Fibromyalgia (FM) is often underdiagnosed, it takes a long time from the appearance of symptoms to the diagnosis of FM. FM and comorbid mental disorders are insufficiently studied.
OBJECTIVE
The study of diagnostic issues and comorbid mental disorders in patients with FM.
MATERIAL AND METHODS
53 patients with FM (47 women and 6 men) were observed, the mean age was 46.8±14.6 years. The control group included 33 people without pain syndrome (24 women and 9 men), the mean age was 43.6±12.4 years. The Numerical Pain Rating Scale (NPRS), the Hospital Anxiety and Depression Scale (HADS), the Screening for Somatoform Symptoms-2 (SOMS-2), the Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II-PD) were used.
RESULTS
The duration of symptoms before the diagnosis of FM was 7.0 (2.0-15.0) years. Only 15% of patients were diagnosed with FM before hospitalization. The intensity of pain during the initial examination in patients with FM according to NPRS was 7.1±1.9 points. Patients with FM had signs of increased anxiety and depression on the HADS scale (p<0.001). According to the results of the SOMS-2: patients with FM scored 28.0 (22.0-34.0) points, the control group — 8.0 (4.0-15.0) points (p<0.001). According to SCID-II-PD, patients with FM are observed statistically significantly more often than in the control group, such personality disorders (PD) as obsessive-compulsive PD (59%, p=0.023), borderline PD (49%, p<0.001), passive-aggressive PD (30%, p=0.007); dependent PD (19%, p=0.008), histrionic PD (17%, p=0.05). At the same time, at least one PD occurs in 87% of patients with FM (in the control group in 36%, p=0.001).
CONCLUSION
FM is rarely diagnosed in our country. With FM, not only increased anxiety, depression and somatization are observed, but also personality disorders.