¿Es la fibromialgia un trastorno depresivo con síntomas somáticos o es un síndrome de sensibilización central con comorbilidad depresiva?

Abstract

The aim of this work is to evaluate personality factors, quality of life and hormone levels in patients with Fibromyalgia in order to compare this disease with others Central Sensitivity Syndromes. Method: 48 subjects were measured by Personal Assessment Inventory, Fibromyalgia Impact Questionnaire and salivary cortisol. Results: The results show us that people affected by this disease have a very determined personality different to a mental disease and at the same time different to healthy people, predominating high scores in anxiety, depression and physical complains, but obtaining normal scores in other scales such as Mania, Paranoia or Schizofrenia. This psychological pattern makes them more sensitive to signals and mechanisms related to stress. Exploratory and confirmatory analysis reveal that personality patterns made up of Anxiety, Somatization and Depression are the most important in the quality of life of this patients whereas cortisol has very little effect on it. Conclusions: The conclusions extracted from this work lead to look for therapeutic treatments which take into account this mentioned personality variables, trying to avoid any confusion with other mental diseases.