Perceived pain, as measured by FIQ, was higher for the severe compared to the low anxietygroup. Tenderness, as measured by algometer score and TPC, did not differ among anxiety and depression categories. HADS-anxiety scores ≥8 were associated with an increased odds ratio of severe fibromyalgia. HADS-depression ≥ 8 were as...

Is psychological distress intrinsic to fibromyalgia syndrome? Cross-sectional analysis in two clinical presentations

Rheumatology international, 2011

Clinical presentation of fibromyalgia syndrome (FMS) is heterogeneous and often involves psychological comorbidities. Clinical subgrouping of FMS patients has been proposed as a strategy to improve patients' long-term outcomes by helping identify specific treatment needs. Using the 90 Symptom Checklist Revised (SCL-90-R), we have assessed emotional distress in two FMS patient subpopulations discriminated on the basis of their differences in scores on specific items of the Fibromyalgia Impact Questionnaire (FIQ). Subjects classed as type II exhibited high emotional distress on all ten dimensions studied, which included somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, and additional items subscales, as well as on the global severity index (GSI), positive symptom total (PST), and positive symptom distress index (PDSI). T-scores in these patients were above diagnostic cutoff level of 60 o...