Fibromyalgia in patients with non‐psychotic mental disorders: Prevalence, associated factors and validation of a brief screening instrument

IF 3.5 2区医学 Q1 ANESTHESIOLOGY

European Journal of Pain Pub Date : 2024-09-17 DOI:10.1002/ejp.4730

Mikhail Zinchuk, Georgii Kustov, Dmitry Tumurov, Dmitry Zhuravlev, Yulia Bryzgalova, Maria Spryshkova, Alexander Yakovlev, Alla Guekht

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引用次数: 0

Abstract

BackgroundFibromyalgia (FM) is a chronic pain syndrome associated with significant distress and numerous unpleasant consequences. Mental health problems in people with FM have been reported in many studies. People with mental disorders are thought to be at higher risk of FM than the general population, but the prevalence has not been established.ObjectiveWe aimed to investigate the prevalence of FM in a representative sample of inpatients with non‐psychotic mental disorders. Additionally, we aimed to assess the psychometric properties of the Fibromyalgia Rapid Screening Tool (FiRST) in the Russian‐speaking population of people with mental disorders.MethodsConsecutive inpatients admitted to the Moscow Research and Clinical Center for Neuropsychiatry for treatment of non‐psychotic mental disorders were evaluated for FM by a neurologist and completed the FiRST, Beck Depression Inventory (BDI), and State and Trait Anxiety Inventory (STAI).ResultsOf the 1168 patients evaluated 9.0% met the diagnostic criteria for FM. FM was associated with being female, having a diagnosis of unipolar depression, and having higher total scores on the BDI and STAI. The psychometric properties of the FiRST were good (McDonald's omega 0.79, corrected item‐total correlation greater than 0.45). An optimal cut‐off point with the highest Yuden's index (J = 0.75) was >3 (AUC of 0.89).ConclusionFM is a common comorbidity in people with non‐psychotic mental disorders, associated with being female, having a diagnosis of unipolar depression, and having more severe anxiety and depression. The FiRST can be used for the FM screening with its cut‐off >3 in people with non‐psychotic mental disorders.Significance StatementIt is the first study to determine the prevalence of FM in people with non‐psychotic spectrum mental disorders. The study design included a consecutive sample in a real‐life setting to avoid bias. In addition, we evaluated the psychometric properties of the FM screening instrument in a population of people with mental disorders and established the cut‐off. The specificity of this subpopulation is explained by both the high prevalence of pain symptoms and the overlap of some psychiatric and FM symptoms.

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非精神病性精神障碍患者中的纤维肌痛：患病率、相关因素和简短筛查工具的验证

背景纤维肌痛（FM）是一种慢性疼痛综合征，伴有严重的痛苦和许多不愉快的后果。许多研究都报告了 FM 患者的心理健康问题。我们旨在调查非精神病性精神障碍住院患者样本中 FM 的患病率。此外，我们还旨在评估纤维肌痛快速筛查工具（Fibromyalgia Rapid Screening Tool，FiRST）在俄语精神障碍患者群体中的心理测量特性。方法莫斯科神经精神病学研究与临床中心连续收治的非精神病性精神障碍住院患者均接受了神经科医生的纤维肌痛评估，并填写了 FiRST、贝克抑郁量表（Beck Depression Inventory，BDI）和状态与特质焦虑量表（State and Trait Anxiety Inventory，STAI）。FM 与女性、单相抑郁症诊断、BDI 和 STAI 总分较高有关。FiRST 的心理计量特性良好（麦当劳欧米茄 0.79，校正后的项目-总相关性大于 0.45）。结论FM是非精神病性精神障碍患者中常见的合并症，与女性、单极性抑郁症诊断、更严重的焦虑和抑郁有关。FiRST的临界值为3，可用于非精神病性精神障碍患者的FM筛查。意义声明这是第一项确定非精神病谱系精神障碍患者FM患病率的研究。研究设计包括在真实生活环境中的连续样本，以避免偏差。此外，我们还评估了FM筛查工具在精神障碍人群中的心理测量特性，并确定了临界值。该亚人群的特异性得益于疼痛症状的高发生率以及某些精神症状和 FM 症状的重叠。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.