Prevalência de depressão e sua relação com a qualidade de vida em pacientes com síndrome da fibromialgia
Prevalência de depressão e sua relação com a qualidade de vida em pacientes com síndrome da fibromialgia
复制标题
抑郁症和相关疾病的患病率是纤维肌痛综合症患者的生活质量
DOI：
10.1590/s0482-50042005000200002
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发表时间：
2005
影响因子：
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通讯作者：
Saulo Caíres Berber
中科院分区：
文献类型：
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作者：
Joana de Souza Santos Berber;Emil Kupek;Saulo Caíres Berber
目的：了解纤维肌痛综合征(FS)患者抑郁的发生率和生活质量，并探讨二者之间的关系。方法：在巴西弗洛里亚诺波利斯市的两家公立和六家私立风湿病诊所选择了70名FS患者。用一般健康问卷(GHQ-28)筛查抑郁，用简明健康调查问卷(SF-36)测量生活质量。统计分析采用方差分析和多元回归分析。结果：近2/3的FS患者有不同程度的抑郁，轻度、中度和重度抑郁分别占32.9%、21.4%和12.9%。抑郁与以下生活质量量表得分较低有关：身体条件、身体功能、疼痛、社会功能、心理健康、情感功能和总体健康感知。疼痛控制、社会功能、活力和总体健康感觉随着年龄的增长而改善。结论：抑郁症在FS患者中非常普遍，并对生活质量的各个方面产生显著的不良影响。它还可能增加因疾病而产生的疼痛、身体残疾和社交能力不足的感觉，从而使治疗更加困难。
OBJECTIVE: to determine the prevalence of depression and quality of life in patients with Fibromyalgia Syndrome (FS), as well as the relationship between both of them. METHODS: Seventy patients with FS were selected in two public and six private rheumatology clinics in the city of Florianopolis, Brazil. General Health Questionnaire (GHQ-28) was used to screen depression, and another questionnaire, the Short Form Health Survey (SF-36), was used to measure quality of life. Analysis of variance and multivariate regression was used for statistical analysis. RESULTS: Nearly two thirds of the patients with FS had some degree of depression: 32.9%, 21.4% and 12.9% of them had mild, moderate and severe depression, respectively. Depression was associated with lower scores on the following scales of quality of life: physical conditioning, physical functioning, pain, social functioning, mental health, emotion functioning and general health perception. Pain control, social functioning, vitality and general health perception improved with age. CONCLUSIONS: Depression was shown to be highly prevalent and to have a significant adverse effect on various aspects of quality of life among the patients with FS. It may also increase the sensation of pain, physical incapacity and social inadequacy due to the illness, thus making the treatment more difficult.