Güven A Z, Kul Panza E, Gündüz O H
Department of Physical Medicine and Rehabilitation, Marmara University School of Medicine, Istanbul, Turkey.
Eura Medicophys. 2005 Dec;41(4):309-13.
The aim of this study was to evaluate the demographic qualifications, frequency of depression, degree of pain, and the correlations between these factors in Turkish women with fibromyalgia syndrome (FS).
Fifty-three women with FS and 54 healthy women were included in the study. The visual analogue scale (VAS) was applied to evaluate the degree of pain and Beck depression inventory (BDI) for depression.
Mean age of the FS and the healthy women groups was 42.6+/-9.6 (21-63) and 39.4+/-13.2 (24-60) years respectively; which were statistically similar (P>0.05). Of the patients, 69.8% were married, and the mean years of education was 8.7+/-4.8 years. Marriage among relatives was found in 18.4% of the patients. The mean VAS score of the patients was 7.2+/-1.7 cm with the mean duration of pain 5+/-4.6 years. Mean BDI scores of FS patients and the healthy group were 15.7+/-8.7 and 10.2+/-5.5 respectively; the difference between the 2 groups was statistically significant (P<0.05). According to the BDI scores, 90% of FS patients were classified as depressed; among them, 50% had minor, 38% moderate, and 2% severe depression. FS patients who were married to a relative had higher scores of BDI (r=0.414, P=0.013). There was negative correlation between BDI score and patients' total year of education (r=-0.295, P=0.037); and the husband's education level (r=-0.367, P=0.030). According to BDI, the c2 test revealed significant depression in patients with sleep-disorders (P=0.009).
We found a significant degree of depression in Turkish female FS patients. This situation is found to be correlated with the education level of both patient and husband; marital status, and sleep-disorder; it is suggested that these factors should be taken into consideration in the diagnosis, treatment and follow-up of FS patients.
本研究旨在评估土耳其纤维肌痛综合征（FS）女性患者的人口统计学特征、抑郁频率、疼痛程度以及这些因素之间的相关性。
本研究纳入了53例FS女性患者和54例健康女性。采用视觉模拟量表（VAS）评估疼痛程度，采用贝克抑郁量表（BDI）评估抑郁情况。
FS患者组和健康女性组的平均年龄分别为42.6±9.6岁（21 - 63岁）和39.4±13.2岁（24 - 60岁）；两组在统计学上无显著差异（P>0.05）。患者中69.8%已婚，平均受教育年限为8.7±4.8年。18.4%的患者存在近亲结婚情况。患者的平均VAS评分为7.2±1.7厘米，平均疼痛持续时间为5±4.6年。FS患者组和健康组的平均BDI评分分别为15.7±8.7和10.2±5.5；两组之间的差异具有统计学意义（P<0.05）。根据BDI评分，90%的FS患者被归类为抑郁；其中，50%为轻度抑郁，38%为中度抑郁，2%为重度抑郁。近亲结婚的FS患者BDI评分更高（r = 0.414，P = 0.013）。BDI评分与患者的总受教育年限（r = -0.295，P = 0.037）以及丈夫的教育水平（r = -0.367，P = 0.030）之间存在负相关。根据BDI，卡方检验显示睡眠障碍患者存在显著抑郁（P = 0.009）。
我们发现土耳其女性FS患者存在显著程度的抑郁。这种情况与患者及其丈夫的教育水平、婚姻状况和睡眠障碍相关；建议在FS患者的诊断、治疗和随访中考虑这些因素。
