Correlation between levels of perceived stress and depressive symptoms in the functional disability of patients with fibromyalgia

Fernandes, Luiz Gustavo Rachid; Wenceslau, Carolyn Maria de Geus; Santos, André Amaro Mamédio dos; Lima, Diogo Von Gaevernitz; Dieckmann, Luiz Henrique Junqueira; Haddad, Michel; Mansani, Fabiana Postiglione; Schafranski, Marcelo Derbli

doi:10.1590/1806-9282.20230690

Tabla de contenido Anterior Actual Siguiente

Tabla de contenido

Original Article • Rev. Assoc. Med. Bras. 69 (11) • 2023 • https://doi.org/10.1590/1806-9282.20230690 linkcopy

Correlation between levels of perceived stress and depressive symptoms in the functional disability of patients with fibromyalgia

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE: The aim of this study was to evaluate the factors that are most correlated with the levels of functional disability in patients with fibromyalgia.

METHODS: This is a cross-sectional descriptive study in which 42 patients diagnosed with fibromyalgia according to the criteria of the American College of Rheumatology reported their status using the following questionnaires: the Beck Depression Inventory, the Perceived Stress Scale 14, the Revised Fibromyalgia Impact Questionnaire, the Visual Analog Pain Scale, and the Health Assessment Questionnaire.

RESULTS: Moderate to severe levels of depression (Beck Depression Inventory: 22.35±10.39), moderate to severe functional disability (Health Assessment Questionnaire: 1.28±0.58), and high levels of stress (Perceived Stress Scale 14: 31.59±10.02) were found. The correlation adjusted by multiple regression as a function of the Health Assessment Questionnaire indicated a negligible to weak positive correlation with perceived stress (r=0.11), while a moderately strong positive correlation was observed with the Visual Analog Pain Scale (r=0.55). Regarding physical exercise, one of the pillars of the treatment, a moderate negative correlation was found with the Health Assessment Questionnaire (r=-0.4).

CONCLUSION: The pain levels were moderately influenced by depression severity. The factors most linked to functional disability are due to the pain levels but not to the perception of stress.

KEYWORDS:
Fibromyalgia; Stress, psychological; Chronic pain; Depression; Sickness impact profile

	Mean (SD)	Range
Age (years)	50.28 (±9.41)	20–70
Age at diagnosis (years)	45.61 (±9.67)	18–70
Disease duration (years)	4.66 (±4.36)	0–16
BDI (0–63)	22.35 (±10.39)	04–42
FIQR (0–100)	64.12 (±19.05)	13–96
HAQ (0–3)	1.28 (±0.58)	0.25–2.75
PSS-14 (0–56)	31.59 (±10.02)	06–47
VAS (0–10)	7.69 (±2.42)	02–10
PSD (0–31)	22.59 (±5.11)	10–30
WPI (0–19)	13.93 (±3.99)	05–19

		BDI	PSS-14	FIQR	HAQ	VAS	PSD
BDI		–
	PSS-14	r=0.75
		p<0.0001	–
		95%CI (0.58–0.86)
	FIQR	r=0.59	r=0.52
		p<0.0001	p=0.0004	–
		95%CI (0.35–0.76)	95%CI (0.26–0.71)
	HAQ	r=0.52	r=0.28	r=0.75
		p=0.0004	p=0.07	p<0.0001	–
		95%CI (0.26–0.71)	95%CI (-0.02–0.59)	95%CI (0.57–0.86)
	VAS	r=0.38	r=0.35	r=0.75	r=0.58
		p=0.01	p=0.02	p<0.0001	p=0.0001	–
		95%CI (0.09–0.61)	95%CI (0.04–0.59)	95%CI (0.58–0.86)	95%CI (0.34–0.75)
	PSD	r=0.49	r=0.3	r=0.6	r=0.55	r=0.5
		p=0.0009	p=0.04	p<0.0001	p=0.0001	p=0.0009	–
		95%CI (0.22–0.69)	95%CI (0.001–0.55)	95%CI (0.37–0.77)	95%CI (0.3–0.74)	95%CI (0.22–0.69)

	r	p
PSS-14	0.11	0.5
VAS	0.55	0.0002
Physical exercise	-0.4	0.001

location_on

Associação Médica Brasileira R. São Carlos do Pinhal, 324, 01333-903 São Paulo SP - Brazil, Tel: +55 11 3178-6800, Fax: +55 11 3178-6816 - São Paulo - SP - Brazil
E-mail: ramb@amb.org.br

rss_feed Acompañe los números de esta revista en su lector de RSS

[TFN1] SD: standard deviation; BDI: Beck Depression Inventory; FIQR: The Revised Fibromyalgia Impact Questionnaire; HAQ: Health Assessment Questionnaire; PSS-14: Perceived Stress Scale 14; VAS: Visual Analog Scale; PSD: Polysymptomatic Distress Scale; WPI: Widespread Pain Index.