Genç Hakan, Atasever Melahat, Duyur Çakit Burcu, Seval Murat, Koç Acar
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Ankara Training and Research Hospital, Ankara, Turkey.
Department of Gynecology and Obstetric, Medical Faculty of Giresun University, Giresun, Turkey.
Arch Rheumatol. 2017 Jan 5;32(2):129-140. doi: 10.5606/ArchRheumatol.2017.6028. eCollection 2017 Jun.
This study aims to investigate the frequency and most common symptoms of fibromyalgia syndrome (FS) among pregnant females and determine the impacts of FS on physical functioning and psychological status.
A total of 360 pregnant females (mean age 26.5 years, range 19 to 42 years) were included. The subjects were divided into two groups in terms of having (FS group; n=136; mean age 27 years; range 19 to 41 years) or not having FS (control group; n=224; mean age 26.5 years; range 20 to 42 years). The impact of FS on physical functions was evaluated using Fibromyalgia Impact Questionnaire. Psychological statuses of the subjects were evaluated using State-Trait Anxiety Inventory, Wijma Delivery Expectancy/Experience Questionnaire, and Beck Depression Inventory.
Low back pain was the most common complaint while fatigue was the most common symptom in FS group. FS group had higher levels of pain and physical disability (p<0.001) and also higher values of anxiety, fear of childbirth, and depression (p<0.001, for all values) compared to control group. Symptom severity and physical function scores were significantly correlated with increased levels of pain, depression, anxiety, and fear of childbirth (p<0.001, for all values).
Fibromyalgia syndrome is common among pregnant females. The existence of FS in pregnancy is a severe factor contributing to maternal stress, anxiety, and depression. Therapeutic measures for fibromyalgia syndrome should be well-established to support healthy pregnancy and good child health outcome.
本研究旨在调查怀孕女性中纤维肌痛综合征（FS）的发生率及最常见症状，并确定FS对身体功能和心理状态的影响。
共纳入360名怀孕女性（平均年龄26.5岁，范围19至42岁）。根据是否患有FS将受试者分为两组（FS组；n = 136；平均年龄27岁；范围19至41岁）或未患FS（对照组；n = 224；平均年龄26.5岁；范围20至42岁）。使用纤维肌痛影响问卷评估FS对身体功能的影响。使用状态-特质焦虑量表、维伊玛分娩预期/体验问卷和贝克抑郁量表评估受试者的心理状态。
下背痛是最常见的主诉，而疲劳是FS组最常见的症状。与对照组相比，FS组的疼痛和身体残疾水平更高（p < 0.001），焦虑、分娩恐惧和抑郁值也更高（所有值p < 0.001）。症状严重程度和身体功能评分与疼痛、抑郁、焦虑和分娩恐惧水平的升高显著相关（所有值p < 0.001）。
纤维肌痛综合征在怀孕女性中很常见。孕期存在FS是导致母亲压力、焦虑和抑郁的严重因素。应建立完善的纤维肌痛综合征治疗措施，以支持健康怀孕和良好的儿童健康结局。
