创伤后应激障碍、压痛与纤维肌痛综合征：它们是不同的病症吗？
Posttraumatic stress disorder, tenderness, and fibromyalgia syndrome: are they different entities?
作者信息
Amital Daniella, Fostick Leah, Polliack Michael L, Segev Shlomo, Zohar Joseph, Rubinow Alan, Amital Howard
机构信息
Department of Psychiatry B, Ness-Ziona Mental Health Center, Hadassah-Hebrew University School of Medicine, Jerusalem, Israel.
出版信息
J Psychosom Res. 2006 Nov;61(5):663-9. doi: 10.1016/j.jpsychores.2006.07.003.
OBJECTIVES
Many features of fibromyalgia syndrome (FMS) resemble those of posttraumatic stress disorder (PTSD). The goal of this study was to investigate the comorbidity of FMS and PTSD in a cohort of men following an intensive, initial, defined traumatic event.
METHODS
One hundred twenty-four males (55 patients with PTSD, 20 patients with major depression, and 49 controls) were evaluated for the presence of FMS. The major traumatic events in all PTSD patients were combat-related. Each individual completed questionnaires characterizing his disease, disabilities, and quality of life.
RESULTS
Forty-nine percent of PTSD patients, compared to 5% of major depression patients and none of normal controls, fulfilled the American College of Rheumatology criteria for FMS (P<.0001). Significant correlations were detected between tender points and measured parameters in the PTSD group.
CONCLUSIONS
In male patients, PTSD is highly associated with FMS. The degree and impact of these disorders are also highly related.
目的
纤维肌痛综合征（FMS）的许多特征与创伤后应激障碍（PTSD）相似。本研究的目的是调查在经历一次强烈、初始、明确的创伤事件后的男性队列中FMS和PTSD的共病情况。
方法
对124名男性（55名PTSD患者、20名重度抑郁症患者和49名对照）进行FMS检查。所有PTSD患者的主要创伤事件均与战斗有关。每个人都完成了描述其疾病、残疾和生活质量的问卷。
结果
49%的PTSD患者符合美国风湿病学会FMS标准，相比之下，重度抑郁症患者中这一比例为5%，正常对照组中无人符合该标准（P<0.0001）。在PTSD组中，压痛点与测量参数之间存在显著相关性。
结论
在男性患者中，PTSD与FMS高度相关。这些疾病的程度和影响也高度相关。
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