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评估纤维肌痛女性及其配偶的生活质量、焦虑、抑郁和睡眠质量。

Assessment of quality of life, anxiety, depression, and sleep quality in women with fibromyalgia and their spouses.

机构信息

Dicle University School of Medicine, Department of Family Medicine, Diyarbakir, Turkey.

出版信息

Eur Rev Med Pharmacol Sci. 2021 Jul;25(13):4506-4513. doi: 10.26355/eurrev_202107_26242.

Abstract

OBJECTIVE

Fibromyalgia syndrome (FMS) is a chronic disease that is more common in adult women and is characterized by widespread pain in the body, especially in the musculoskeletal system. Fatigue, sleep disturbance, anxiety disorder, and depression can be observed in this syndrome alongside pain. The aim of our study was to investigate the effect of FMS on the quality of life, psychological condition, and sleep quality of affected female patients and their spouses compared to women without FMS and their spouses.

PATIENTS AND METHODS

Thirty female patients diagnosed with fibromyalgia and their spouses and 38 healthy women and their spouses similar in age to these patients voluntarily participated in our study (136 participants total). The diagnosis of the patients was made according to the American College of Rheumatology. Turkish versions of the Short Form-36 (SF-36), the Hospital Anxiety and Depression Scale, and the Pittsburgh Sleep Quality Index (PSQI) questionnaires with validity and reliability were applied to all participants. The statistical analyses were carried out using SPSS 24.0 for Windows (SPSS Inc., Chicago, IL, US). Differences with p-values of ≤0.05 were statistically significant, and all results are expressed with a 95% confidence interval.

RESULTS

A total of 136 people, including women with FMS (n=30), spouses of FMS women (n=30), non-FMS control women (n=38), and spouses of the control women (n=38), were included in the study. The patient and control groups were similar in age and gender. However, participants in the study group had higher mean Body Mass Indexes compared to the controls. Quality of life and its sub-scales (except SF-36/Social function parameter), depression, anxiety status, and sleep quality were significantly different between the patients and controls. Additionally, quality of life and its sub-scales (except SF-36/Social function parameter), depression, and anxiety status were significantly different between the spouses of the patients and controls. There were no significant differences between the groups regarding the mean SF-36/SF (p=0.995 for both). Additionally, there was no significant difference between the spouse of the patient and control regarding the mean PSQI values (p=0126).

CONCLUSIONS

We believe that new and more comprehensive studies are necessary regarding the spouses of women with FMS in depression, anxiety, sleep quality disorders that we frequently see in women with FMS, and other psychosocial conditions that we have not mentioned here. In conclusion, women with FMS and their spouses.

摘要

目的

纤维肌痛综合征(FMS)是一种常见于成年女性的慢性疾病,其特征为全身疼痛,尤其是肌肉骨骼系统疼痛。除疼痛外,该综合征还伴有疲劳、睡眠障碍、焦虑障碍和抑郁。我们的研究旨在调查 FMS 对受影响女性患者及其配偶以及与无 FMS 的女性及其配偶的生活质量、心理状况和睡眠质量的影响。

患者和方法

30 名被诊断患有纤维肌痛的女性患者及其配偶以及 38 名年龄与这些患者相似的健康女性及其配偶自愿参加了我们的研究(共 136 名参与者)。根据美国风湿病学会的标准对患者进行诊断。所有参与者均接受了具有有效性和可靠性的土耳其版简短 36 项健康调查(SF-36)、医院焦虑和抑郁量表以及匹兹堡睡眠质量指数(PSQI)问卷。使用 SPSS 24.0 for Windows(SPSS Inc.,芝加哥,IL,美国)进行统计分析。p 值≤0.05 的差异具有统计学意义,所有结果均表示为 95%置信区间。

结果

共有 136 人,包括患有 FMS 的女性(n=30)、FMS 女性的配偶(n=30)、无 FMS 的对照组女性(n=38)和对照组女性的配偶(n=38),纳入了本研究。患者组和对照组在年龄和性别方面相似。然而,研究组的参与者平均体重指数高于对照组。患者和对照组之间的生活质量及其子量表(SF-36/社会功能参数除外)、抑郁、焦虑状况和睡眠质量存在显著差异。此外,患者配偶和对照组之间的生活质量及其子量表(SF-36/社会功能参数除外)、抑郁和焦虑状况也存在显著差异。两组的平均 SF-36/SF 无显著差异(p=0.995)。此外,患者配偶和对照组的平均 PSQI 值无显著差异(p=0.126)。

结论

我们认为,需要对我们在患有 FMS 的女性中经常观察到的抑郁、焦虑、睡眠质量障碍以及其他我们未在此处提及的社会心理状况的 FMS 女性的配偶进行新的、更全面的研究。总之,患有 FMS 的女性及其配偶。

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