Epidemiology Department, Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Clin Exp Rheumatol. 2009 Sep-Oct;27(5 Suppl 56):S11-5.
Investigating psychological distress symptoms in the context of fibromyalgia (FM) is important due to their role in pain perception, and in the development of pain related disability. Although The Symptom Check-List-90-Revised (SCL-90-R) (1) questionnaire was used to evaluate psychological distress symptoms in FM patients, it was not applied in a familial context in families of FM patients. Our aim was to identify possible differences between FM patients and their relatives with and without FM regarding psychological distress symptoms.
The participants of the current investigation included 127 diagnosed female patients with FM, and 57 of their first degree relatives, 27 of whom had previously undiagnosed FM. Psychological distress was measured using The Symptom Check-List-90-Revised (SCL-90-R), a self report symptom inventory that addresses 9 distress dimensions reflecting various types of psychopathology.
FM patients reported significantly higher severity in 6 of the 9 distress symptoms compared to relatives without FM: somatisation, obsessive-compulsive, interpersonal sensitivity, depression, anxiety and psychoticism. Similar results were observed among relatives with FM, compared to the healthy group, except for anxiety. No differences were observed between FM patients and relatives with FM in the report of psychological distress.
FM patients and relatives with FM expressed similar symptoms of psychological distress compared to the healthy group.
研究纤维肌痛（FM）背景下的心理困扰症状很重要，因为它们在疼痛感知和疼痛相关残疾的发展中起作用。尽管症状清单 90 修订版（SCL-90-R）（1）问卷用于评估 FM 患者的心理困扰症状，但它并未在 FM 患者的家庭中进行家族性应用。我们的目的是确定 FM 患者及其有和无 FM 的亲属在心理困扰症状方面可能存在的差异。
本研究的参与者包括 127 名确诊的女性 FM 患者和 57 名一级亲属，其中 27 名亲属此前未被诊断出 FM。心理困扰使用症状清单 90 修订版（SCL-90-R）进行测量，这是一种自我报告的症状清单，涵盖了反映各种精神病理学类型的 9 个困扰维度。
FM 患者在 9 个困扰症状中的 6 个方面报告的严重程度明显高于无 FM 的亲属：躯体化、强迫观念、人际关系敏感、抑郁、焦虑和精神病性。在有 FM 的亲属中也观察到了类似的结果，与健康组相比，除了焦虑，无 FM 的亲属报告的心理困扰症状相似。FM 患者和有 FM 的亲属在报告心理困扰方面没有差异。
FM 患者和有 FM 的亲属与健康组相比，表达了相似的心理困扰症状。
