Depressive disorders in patients with fibromyalgia: Hospital de San José, February to May 2007

Trastornos depresivos en pacientes con fibromialga: Hospital de San José, febrero a mayo de 2007

Objective: to determine the frequency of depressive disorders in patients with fibromyalgia who attend the rheumatology outpatient clinic of the Hospital of San José, in the period between February and May 2007. Patients and methods: those diagnosed with fibromyalgia were studied. a specialist in rheumatology or internal medicine, according to the criteria of the American College of Rheumatology who were not receiving antidepressant medications or capable of producing depression, during the two months prior to study entry. An information collection form was applied. Results: A total of 49 patients were collected, 98% women (n = 48) and 2% men (n = 1). The average age was 51 years, ranging from 17 to 78. They belonged to socioeconomic strata 2, 3 and 4. The presence of comorbidities was determined in 78% of patients with depression and fibromyalgia. The presence of rheumatoid arthritis, SLE, migraine, irritable bowel syndrome, hypothyroidism and chronic fatigue syndrome was evaluated. Depression was found in 63% (n = 31) of the total number of patients. All corresponding to the female sex, 75% belonged to medium and low socioeconomic stratum (3 and 4), 68% were unemployed, 52% began high school studies, completing it 29%. Only 19% were professionals and 10% reached a technical level of education. Half of the patients had a stable relationship (married / free union). In patients with diagnosis times of associated comorbidities of five years or less, a higher frequency of depressive disorders was found. Conclusions: FMi, like other chronic diseases, is influenced by biological and sociological factors. The results obtained show that the frequency of depression in patients with FMi was 63%, similar to other studies conducted in our country. It is evident that the psychosocial aspects are going to influence the evolution of the FMi, in addition to other factors such as the mental state, the cultural level, the family support and the influence of economic means or all at the same time. That is why we analyze the demographic aspects and our results are similar to previous studies, where it is reported that the frequency of depressive disorder is higher in women (73-88%), with an average age between 34 and 57 years, who have completed the secondary school completely or incompletely and belong to the medium and low middle class. Although the results obtained in the different studies are not homogeneous, the high frequency of psychiatric and psychological disorders in the onset and / or evolution of fMRI is clear. However, the specific role of the psychopathological aspects in the etiopathogenesis and course of the disease needs to be determined more precisely. This work intends to be a starting point for the approach approach and management of patients with FMi, which lead to improve the quality of life of the large number of people suffering from this condition. Abbreviations: FMi, fibromyalgia; TD, depressive disorder; LES, systemic lupus erythematosus.

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