섬유근통증후군(Fibromyalgia Syndrome)의 정신의학적 특징에 대한 연구-우울장애 대 신체형장애

Psychiatric Characteristics of Fibromyalgia Syndrome 一 Depressive disorder or Somatoform Disorder

Objective ： We attempted to investigate the psychiatric characteristics of fibromyagia syndrome and to determine whether these characteristics are similar with those of major depression or somatoform disorder. Objects and Methods ： Twenty-three fibromyalgia syndrome patients, 25 osteoarthritis, 39 rheumatoid arthritis, 25 somatoform disorder and 20 major depression patients were studied. Medical College of Wisconsin Center Pain Follow up Questionnaire, Global Assesment of Recent Stress Scale (GARS), Beck Depression Inventory (BDI), State and Trait Anxiety Inventory and Korean standardized edition of Eysenck Personality Questionnaire were used for assesement. Results : 1) In fibromyalgia group, the intensity of pain at its worst severity was significnatly higher than that of rheumatoid arthritis and osteoarthritis group and the pain more persistent than the other groups. 2) Mean scores of several items including overall global stress perception of fibomyalgia and major depression group were higher than those of the other groups. 3) Among the personality characteristics, scores for psychoticism and neuroticism of fibomyalgia and major depression group were higher than those of the other groups and profile of personality charaterisctics was also different among fibomyalgia, major depression group and the other groups 4) In spite of statistical non-significance, total score of BDI was higher in fibomyalgia and major depression group than the other groups and that score was regarded as having a severe depression. In factor 3 of BDI (pessimism-suicide) which was the main fectors of depression psychology, fibomyalgia and major depression group were scored significantly higher than the other groups. 5) In fibromyalgia and major depression group, score of trait anxiety was also significantly higher than that of the other groups but score of state anxiety was higher in fibromyalgia, major depression, and somatoform disorder group in order. Conclusion : These results suggest that patients with fibromygia syndrome show a distinguishable psychological characteristics to compare with patients with rheumatoid arthritis and osteoarthritis. The fibromyalgia patients seem to be more painful, more stressful, more anxious, and more depressed than other arthritis patients and they have characteristic personality traits and profiles. And that they show similar psychological profiles with those of major depession rather than those of somatoform disorder