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Nasonova T.I.

Sechenov First Moscow State Medical University

Romanov D.V.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Mukhametzyanova A.Kh.

Sechenov First Moscow State Medical University

Isaikin A.I.

Sechenov First Moscow State Medical University

Parfenov V.A.

Sechenov First Moscow State Medical University

Mental disorders in patients with fibromyalgia: psychometric assessment of anxiety, depression, somatization and personality disorders

Authors:

Nasonova T.I., Romanov D.V., Mukhametzyanova A.Kh., Isaikin A.I., Parfenov V.A.

More about the authors

Journal: Russian Journal of Pain. 2022;20(3): 21‑26

DOI: 10.17116/pain20222003121

Views: 2760

Downloaded: 122

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Table of contents

MENTAL DISORDERS IN PATIENTS WITH FIBROMYALGIA: PSYCHOMETRIC ASSESSMENT OF ANXIETY, DEPRESSION, SOMATIZATION AND PERSONALITY DISORDERS
MENTAL DISORDERS IN PATIENTS WITH FIBROMYALGIA: PSYCHOMETRIC ASSESSMENT OF ANXIETY, DEPRESSION, SOMATIZATION AND PERSONALITY DISORDERS

To cite this article:

Nasonova TI, Romanov DV, Mukhametzyanova AKh, Isaikin AI, Parfenov VA. Mental disorders in patients with fibromyalgia: psychometric assessment of anxiety, depression, somatization and personality disorders. Russian Journal of Pain. 2022;20(3):21‑26. (In Russ.)
https://doi.org/10.17116/pain20222003121

 
Подписка 2025-2 (Russian Journal of Pain)
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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.

Keywords:

fibromyalgia
comorbidity
personality disorders
chronic pain
mental disorders
anxiety
depression
somatization

Authors:

Nasonova T.I.

Sechenov First Moscow State Medical University

Romanov D.V.

Sechenov First Moscow State Medical University (Sechenov University);
Mental Health Research Center

Mukhametzyanova A.Kh.

Sechenov First Moscow State Medical University

Isaikin A.I.

Sechenov First Moscow State Medical University

Parfenov V.A.

Sechenov First Moscow State Medical University

Received:

05.06.2022

Accepted:

07.07.2022

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