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Revista Colombiana de Reumatología
versão impressa ISSN 0121-8123
Resumo
MARTINEZ-FERNANDEZ, Ana María et al. Cross-sectional study about the effect of catastrophizing and anxiety to pain on functional capacity and consumption of drugs of fibromyalgia patients. Rev.Colomb.Reumatol. [online]. 2016, vol.23, n.1, pp.3-10. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2015.11.002.
Introduction: Fibromyalgia is a chronic disease characterized by musculoskeletal pain asso-Fibromyalgia ciated with other symptoms. Its aetiology is unknown, diagnosis is clinical and treatments Fatigue chronic syndrome are symptomatic. How patients face the diagnosis and pain and how it appears to influence Pain management their evolution and treatment. Objective: To evaluate the effect of catastrophising and anxiety to pain regarding functional Catastrophising ability and consumption of drugs in patients with fibromyalgia. Material and methods:Cross-sectional study of 50 patients fibromyalgia cited in rheumato- logy from January 1 to March 31 of 2014 and volunteers of the Association of Patients with Fibromyalgia Asturias. Clinical and epidemiological variables, Fibromyalgia Impact Questionnaire abbreviated (FIQ), Pain Catastrophising Scale (PCS) and Pain Anxiety Symptoms Scale (PASS-20) were recorded. Results: The Spearman correlation between PCS-SP and PASS-20 was 0.67 (p < .001) between CIF and PASS-20 0.27 (p = .05) and between CIF and PCS-SP 0.03 meaningless statistics. The correlation with the consumption of drugs was: with PASS-20 0.41 (p = .003), with PCS-SP 0.49 (p < .001) and with CIF 0.32 (p = .024). The correlation coefficient from the onset of symptoms was: -0.21 (p = .14) with CIF, -0.16 (p = .26) with PCS and -0.25 (p = .08) with PASS-20. Conclusions: The levels of anxiety and catastrophising are strongly associated with each other, but both show a weak association with functional capacity. High scores on three scales represented an increase in consumption of drugs. A longer history of fibromyalgia appears to decrease the level of anxiety, catastrophising and functional impact.
Palavras-chave : Fibromyalgia; Fatigue chronic syndrome; Pain management; Anxiety; Catastrophising; Sickness impact profile.
