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纤维肌痛综合征患者的健康焦虑与抑郁

Health anxiety and depression in patients with fibromyalgia syndrome.

作者信息

Uçar Mehmet, Sarp Ümit, Karaaslan Özgül, Gül Ali Irfan, Tanik Nermin, Arik Hasan Onur

机构信息

Department of Physical Medicine and Rehabilitation, Bozok University Medical School, Yozgat, Turkey

Department of Physical Medicine and Rehabilitation, Yozgat State Hospital, Yozgat, Turkey.

出版信息

J Int Med Res. 2015 Oct;43(5):679-85. doi: 10.1177/0300060515587578. Epub 2015 Aug 6.

Abstract

OBJECTIVES

To investigate health anxiety and depressive symptoms in patients with fibromyalgia syndrome (FMS).

METHODS

Patients with FMS and healthy control subjects were recruited. All participants completed the Health Anxiety Inventory Short Form (HAI-SF) and Beck Depression Inventory (BDI). Pain was assessed in patients with FMS using the Fibromyalgia Impact Questionnaire (FIQ) and Visual Analogue Scale (VAS).

RESULTS

This study involved 95 patients with FMS (15 male) and 95 healthy controls (17 male). Mean ± SD HAI-SF and BDI scores were significantly higher in patients with FMS = than in controls=. HAI-SF scores were 23.50 ± 10.78 and 9.38 ± 4.24 respectively; BDI scores were 18.64 ± 10.11 and 6.21 ± 4.05 respectively. There were highly significant correlations between FIQ and HAI-SF, FIQ and BDI, and HAI-SF and BDI.

CONCLUSIONS

Patients with FMS had significantly higher HAI-SF and BDI scores than healthy controls. Psychiatric support is essential for patients with FMS. Treatment should include biological, psychological and social approaches.

摘要

目的

调查纤维肌痛综合征(FMS)患者的健康焦虑和抑郁症状。

方法

招募FMS患者和健康对照者。所有参与者均完成了健康焦虑量表简表(HAI-SF)和贝克抑郁量表(BDI)。使用纤维肌痛影响问卷(FIQ)和视觉模拟量表(VAS)对FMS患者的疼痛进行评估。

结果

本研究纳入了95例FMS患者(15例男性)和95例健康对照者(17例男性)。FMS患者的HAI-SF和BDI平均得分显著高于对照组。HAI-SF得分分别为23.50±10.78和9.38±4.24;BDI得分分别为18.64±10.11和6.21±4.05。FIQ与HAI-SF、FIQ与BDI以及HAI-SF与BDI之间存在高度显著的相关性。

结论

FMS患者的HAI-SF和BDI得分显著高于健康对照者。对FMS患者而言,精神支持至关重要。治疗应包括生物、心理和社会方法。

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