PRIMARY FIBROMYALGIA SYNDROME - A VARIANT OF DEPRESSIVE DISORDER
PRIMARY FIBROMYALGIA SYNDROME - A VARIANT OF DEPRESSIVE DISORDER
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DOI：
10.1159/000288150
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发表时间：
1989-01-01
影响因子：
22.8
通讯作者：
LANDAU, M
中科院分区：
文献类型：
--
作者：
ALFICI, S;SIGAL, M;LANDAU, M
原发性纤维肌痛综合征（PFS）是一种结缔组织风湿病，其特征是关节周围组织弥漫性慢性疼痛，无法确定器质性原因。本研究检查了40名PFS患者的个人和家族史、临床和精神动力学特征，并将其与患有类风湿性关节炎的患者的匹配对照组进行比较。无论是过去还是现在，PFS患者的抑郁症发生率均显著高于对照组。依赖性和被动性、家庭关系理想化、强迫性人格、对损失的适应不良反应和疼痛前工作狂是PFS患者的心理动力学特征。这表明PFS是一种定义明确的疾病，其中特定的病前、家族和心理动力学特征导致抑郁障碍，其表现为身体症状：疼痛。
Primary fibromyalgia syndrome (PFS) is a form of connective tissue rheumatism, characterised by diffuse chronic pain in periarticular tissue, for which no organic cause can be identified. the present study examined the personal and family history, clinical and psychodynamic features of 40 PFS patients, and compared them to a matched control group of patients suffering from rheumatoid arthritis. Depression, either in the past or at present, was seen significantly more often among PFS patients that among controls. Dependence and passivity, idealization of family relationships, obsessive-compulsive personality, maladaptive response to loss, and prepain ergomania were the psychodynamic features characteristic of PFS patients. It is suggest the PFS is a well-defined disorder, in which specific premorbid, familial, and psychodynamic characteristics results in a depressive disorder which takes the form of a physical symptom: pain.