Clinical Features and Relationship between Social Cnvironmental Factors and Fibromyalgia Syndrome / 대한류마티스학회지

ABSTRACT

OBJECTIVE: To investigate the clinical characteristics of fibromyalgia syndrome and to determine the usefulness of visual analogue scale (VAS) in global pain as predictor of symptoms and functional disabilities of daily activities and to evaluate the relationship between social environmental factors and fibromyalgia syndrome. METHOD: : Fourth-three patients with fibromyalgia syndrome who have met 1990 ACR criteria and 30 control patients with rheumatoid arthritis were included in the study. Clinical features, functional disabilities, VAS and psychological impact due to life stress by criteria and 30 control patients with rheumatoid arthritis were included in the study. Clinical features, functional disabilities, VAS and psychological impact due to life stress by social environmental factors were studied by direct interviews and questionnaires. RESULT: The mean age of the patients with fibromyalgia syndrome was 48+/-11 years old. The physical findings revealed that tender points were 15.5+/-1.4 and skin fold tenderness presented in 59% of patients. The most frequent symptoms with scores and ratio of symptom presented were fatigue(2.2, 93%), morning stiffness(2.2, 80%), arthralgia(2.1, 90%), lower back pain(2.1, 98%), depression(1.6, 95%). The majority of functional disabilities in fibromyalgia group were less severe than those of rheumatoid arthritis group. The VAS in global pain had correlationship with age, arthralgia, fatigue, hurt all over, morning stiffness, tender points as well as the majority of functional disabilities of daily activities. Although living together mother-in-law was not different significant ly from each other groups, the duration of living together was longer in fibromyalgia group. There were more histories and frequencies of artificial abortions in patients with fibromyalgia syndrome. CONCLUSION: The patients with fibromyaliga showed various symptoms. The visual analogue scale in global pain have had significant correlation with some symptoms and functional disabilities in daily activities. Fibromyalgia patients revealed more social and obstetrical life stress which may suggest more psychological impact.