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AB0168 Psychopathologic study in patients with fibromyalgia
  1. AR De la Serna1,
  2. M Serra2,
  3. J Wulf2
  1. 1Rheumatology (1)/Psychosomatic (2)
  2. 2Psychosomatic, Sant Pau, Barcelona, Spain

Abstract

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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