纤维肌痛症患者合并精神障碍的频率：伊朗的一项横断面研究。
The frequency of psychiatric disorder co-morbidities in patients with fibromyalgia: A cross-sectional study in Iran.
机构信息
School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
Department of Rheumatology, Diabetes Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
Nurs Open. 2023 Jul;10(7):4797-4805. doi: 10.1002/nop2.1731. Epub 2023 Mar 22.
AIM
This study aimed to investigate psychiatric disorders in Iranian female patients with fibromyalgia (FM).
DESIGN
Female patients, newly diagnosed with FM, were interviewed by a psychiatrist for psychiatric assessments during a 2-year period.
METHODS
The diagnosis of the psychiatric disorders was based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI).
RESULTS
In total, 159 patients with the mean age of 42.15 ± 9.89 were recruited in this study. Over 92% of the cases were also diagnosed with at least one type of psychiatric disorder. Sleep disorders (SDs, 90.57%), mood disorders (MDs, 52.83%), personality disorders (PDs, 40.25%) and anxiety disorders (ADs, 16.98%) were the most prevalent diagnoses among these patients. The logistic regression results correspondingly showed that suffering from Cluster-B PDs was associated with a higher prevalence rate of somatic symptom disorders (SSDs), with a p-value of 0.019 and an odds ratio (OR) of 2.7.
目的
本研究旨在调查伊朗纤维肌痛（FM）女性患者的精神障碍。
设计
在 2 年期间，通过精神科医生对新诊断为 FM 的女性患者进行精神评估访谈。
方法
根据《精神障碍诊断与统计手册》第五版（DSM-5）对精神障碍进行诊断，并使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。
结果
共有 159 名年龄为 42.15±9.89 岁的患者入组本研究。超过 92%的患者还被诊断出至少一种精神障碍。睡眠障碍（SDs，90.57%）、情绪障碍（MDs，52.83%）、人格障碍（PDs，40.25%）和焦虑障碍（ADs，16.98%）是这些患者中最常见的诊断。相应的逻辑回归结果表明，患有 B 群人格障碍与更高的躯体症状障碍（SSD）患病率相关，p 值为 0.019，优势比（OR）为 2.7。
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