Department of Physical Medicine and Rehabilitation, Pamukkale University Medical School, Kinikli/Denizli, Turkey.
Clin Rheumatol. 2012 Jun;31(6):983-8. doi: 10.1007/s10067-012-1965-9. Epub 2012 Mar 7.
The aims were to investigate how the body image is affected in fibromyalgia syndrome (FMS) in comparison to healthy people, as well as to explore the relationship of the body image with the level of pain, functional status, severity of depression, and quality of life (QoL). Demographic variables, symptoms of fibromyalgia, and number of fibromyalgia tender points for 51 patients with FMS and 41 control subjects were recorded. All patients were asked to mark the level of pain on visual analogue scale (VAS). Six-minute walking test was recorded for functional assessment. The impact of the disease was evaluated by fibromyalgia impact questionnaire (FIQ). All patients were asked to complete body image scale (BIS), Beck depression inventory (BDI), and short form-36 (SF-36). There were no differences between groups with regard to demographic variables (p>0.05). Mean VAS was 7.5±1.4 for the patients with FMS and 0.3±0.4 for control subjects (p<0.05). Mean FIQ was 70.8±13.2 and 8.2±9.6 for the FMS and control groups, respectively (p<0.05). Mean BIS and BDI were 106.5±24.0 and 20.2±11.2 for FMS group and 66.3±23.4 and 3.4±4.0 for control group, respectively (p<0.05). SF-36 subscores were found to be significantly lower in patients with FMS than control subjects (p<0.05), except for the social function subscore. BIS score had significant relationships both with VAS (r=0.843) and FIQ (r=0.290) in patients with FMS (p<0.05). There were significant relationships between BIS scores and SF-36 pain (r= -0.288), energy/vitality (r= -0.519), mental health (r= -0.442), and general health (r= -0,492) subscores (p<0.05). Body image was associated with VAS in the multivariate linear regression analysis. The results of the present study indicate that body image is disturbed in patients with FMS compared to control subjects. For the evaluation of the level of pain, impact of the disease, and QoL in patients with FMS, it would be useful to consider the relationship of the body image disturbance with these parameters.
目的在于探究纤维肌痛综合征（FMS）患者的身体意象与健康人群相比有何不同，以及探索身体意象与疼痛程度、功能状态、抑郁严重程度和生活质量（QoL）之间的关系。记录了 51 名 FMS 患者和 41 名对照组的人口统计学变量、纤维肌痛症状和纤维肌痛压痛点数量。所有患者均被要求在视觉模拟量表（VAS）上标记疼痛程度。六分钟步行试验用于评估功能。使用纤维肌痛影响问卷（FIQ）评估疾病的影响。所有患者均被要求完成身体意象量表（BIS）、贝克抑郁量表（BDI）和健康调查简表 36 项（SF-36）。两组在人口统计学变量方面无差异（p＞0.05）。FMS 患者的平均 VAS 为 7.5±1.4，对照组为 0.3±0.4（p＜0.05）。FMS 组和对照组的平均 FIQ 分别为 70.8±13.2 和 8.2±9.6（p＜0.05）。FMS 组的平均 BIS 和 BDI 分别为 106.5±24.0 和 20.2±11.2，对照组分别为 66.3±23.4 和 3.4±4.0（p＜0.05）。FMS 组的 SF-36 子评分明显低于对照组（p＜0.05），除社会功能子评分外。FMS 患者的 BIS 评分与 VAS（r=0.843）和 FIQ（r=0.290）呈显著相关（p＜0.05）。BIS 评分与 SF-36 疼痛（r=-0.288）、能量/活力（r=-0.519）、心理健康（r=-0.442）和一般健康（r=-0.492）子评分呈显著相关（p＜0.05）。多元线性回归分析表明，身体意象与 VAS 相关。本研究结果表明，与对照组相比，FMS 患者的身体意象存在障碍。在评估 FMS 患者的疼痛程度、疾病影响和生活质量时，考虑身体意象障碍与这些参数的关系将很有帮助。
