目的:纤维肌痛患者常报告某些季节会加重症状。主要目的是确定纤维肌痛的主要症状与一年中的季节之间的关联。第二个目标是根据焦虑或抑郁水平确定差异的存在。
方法:方便样本由471名纤维肌痛患者在开始多学科治疗前进行评估。收集了人口和气象数据。临床数据用疼痛强度的标准化仪器进行评估,功能,疲劳,刚度,睡眠质量,焦虑和抑郁。
结果:不同组的参与者年龄相同,性别,教育水平,婚姻状况和就业状况。疼痛强度无显著差异(F=1.334;P=0.265)。功能(F=.402;P=.669),疲劳(F=.714;P=.490),刚度(F=.299;P=.741),焦虑(F=.376;P=.687),抑郁(F=.608;P=.545),心理困扰(F=.261;P=.770),睡眠量(F=1.507;P=.223)或睡眠障碍(F=.343;P=.710)。
结论:纤维肌痛症状的强度没有差异,也不是一年中不同季节的严重程度百分比。焦虑比抑郁更普遍,可能是由于样品本身的特性,大多数患者功能失调。
Fibromyalgia patients often report that certain seasons aggravate their symptoms. The main objective was to determinate the association between key symptoms of fibromyalgia and the season of the year. A secondary objective was to determinate the existence of differences based on levels of anxiety or depression.
Convenience sample made up of 471 participants with fibromyalgia evaluated before starting multidisciplinary treatment. Demographic and meteorological data were collected. Clinical data were assessed with standardized instruments of pain intensity, functionality, fatigue, stiffness, sleep quality, anxiety and depression.
The different groups of participants were homogeneous for age, gender, educational level, marital status and employment situation. No significant differences were found in pain intensity (F=1.334; P=.265), functionality (F=.402; P=.669), fatigue (F=.714; P=.490), stiffness (F=.299; P=.741), anxiety (F=.376; P=.687), depression (F=.608; P=.545), psychological distress (F=.261; P=.770), sleep quantity (F=1.507; P=.223) or sleep disturbances (F=.343; P=.710).
No differences were found in the intensity of fibromyalgia symptoms, nor in the percentages of severity among the different seasons of the year. Anxiety was more prevalent than depression, possibly due to the characteristics of the sample itself, with the majority of patients with a dysfunctional profile.