Triñanes Yolanda, González-Villar Alberto, Gómez-Perretta Claudio, Carrillo-de-la-Peña María T
Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Santiago de Compostela, Spain.
Pain Pract. 2015 Apr;15(4):323-32. doi: 10.1111/papr.12186. Epub 2014 Apr 1.
Fibromyalgia (FM) has been associated with a higher prevalence of suicidal behavior. Nevertheless, much remains unknown about suicide risk factors for this chronic pain disorder. In the present study, the relationship of suicidal ideation in FM with a number of sociodemographic, clinical, and psychological variables was analyzed.
One hundred seventeen women with Fibromyalgia were assessed. The procedure included the exploration of sleep problems (Pittsburgh Sleep Quality Index), depression (Beck Depression Inventory [BDI]), health-related quality of life (SF-36 and Fibromyalgia Impact Questionnaire), the core symptoms of FM (visual analogue scales), and algometry of tender points. Suicidal ideation was evaluated by item 9 of the BDI. Patients with presence vs. absence of suicidal ideation were compared in all the variables studied.
The prevalence of suicidal ideation among FM patients was 32.5%. Significant differences between patients with vs. without suicidal ideas emerged mainly for the various indices of depression. Patients with suicidal ideation also reported higher levels of anxiety, more day dysfunction due to sleepiness and more limitations due to emotional and physical problems. Logistic regression analysis revealed that cognitive depression symptoms such as BDI Self-Blame cluster are the more closely related to suicide ideation.
The presence of suicidal ideation in FM patients is closely related to comorbid depression, anxiety and to a higher impact of the disease in daily life.
纤维肌痛（FM）与自杀行为的较高患病率相关。然而，关于这种慢性疼痛疾病的自杀风险因素仍有许多未知之处。在本研究中，分析了FM患者自杀意念与一些社会人口学、临床和心理变量之间的关系。
对117名纤维肌痛女性患者进行了评估。评估程序包括对睡眠问题（匹兹堡睡眠质量指数）、抑郁（贝克抑郁量表[BDI]）、健康相关生活质量（SF-36和纤维肌痛影响问卷）、FM的核心症状（视觉模拟量表）以及压痛点痛觉测量的探究。通过BDI的第9项评估自杀意念。对有自杀意念和无自杀意念的患者在所有研究变量方面进行比较。
FM患者中自杀意念的患病率为32.5%。有自杀意念和无自杀意念的患者之间的显著差异主要出现在各种抑郁指标上。有自杀意念的患者还报告了更高水平的焦虑、更多因嗜睡导致的日间功能障碍以及更多因情绪和身体问题导致的限制。逻辑回归分析显示，认知性抑郁症状如BDI自责聚类与自杀意念的关系更为密切。
FM患者中自杀意念的存在与共病抑郁、焦虑以及疾病对日常生活的更高影响密切相关。
