섬유근통증후군(Fibromyalgia Syndrome)의 정신의학적 특징에 대한 연구-우울장애 대 신체형장애 = Psychiatric Characteristics of Fibromyalgia Syndrome 一 Depressive disorder or Somatoform Disorder

다국어 초록 (Multilingual Abstract)

Objective ： We attempted to investigate the psychiatric characteristics of fibromyagia syndrome
and to determine whether these characteristics are similar with those of major depression or
somatoform disorder.
Objects and Methods ： Twenty-three fibromyalgia syndrome patients, 25 osteoarthritis, 39
rheumatoid arthritis, 25 somatoform disorder and 20 major depression patients were studied.
Medical College of Wisconsin Center Pain Follow up Questionnaire, Global Assesment of
Recent Stress Scale (GARS), Beck Depression Inventory (BDI), State and Trait Anxiety
Inventory and Korean standardized edition of Eysenck Personality Questionnaire were used for
assesement.
Results : 1) In fibromyalgia group, the intensity of pain at its worst severity was significnatly
higher than that of rheumatoid arthritis and osteoarthritis group and the pain more persistent
than the other groups. 2) Mean scores of several items including overall global stress perception
of fibomyalgia and major depression group were higher than those of the other groups. 3)
Among the personality characteristics, scores for psychoticism and neuroticism of fibomyalgia
and major depression group were higher than those of the other groups and profile of
personality charaterisctics was also different among fibomyalgia, major depression group and
the other groups 4) In spite of statistical non-significance, total score of BDI was higher in
fibomyalgia and major depression group than the other groups and that score was regarded as
having a severe depression. In factor 3 of BDI (pessimism-suicide) which was the main fectors
of depression psychology, fibomyalgia and major depression group were scored significantly
higher than the other groups. 5) In fibromyalgia and major depression group, score of trait
anxiety was also significantly higher than that of the other groups but score of state anxiety was
higher in fibromyalgia, major depression, and somatoform disorder group in order.
Conclusion : These results suggest that patients with fibromygia syndrome show a distinguishable
psychological characteristics to compare with patients with rheumatoid arthritis and
osteoarthritis. The fibromyalgia patients seem to be more painful, more stressful, more anxious,
and more depressed than other arthritis patients and they have characteristic personality traits and
profiles. And that they show similar psychological profiles with those of major depession rather
than those of somatoform disorder

목차 (Table of Contents)

• 서 론
• 연구대상 및 방법
• 연구결과
• 고 찰
• 결 론
• 참고문헌