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
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Abstract
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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2. Rivera J. Controversias en el diagnóstico de fibromialgia. Rev Esp Reumatol. 2004;31(9):501-6.
3. Alegre C. Problemática en el abordaje de la fibriomialgia. Aten Primaria. 2004 May;33(9):526-7.
4. Rotes-Querol J. La fibromialgia en el año 2002. Rev Esp Reumatol. 2005;32(3):77-81.
5. White KP, Speechley M, Harth M, Ostbye T. The London Fibromyalgia Epidemiology Study: the prevalence of fibromyalgia syndrome in London, Ontario. J Rheumatol. 1999 Jul;26(7):1570-6.
6. Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P, et al. The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum. 1990 Feb;33(2):160-72.
7. Rojas A, Zapata A, Anaya JM, Tamayo R. Predictores de calidad de vida en pacientes con fibromialgia. Rey. Colomb Reumatol. 2005 Dic;12(4):295-300.
8. Alvarez B, Alonso JL, Alegre J, Viejo JL, Marañón A. Síndrome de fibromialgia: características clínicas de las pacientes españolas. Rev Esp Reumatol. 1996;23(3):76-82.
9. Posada-Villa JA, Trevisi C. Prevalencia, severidad y necesidades no satisfechas del tratamiento de los trastornos de ansiedad, relacionados con sustancias, del estado de ánimo y del control de los impulsos en adultos según el Estudio Nacional de Salud Mental, Colombia, 2003. Medunab 2004 Ago; 7(20):65-72.
10. Posada-Villa JA, Aguilar-Gaxiola SA, Magaña CG, Gómez LC. Prevalencia de trastornos mentales y uso de servicios: resultados preliminares del Estudio Nacional de Salud Mental. Colombia, 2003. Rev Colomb Psiquiatr. 2004 Sep;33(3):241-62.
11. Alvarez MO. Fisiopatología y terapéutica de la fibromialgia. Rey Esp Reumatol. 2005;32(3):77-81.
12. Serrano. F. Depresión en enfermedades médicas. An Sist Sanit Navar. 2002;25 Supl 3:137-148.
13. Gómez-Restrepo C, Bohórquez A, Pinto D, Gil JFA, Rondón M, Díaz-Granados N. Prevalencia de depresión y factores asociados con ella en la población colombiana. Rev Panam Salud Publica. 2004;16(6):378-86.
14. Pignone MP, Gaynes BN, Rushton JL, Burchell CM, Orleans CT, Mulrow CD, Lohr KN. Screening for depression in adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2002 May 21;136(10):765-76.
15. Wysenbeek AJ, Shapira Y, Leibovici L. Primary fibromyalgia and the chronic fatigue syndrome. Rheumatol Int. 1991; 10(6):227-9.