Health anxiety and depression in patients with fibromyalgia syndrome

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Abstract
Objectives: To investigate health anxiety and depressive symptoms in patients with fibromyalgia
syndrome (FMS).
Methods: Patients with FMS and healthy control subjects were recruited. All participants
completed the Health Anxiety Inventory Short Form (HAI-SF) and Beck Depression Inventory
(BDI). Pain was assessed in patients with FMS using the Fibromyalgia Impact Questionnaire (FIQ)
and Visual Analogue Scale (VAS).
Results: This study involved 95 patients with FMS (15 male) and 95 healthy controls (17 male).
Mean SD HAI-SF and BDI scores were significantly higher in patients with FMS ¼ than in
controls¼. HAI-SF scores were 23.50 10.78 and 9.38 4.24 respectively; BDI scores were
18.64 10.11 and 6.21 4.05 respectively. There were highly significant correlations between FIQ
and HAI-SF, FIQ and BDI, and HAI-SF and BDI.
Conclusions: Patients with FMS had significantly higher HAI-SF and BDI scores than healthy
controls. Psychiatric support is essential for patients with FMS. Treatment should include biological,
psychological and social approaches.
Keywords
Health anxiety, fibromyalgia syndrome, depression, chronic pain
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