Article Text


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


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.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.