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AB1426-HPR Evaluation of socio-demographic variables, psychiatric comorbidity, and pain in fibromyalgia patients
  1. A.M. Canzonieri1,
  2. D.F. Pollak1,
  3. P.J. Oliveira2,
  4. M.E. Costa2,
  5. J. Natour1
  1. 1Rheumatology, Universidade Federal De São Paulo, São Paulo, Brazil
  2. 2Psychology, Universidade do Porto, Porto, Portugal

Abstract

Background Fibromyalgia isa chronic pain syndrome of unknown etiology associated to emotional disorders and low levels in health related quality of life.

Objectives To compare socio-demographic variables, psychiatric comorbidity, and pain among fibromyalgia patients and a healthy control group.

Methods Observational quantitative research through the collection of socio-demographic data, psychiatric disorders (Structured Clinical Interview DSM-IV – SCID) and pain (Visual Analogue Scale – VAS). In 100 patients in the rheumatology outpatient clinic of the Universidade Federalde São Paulo (UNIFESP) and 50 people without a diagnosis of fibromyalgia in São Paulo were recruited.

Results Results have shown that fibromyalgia patients present ahigher frequency of psychiatric comorbidity, a lower rate ofcollege graduates, and more difficultyin performing professional activities compared to the healthy group. In terms of working status, there is a higher prevalence of unemployment, sick-leave, and precarious employment among fibromyalgia patients. The contributionto the household budget between patients and healthy individuals is 42% - 58%.In 14% of patients have their own income compared to 34% of healthy group.SCID have revealed that the most prevalent psychiatric disorders among fibromyalgia patients are: previous major depression (14%), current major depression (25%), consumption of alcohol (12%), panic associated to agoraphobia (9%), panic without agoraphobia (13%), agoraphobia (18%), hypochondria (13%), and bulimia (1%). Comparing fibromyalgia patientsand healthy individuals in terms of psychiatric comorbidity the following percentages must be noted:dysthymic mood (21% - 4%), social phobia (27% - 2%), specific phobia (42% - 9%), obsessive compulsive disorder (57% -11%), generalized anxiety disorder (76% -17%), somatization (72%>6%), and binge eats (10% - 6%). In 94% of patients have mild, moderate, or severe social – occupational difficulties; 26% of healthy individuals do not present this kind of difficulty,and the remaining report minimal difficulties which do not interferewith daily activities. In fibromyalgia patients thetimeof illnessranges between 5 to10 years. VAS has shown that patients have a high rate of pain,given that 61% of them have scores above 6 cm (on a scale of 0 to 10 cm) and 15% report 10 cm.

Conclusions Fibromyalgiapatients have more psychiatric disorders and worst socio-demographic indicators compared to healthy individuals.

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Disclosure of Interest A. M. Canzonieri Grant/Research support from: CAPES, D. Pollak Grant/Research support from: FAPESP, P. Oliveira: None Declared, M. Costa: None Declared, J. Natour: None Declared

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