M Ucar1, Ü Sarp2, A I Gül3, N Tanik4, A Yetisgin5, H O Arik6, O Nas2, Y K Yılmaz7. 1. Bozok University Medical School, Department of Physical Medicine and Rehabilitation, Yozgat TR-66001, Turkey. drmehmetucar@msn.com. 2. Yozgat State Hospital, Department of Physical Medicine and Rehabilitation, Yozgat, Turkey. 3. Bozok University Medical School, Department of Psychiatry, Turkey. 4. Bozok University Medical School, Department of Neurology, Yozgat, Turkey. 5. Şanlıurfa Education and Research Hospital, Department of Physical Medicine and Rehabilitation, Şanlıurfa, Turkey. 6. Yozgat State Hospital, Department of Orthopedics and Traumatology, Yozgat, Turkey. 7. Bozok University Medical School, Department of Cardiovascular Surgery, Yozgat, Turkey.
Abstract
AIM: This study evaluated biological rhythm disorders in patients with fibromyalgia syndrome (FMS). METHODS: The study enrolled 82 patients with FMS and 82 controls. Pain intensity was evaluated using a visual analogue scale (VAS). The psychological conditions of the patients were evaluated using the Beck Depression Inventory (BDI). The Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) was used to assess disturbances in biological rhythms (ie sleep, activity, social and eating patterns). RESULTS: There was no difference between the two groups at baseline (all p > 0.05). The BDI, BRIAN total, sleep, activity, social, and eating scores were higher in patients with FMS than in the controls (all p < 0.001). Further, a significant correlation was found between biological rhythms and BDI scores (p < 0.001) and there were positive correlations between the VAS score and BRIAN total, sleep, and eating and BDI in patients with FMS (all p < 0.001). CONCLUSION: There are marked biological rhythm disturbances in FMS. There is an important relationship between rhythm disorders and FMS. The disturbances in sleep, functional activities, social participation, and disordered rhythms like eating patterns show the need for a multidisciplinary approach to treating patients with FMS.
AIM: This study evaluated biological rhythm disorders in patients with fibromyalgia syndrome (FMS). METHODS: The study enrolled 82 patients with FMS and 82 controls. Pain intensity was evaluated using a visual analogue scale (VAS). The psychological conditions of the patients were evaluated using the Beck Depression Inventory (BDI). The Biological Rhythms Interview of Assessment in Neuropsychiatry (BRIAN) was used to assess disturbances in biological rhythms (ie sleep, activity, social and eating patterns). RESULTS: There was no difference between the two groups at baseline (all p > 0.05). The BDI, BRIAN total, sleep, activity, social, and eating scores were higher in patients with FMS than in the controls (all p < 0.001). Further, a significant correlation was found between biological rhythms and BDI scores (p < 0.001) and there were positive correlations between the VAS score and BRIAN total, sleep, and eating and BDI in patients with FMS (all p < 0.001). CONCLUSION: There are marked biological rhythm disturbances in FMS. There is an important relationship between rhythm disorders and FMS. The disturbances in sleep, functional activities, social participation, and disordered rhythms like eating patterns show the need for a multidisciplinary approach to treating patients with FMS.
Authors: Roberto Ezequiel Heymann; Eduardo dos Santos Paiva; Milton Helfenstein; Daniel Feldman Pollak; José Eduardo Martinez; José Roberto Provenza; Ana Patrícia Paula; Antonio Carlos Althoff; Eduardo José do R E Souza; Fernando Neubarth; Lais Verderame Lage; Marcelo Cruz Rezende; Marcos Renato de Assis; Maria Lucia Lemos Lopes; Fabio Jennings; Rejane Leal C da Costa Araújo; Valéria Valim Cristo; Evelin Diana Goldenberg Costa; Helena Hideko S Kaziyama; Lin Tchia Yeng; Marta Iamamura; Thais Rodrigues Pato Saron; Osvaldo J M Nascimento; Luiz Koiti Kimura; Vilnei Mattioli Leite; Juliano Oliveira; Gabriela Tannus Branco de Araújo; Marcelo Cunio Machado Fonseca Journal: Rev Bras Reumatol Date: 2010 Jan-Feb
Authors: Larriany Maria Falsin Giglio; Pedro Vieira da Silva Magalhães; Ana Cristina Andreazza; Julio Cesar Walz; Lourenço Jakobson; Paola Rucci; Adriane Ribeiro Rosa; Maria Paz Hidalgo; Eduard Vieta; Flávio Kapczinski Journal: J Affect Disord Date: 2009-02-20 Impact factor: 4.839