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Rev Bras Reumatol. 2014 Sep-Oct;54(5):409-13. doi: 10.1016/j.rbr.2014.03.017. Epub 2014 Jul 6.

[Characterization of the pain, sleep and alexithymia patterns of patients with fibromyalgia treated in a Brazilian tertiary center].

[Article in Portuguese]

Author information

1
Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil.
2
Departamento de Psiquiatria e Psicologia Médica, Faculdade de Medicina de São José do Rio Preto, São José do Rio Preto, SP, Brasil. Electronic address: filho.gerardo@gmail.com.

Abstract

OBJECTIVES:

Fibromyalgia (FM) is a complex syndrome that is characterized by lasting and diffuse chronic musculoskeletal pain, derived from non-inflammatory causes and classically associated with the presence of specific tender points. However, studies have highlighted other important symptoms associated with a lower quality of life (QOL) in FM, such as sleep disturbances and alexithymia. This study aimed to investigate the pain, sleep and alexithymia patterns of FM patients treated in a Brazilian tertiary center.

METHODS:

20 patients with FM who were followed-up in the Rheumatology outpatient clinic of a Brazilian tertiary center (Faculdade de Medicina de São José do Rio Preto - FAMERP, São Paulo, Brazil) and 20 patients without FM from other outpatient services of the FAMERP completed a clinical and socio-demographic questionnaire, the Fibromyalgia Impact Questionnaire (FIQ), the Pittsburgh Sleep Quality Index (PSQI), the Toronto Alexithymia Scale (TAS-20) and the SF-36 (WHOQOL).

RESULTS:

The patients with FM presented worse performances in all QOL dimensions of the SF-36 and higher scores on the PSQI (p=0.01), and the TAS-20 (p=0.02). Patients with FM also scored significantly higher in all specific domains of PSQI and TAS-20.

DISCUSSION:

The present data were in accordance with literature, disclosing a worse performance of patients with FM on pain impact, sleep complains and more presence of alexithymia.

CONCLUSION:

Studies have disclosed the presence of important and frequently underdiagnosed symptoms beyond pain complaints in FM, such as sleep complaints and alexithymia, and a better knowledge of such disturbances might improve FM patients' approach and treatment.

KEYWORDS:

Alexithymia; Alexitimia; Fibromialgia; Fibromyalgia; Pittsburgh Sleep Quality Index; Qualidade de vida; Quality of life; Queixas de sono; Sleep complaints; Toronto Alexithymia Scale

PMID:
25627308
DOI:
10.1016/j.rbr.2014.03.017
[Indexed for MEDLINE]
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