Background Fibromyalgia is considered a psychosomatic disease.
Objectives This study was conducted to assess psychopathology changes in patients with fibromyalgia.
Methods We evaluated sequential outpatients with ACR criteria of fibromyalgia, through interviews by clinical psychologist, a psychiatrist and test for general psychopathology (Golberg), depression (Beck) and anxiety (Stai).
Results Demographic data: Twenty-nine patients were evaluated (4 men). Twenty-seven were married. Eighteen were immigrants. Twenty-four had children. Eight were unemployed. Thirteen were house wives. Three non qualified professionals. Eleven retailers and two qualified professionals. Psychopathologic results: Eight patients were totally normal. Golberg’test: twelve patients were normal. Five had mild and twelve severe alterations. Beck’test: thirteen patients were normal. Four suffered from mild depression. Four moderate, four severe and four more severe depression. Stai’test: ten patients didnt anxiety. Eighteen were trait anxiety and sixteen state anxiety. Interview: nineteen patients had sleep problems. Twenty-four were fatigued and fifteen had relapse thinking.
Conclusion The absence of psychopathology in 28% of patients with fibromyalgia, and the mild changes in others, allows us to differentiate between psychogenic rheumatism and fibromyalgia, and obligues us to establish a psychogenic evaluation in these.
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