Ercolani M, Trombini G, Chattat R, Cervini C, Piergiacomi G, Salaffi F, Zeni S, Marcolongo R
Dipartimento di Psicologia, Università di Bologna, Italia.
Psychother Psychosom. 1994;61(3-4):178-86. doi: 10.1159/000288887.
This study reports psychological symptoms assessed in 327 patients with fibromyalgia (FS) in a multicenter investigation. Two self-report scales, in their validated Italian translations, were used for screening: the CES-D (the Center of Epidemiologic Studies-Depression) developed at the NIMH for measuring depression and the Illness Behavior Questionnaire (IBQ) developed by Pilowsky and Spence. The cutoff point of 23 in the CES-D scores revealed about 49% of the fibromyalgic patients as depressed. In analyzing patterns of illness behavior patients with FS showed a high score on IBQ scales of disease conviction, psychological versus somatic focusing and denial. CES-D scores showed significant correlations with illness behavior scales. These results and their implications for the treatment of fibromyalgic patients are discussed.
本研究报告了在一项多中心调查中对327名纤维肌痛（FS）患者进行评估的心理症状。使用了两个经意大利语有效翻译的自我报告量表进行筛查：美国国立精神卫生研究所开发的用于测量抑郁的CES-D（流行病学研究中心抑郁量表）以及皮洛夫斯基和斯彭斯编制的疾病行为问卷（IBQ）。CES-D得分23的临界值显示约49%的纤维肌痛患者存在抑郁。在分析疾病行为模式时，FS患者在IBQ的疾病确信、心理与躯体关注及否认量表上得分较高。CES-D得分与疾病行为量表显著相关。文中讨论了这些结果及其对纤维肌痛患者治疗的意义。
