慢性疼痛是抑郁症的一种变体吗？原发性纤维肌痛综合征的情况。

Is chronic pain a variant of depressive disease? The case of primary fibromyalgia syndrome.

作者信息

Ahles Tim A, Yunus Muhammad B, Masi Alfonse T

机构信息

Departments of Psychiatry and Behavioral Medicine, University of Illinois College of Medicine, Peoria, ILU.S.A. Departments of Medicine, University of Illinois College of Medicine, Peoria, ILU.S.A.

出版信息

Pain. 1987 Apr;29(1):105-111. doi: 10.1016/0304-3959(87)90183-7.

DOI:10.1016/0304-3959(87)90183-7

PMID:3587996

Abstract

The responses of 45 primary fibromyalgia syndrome (PFS) patients, 29 rheumatoid arthritis (RA) patients and 31 healthy non-pain controls (NC) on the Zung Self-Rating Depression scale were compared. No difference between the PFS and RA groups was found, although the former has no known organic pathology, unlike the latter. Therefore, the hypothesis that the presentation of chronic pain in the absence of a known organic pathology is a variant of 'depressive disease' was not supported in the case of PFS. However, a subgroup of PFS (28.6%) and RA (31.0%) patients appeared to be experiencing significant depressive symptomatology.

摘要

比较了45例原发性纤维肌痛综合征（PFS）患者、29例类风湿性关节炎（RA）患者和31名健康无疼痛对照者（NC）在zung自评抑郁量表上的反应。尽管PFS组与RA组不同，前者没有已知的器质性病变，但两组之间未发现差异。因此，在PFS病例中，“在没有已知器质性病变的情况下出现慢性疼痛是‘抑郁性疾病’的一种变体”这一假设未得到支持。然而，PFS组（28.6%）和RA组（31.0%）的一个亚组患者似乎有明显的抑郁症状。