Kayhan Fatih, Küçük Adem, Satan Yılmaz, İlgün Erdem, Arslan Şevket, İlik Faik
Department of Psychiatry, Faculty of Medicine, Selçuk University, Konya, Turkey.
Department of Rheumatology, Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey.
Neuropsychiatr Dis Treat. 2016 Feb 16;12:349-55. doi: 10.2147/NDT.S99160. eCollection 2016.
We aimed to investigate the current prevalence of sexual dysfunction (SD), mood, anxiety, and personality disorders in female patients with fibromyalgia (FM).
This case-control study involved 96 patients with FM and 94 healthy women. The SD diagnosis was based on a psychiatric interview in accordance with the Diagnostic and Statistical Manual of Mental Disorders, fourth edition criteria. Mood and anxiety disorders were diagnosed using the Structured Clinical Interview. Personality disorders were diagnosed according to the Structured Clinical Interview for DSM, Revised Third Edition Personality Disorders.
Fifty of the 96 patients (52.1%) suffered from SD. The most common SD was lack of sexual desire (n=36, 37.5%) and arousal disorder (n=10, 10.4%). Of the 96 patients, 45 (46.9%) had a mood or anxiety disorder and 13 (13.5%) had a personality disorder. The most common mood, anxiety, and personality disorders were major depression (26%), generalized anxiety disorder (8.3%), and histrionic personality disorder (10.4%).
SD, mood, and anxiety disorders are frequently observed in female patients with FM. Pain plays a greater role in the development of SD in female patients with FM.
我们旨在调查纤维肌痛（FM）女性患者性功能障碍（SD）、情绪、焦虑和人格障碍的当前患病率。
这项病例对照研究纳入了96例FM患者和94名健康女性。SD诊断基于根据《精神障碍诊断与统计手册》第四版标准进行的精神科访谈。情绪和焦虑障碍使用结构化临床访谈进行诊断。人格障碍根据《精神障碍诊断与统计手册》修订第三版人格障碍的结构化临床访谈进行诊断。
96例患者中有50例（52.1%）患有SD。最常见的SD是性欲缺乏（n = 36，37.5%）和性唤起障碍（n = 10，10.4%）。96例患者中，45例（46.9%）患有情绪或焦虑障碍，13例（13.5%）患有人格障碍。最常见的情绪、焦虑和人格障碍分别是重度抑郁症（26%）、广泛性焦虑症（8.3%）和表演型人格障碍（10.4%）。
FM女性患者中经常观察到SD、情绪和焦虑障碍。疼痛在FM女性患者SD的发生中起更大作用。
