Buskila Dan, Cohen Hagit
Department of Medicine H, Soroka Medical Center, POB 151, Beer Sheva 84101, Israel.
Curr Pain Headache Rep. 2007 Oct;11(5):333-8. doi: 10.1007/s11916-007-0214-4.
There are mounting data supporting comorbidity of fibromyalgia syndrome (FMS) and psychiatric conditions. These include depression, panic disorders, anxiety, and post-traumatic stress disorder (PTSD). The nature of the relationship between depression and FMS is not fully understood, and it was hypothesized that chronic pain causes depression, or vice versa, and that chronic pain syndromes are variants of depression. A link between PTSD symptoms and FMS has been reported, and both conditions share similar symptomatology and pathogenetic mechanisms. Assessment of comorbid psychiatric disorders in FMS patients has clinical implications because treatment in these patients should focus both on physical and emotional dimensions of dysfunction.
有越来越多的数据支持纤维肌痛综合征（FMS）与精神疾病的共病情况。这些精神疾病包括抑郁症、惊恐障碍、焦虑症和创伤后应激障碍（PTSD）。抑郁症与FMS之间关系的本质尚未完全明确，有人推测慢性疼痛导致抑郁症，反之亦然，且慢性疼痛综合征是抑郁症的变体。已有报道称PTSD症状与FMS之间存在联系，这两种情况具有相似的症状和发病机制。评估FMS患者的共病精神障碍具有临床意义，因为对这些患者的治疗应同时关注功能障碍的身体和情感层面。
