The frequency of psychiatric disorder co-morbidities in patients with fibromyalgia: A cross-sectional study in Iran

Nurs Open. 2023 Jul;10(7):4797-4805. doi: 10.1002/nop2.1731. Epub 2023 Mar 22.

Abstract

Aim: This study aimed to investigate psychiatric disorders in Iranian female patients with fibromyalgia (FM).

Design: Female patients, newly diagnosed with FM, were interviewed by a psychiatrist for psychiatric assessments during a 2-year period.

Methods: The diagnosis of the psychiatric disorders was based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI).

Results: In total, 159 patients with the mean age of 42.15 ± 9.89 were recruited in this study. Over 92% of the cases were also diagnosed with at least one type of psychiatric disorder. Sleep disorders (SDs, 90.57%), mood disorders (MDs, 52.83%), personality disorders (PDs, 40.25%) and anxiety disorders (ADs, 16.98%) were the most prevalent diagnoses among these patients. The logistic regression results correspondingly showed that suffering from Cluster-B PDs was associated with a higher prevalence rate of somatic symptom disorders (SSDs), with a p-value of 0.019 and an odds ratio (OR) of 2.7.

Keywords: depression; fibromyalgia; pain disorder; psychiatric co-morbidities; somatic symptom.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Female
  • Fibromyalgia* / complications
  • Fibromyalgia* / diagnosis
  • Fibromyalgia* / epidemiology
  • Humans
  • Iran / epidemiology
  • Mental Disorders* / diagnosis
  • Mental Disorders* / epidemiology
  • Mental Disorders* / psychology
  • Middle Aged
  • Morbidity