Martinez J E, Ferraz M B, Fontana A M, Atra E
Escola Paulista de Medicina, Pontificia Universidade Católica de São Paulo, Brazil.
J Psychosom Res. 1995 Feb;39(2):167-74. doi: 10.1016/0022-3999(94)00093-k.
In order to determine the occurrence of psychological disturbances the authors studied 47 women who fulfilled the American College of Rheumatology Criteria for the classification of fibromyalgia and 25 random selected control patients without chronic muscle pain, all of whom live in Sorocaba, SP, Brazil. Personality disturbances were observable in 63.8% of the patients and 8.0% of the control group (p < 0.05); depression in 80.0% of the fibromyalgia group and 12.0% of the controls (p < 0.05) and anxiety in 63.8% of the patients and 16.0% of the controls (p < 0.05). The Hamilton test mean scores showed higher values for depression and anxiety among the fibromyalgia patients when compared to the control group. A significant association between fibromyalgia and depression, anxiety and personality disturbances was studied and recorded.
为了确定心理障碍的发生率，作者对47名符合美国风湿病学会纤维肌痛分类标准的女性以及25名随机选择的无慢性肌肉疼痛的对照患者进行了研究，所有这些患者均居住在巴西圣保罗州索罗卡巴市。在患者中，63.8%存在人格障碍，而对照组中这一比例为8.0%（p<0.05）；纤维肌痛组中80.0%有抑郁，对照组中为12.0%（p<0.05）；患者中63.8%有焦虑，对照组中为16.0%（p<0.05）。汉密尔顿测试平均得分显示，与对照组相比，纤维肌痛患者的抑郁和焦虑得分更高。研究并记录了纤维肌痛与抑郁、焦虑和人格障碍之间的显著关联。
