Fibromyalgic syndrome: depression and abnormal illness behavior. Multicenter investigation.
This study reports psychological symptoms assessed in 327 patients with fibromyalgia (FS) in a multicenter investigation. Two self-report scales, in their validated Italian translations, were used for screening: the CES-D (the Center of Epidemiologic Studies-Depression) developed at the NIMH for measuring depression and the Illness Behavior Questionnaire (IBQ) developed by Pilowsky and Spence. The cutoff point of 23 in the CES-D scores revealed about 49% of the fibromyalgic patients as depressed. In analyzing patterns of illness behavior patients with FS showed a high score on IBQ scales of disease conviction, psychological versus somatic focusing and denial. CES-D scores showed significant correlations with illness behavior scales. These results and their implications for the treatment of fibromyalgic patients are discussed.
Ercolani
M
M
Dipartimento di Psicologia, Università di Bologna, Italia.
Trombini
G
G
Chattat
R
R
Cervini
C
C
Piergiacomi
G
G
Salaffi
F
F
Zeni
S
S
Marcolongo
R
R
D000328:Adult; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D005260:Female; D005356:Fibromyalgia / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D010555:Personality Inventory / Q000706:statistics & numerical data; D011594:Psychometrics; D011788:Quality of Life; D012803:Sick Role