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Psychiatric comorbidity in patients affected by fibromyalgia and/or autoimmune rheumatic diseases: Preliminary results of an observational study

Published online by Cambridge University Press:  23 March 2020

A. Bellomo
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
A. Zendoli
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
A. La Marca
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
E. Cuozzo
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
M. La Montagna
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
A. Rinaldi
Affiliation:
University of Foggia, Department of Psychiatry, Foggia, Italy
N. Melillo
Affiliation:
Ospedale Riuniti Foggia, Struttura Complessa Reumatologia Universitaria, Foggia, Italy
A. Mele
Affiliation:
Ospedale Riuniti Foggia, Struttura Complessa Reumatologia Universitaria, Foggia, Italy
F.P. Cantatore
Affiliation:
Ospedale Riuniti Foggia, Struttura Complessa Reumatologia Universitaria, Foggia, Italy

Abstract

Introduction

Fibromyalgia is characterized by skeletal muscle pain and axial stiffness, with elective multiple points of tenderness (tender points). According to scientific literature, the prevalence of depression, anxiety and a worse quality of life is higher in patients with fibromyalgia. Trauma (sexual abuse and physical aggression) has a key role in the pain perception.

Objectives

To describe the clinical characteristics of patients with fibromyalgia and/or autoimmune rheumatic diseases admitted to O.O.R.R. Foggia (Department of Rheumatology), to detect correlation between fibromyalgia and psychiatric disorders.

Aims

To underline psychiatric comorbidity in patients affected by fibromyalgia and/or autoimmune rheumatic diseases.

Methods

Diagnostic tests at Baseline (T0): Mini International Neuropsychiatric Interview and Structured Clinical Interview for DSM Disorder 2 to assess psychopathology, 12-Item Short Form survey for the quality of life, Diagnostic Criteria for Psychosomatic Research for disorders of somatic symptoms, Insight Scale for the awareness of the disease, Davidson Trauma scales to assess the presence of a post-traumatic stress disorder, Pittsburgh Sleep Quality Index about the quality of sleep. After 3 months (T1): further psychodiagnostic assessment for patients with positive mental status exam in drug treatment.

Results

Affectivity disorders, feelings of anger, irritability, hostility, impaired stress response, increased vulnerability to traumatic events are very frequent in patients affected by fibromyalgia.

Conclusions

The preliminary results of this study show that patients with fibromyalgia have diagnoses of major depression, anxiety disorders, post-traumatic stress disorder and personality disorders (cluster B). Multidisciplinary interventions are needed integrating the rheumatologic therapy with the psychiatric one, based on the detected diagnosis.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Walk: Psychopharmacology and pharmacoeconomics and psychoneuroimmunology
Copyright
Copyright © European Psychiatric Association 2017
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