Differences in depression, anxiety and stress disorders between fibromyalgia associated with rheumatoid arthritis and primary fibromyalgia.


Journal

Stress and health : journal of the International Society for the Investigation of Stress
ISSN: 1532-2998
Titre abrégé: Stress Health
Pays: England
ID NLM: 101089166

Informations de publication

Date de publication:
Apr 2021
Historique:
revised: 02 09 2020
received: 08 02 2020
accepted: 02 09 2020
pubmed: 30 9 2020
medline: 21 8 2021
entrez: 29 9 2020
Statut: ppublish

Résumé

Fibromyalgia (FM) was frequently observed in patients with rheumatoid arthritis (RA). We aimed to evaluate the differences in psychiatric comorbidities and life adversities between patients with Rheumatoid arthritis + FM (secondary fibromyalgia [SFM]) and people with primary FM (PFM). In a cross-sectional, observational study, patients with PFM and SFM underwent a structured interview for the lifetime diagnosis of major depression (MDD), panic disorder (PD) and post-traumatic stress disorder (PTSD) and were assessed for childhood/adulthood adversities and FM-related symptoms severity. Thirty patients with PFM and 40 with SFM were recruited. The univariate analysis showed that the lifetime rates of MDD were significantly higher in PFM versus SFM (76.7 % and 40%, respectively, p < 0.003), as well as the rates of PD (50 % and 15%, respectively, p < 0.003), whereas there was no difference in PTSD rates. The rates of sexual abuse and physical neglect were significantly higher in PFM patients versus SFM patients (p < 0.005 and p < 0.023). Life events occurring before FM onset were different in PFM and SFM groups. In the logistic regression model, lifetime PD and physical neglect remain independent risk factors for PFM. PFM and SFM differ in psychiatric comorbidities and environmental adversities, suggesting that common pathogenesis may develop through different pathways.

Identifiants

pubmed: 32991777
doi: 10.1002/smi.2992
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

255-262

Informations de copyright

© 2020 John Wiley & Sons Ltd.

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Auteurs

Alessandra Alciati (A)

Department of Clinical Neurosciences, Hermanas Hospitalarias, Villa S. Benedetto Menni Hospital, Albese (Como), Italy.
Humanitas Clinical and Research Center, IRCCS, Rozzano, Italy.

Mariateresa Cirillo (M)

Rheumatology Unit, University of Messina, Messina, Italy.

Ignazio Francesco Masala (IF)

Trauma and Orthopedic Unit, Santissima Trinità Hospital, Cagliari, Italy.

Piercarlo Sarzi-Puttini (P)

Department of Rheumatology, University Hospital ASST Fatebenefratelli Sacco, Milan, Italy.

Fabiola Atzeni (F)

Rheumatology Unit, University of Messina, Messina, Italy.

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