Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

Alberto Soriano-Maldonado; Kirstine Amris; Francisco B Ortega; Víctor Segura-Jiménez; Fernando Estévez-López; Inmaculada C Álvarez-Gallardo; Virginia A Aparicio; Manuel Delgado-Fernández; Marius Henriksen; Jonatan R Ruiz

doi:10.1007/s11136-015-1045-0

Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

Alberto Soriano-Maldonado, Kirstine Amris, Francisco B Ortega, Víctor Segura-Jiménez, Fernando Estévez-López, Inmaculada C Álvarez-Gallardo, Virginia A Aparicio, Manuel Delgado-Fernández, Marius Henriksen, Jonatan R Ruiz

30 Citations (Scopus)

Abstract

PURPOSE: This study examined the associations of different levels of depression with pain, sleep quality, fatigue, functional exercise capacity, overall fibromyalgia (FM) severity, and health-related quality of life (HRQoL) in women with FM.

METHODS: A total of 451 women with FM participated in this cross-sectional study. Depressive symptoms (Beck Depression Inventory; BDI-II), pain intensity (numerical rating scale; NRS), pain sensitivity (algometry), sleep quality (Pittsburgh Sleep Quality Index), fatigue (Multidimensional Fatigue Inventory), functional exercise capacity (6-min walk test), FM severity (revised Fibromyalgia Impact Questionnaire), and HRQoL (SF-36) were assessed.

RESULTS: Participants with severe depressive symptoms had significantly higher pain intensity (NRS = 1.1; 95 % CI 0.3-1.8), fatigue (12.6-units; 95 % CI 8.2-17.1) and overall FM severity (12.6-units; 95 % CI 11.4-23.7), as well as poorer sleep quality (3.2-units; 95 % CI 1.7-4.7) and mental component of HRQoL (-17.0-units; 95 % CI -21.0 to -12.9) than participants with minimal signs of depression. There was no association of signs of depression with pain sensitivity, exercise capacity, or the physical component of HRQoL (P > 0.05).

CONCLUSIONS: These results extend current knowledge on the association of signs of depression with FM severity and quality of life in women with FM, and suggest that severity of depressive symptoms could potentially be a prognostic factor to be considered in future prospective intervention studies.

Original language	English
Journal	Quality of Life Research
Volume	24
Issue number	12
Pages (from-to)	2951-7
Number of pages	7
ISSN	0962-9343
DOIs	https://doi.org/10.1007/s11136-015-1045-0
Publication status	Published - 1 Dec 2015
Externally published	Yes

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Soriano-Maldonado, A., Amris, K., Ortega, F. B., Segura-Jiménez, V., Estévez-López, F., Álvarez-Gallardo, I. C., Aparicio, V. A., Delgado-Fernández, M., Henriksen, M., & Ruiz, J. R. (2015). Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. Quality of Life Research, 24(12), 2951-7. https://doi.org/10.1007/s11136-015-1045-0

Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. / Soriano-Maldonado, Alberto; Amris, Kirstine; Ortega, Francisco B et al.

In: Quality of Life Research, Vol. 24, No. 12, 01.12.2015, p. 2951-7.

Research output: Contribution to journal › Comment/debate › Research › peer-review

Soriano-Maldonado, A, Amris, K, Ortega, FB, Segura-Jiménez, V, Estévez-López, F, Álvarez-Gallardo, IC, Aparicio, VA, Delgado-Fernández, M, Henriksen, M & Ruiz, JR 2015, 'Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia', Quality of Life Research, vol. 24, no. 12, pp. 2951-7. https://doi.org/10.1007/s11136-015-1045-0

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title = "Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia",

abstract = "PURPOSE: This study examined the associations of different levels of depression with pain, sleep quality, fatigue, functional exercise capacity, overall fibromyalgia (FM) severity, and health-related quality of life (HRQoL) in women with FM.METHODS: A total of 451 women with FM participated in this cross-sectional study. Depressive symptoms (Beck Depression Inventory; BDI-II), pain intensity (numerical rating scale; NRS), pain sensitivity (algometry), sleep quality (Pittsburgh Sleep Quality Index), fatigue (Multidimensional Fatigue Inventory), functional exercise capacity (6-min walk test), FM severity (revised Fibromyalgia Impact Questionnaire), and HRQoL (SF-36) were assessed.RESULTS: Participants with severe depressive symptoms had significantly higher pain intensity (NRS = 1.1; 95 % CI 0.3-1.8), fatigue (12.6-units; 95 % CI 8.2-17.1) and overall FM severity (12.6-units; 95 % CI 11.4-23.7), as well as poorer sleep quality (3.2-units; 95 % CI 1.7-4.7) and mental component of HRQoL (-17.0-units; 95 % CI -21.0 to -12.9) than participants with minimal signs of depression. There was no association of signs of depression with pain sensitivity, exercise capacity, or the physical component of HRQoL (P > 0.05).CONCLUSIONS: These results extend current knowledge on the association of signs of depression with FM severity and quality of life in women with FM, and suggest that severity of depressive symptoms could potentially be a prognostic factor to be considered in future prospective intervention studies.",

author = "Alberto Soriano-Maldonado and Kirstine Amris and Ortega, {Francisco B} and V{\'i}ctor Segura-Jim{\'e}nez and Fernando Est{\'e}vez-L{\'o}pez and {\'A}lvarez-Gallardo, {Inmaculada C} and Aparicio, {Virginia A} and Manuel Delgado-Fern{\'a}ndez and Marius Henriksen and Ruiz, {Jonatan R}",

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doi = "10.1007/s11136-015-1045-0",

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T1 - Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

AU - Soriano-Maldonado, Alberto

AU - Amris, Kirstine

AU - Ortega, Francisco B

AU - Segura-Jiménez, Víctor

AU - Estévez-López, Fernando

AU - Álvarez-Gallardo, Inmaculada C

AU - Aparicio, Virginia A

AU - Delgado-Fernández, Manuel

AU - Henriksen, Marius

AU - Ruiz, Jonatan R

PY - 2015/12/1

Y1 - 2015/12/1

N2 - PURPOSE: This study examined the associations of different levels of depression with pain, sleep quality, fatigue, functional exercise capacity, overall fibromyalgia (FM) severity, and health-related quality of life (HRQoL) in women with FM.METHODS: A total of 451 women with FM participated in this cross-sectional study. Depressive symptoms (Beck Depression Inventory; BDI-II), pain intensity (numerical rating scale; NRS), pain sensitivity (algometry), sleep quality (Pittsburgh Sleep Quality Index), fatigue (Multidimensional Fatigue Inventory), functional exercise capacity (6-min walk test), FM severity (revised Fibromyalgia Impact Questionnaire), and HRQoL (SF-36) were assessed.RESULTS: Participants with severe depressive symptoms had significantly higher pain intensity (NRS = 1.1; 95 % CI 0.3-1.8), fatigue (12.6-units; 95 % CI 8.2-17.1) and overall FM severity (12.6-units; 95 % CI 11.4-23.7), as well as poorer sleep quality (3.2-units; 95 % CI 1.7-4.7) and mental component of HRQoL (-17.0-units; 95 % CI -21.0 to -12.9) than participants with minimal signs of depression. There was no association of signs of depression with pain sensitivity, exercise capacity, or the physical component of HRQoL (P > 0.05).CONCLUSIONS: These results extend current knowledge on the association of signs of depression with FM severity and quality of life in women with FM, and suggest that severity of depressive symptoms could potentially be a prognostic factor to be considered in future prospective intervention studies.

AB - PURPOSE: This study examined the associations of different levels of depression with pain, sleep quality, fatigue, functional exercise capacity, overall fibromyalgia (FM) severity, and health-related quality of life (HRQoL) in women with FM.METHODS: A total of 451 women with FM participated in this cross-sectional study. Depressive symptoms (Beck Depression Inventory; BDI-II), pain intensity (numerical rating scale; NRS), pain sensitivity (algometry), sleep quality (Pittsburgh Sleep Quality Index), fatigue (Multidimensional Fatigue Inventory), functional exercise capacity (6-min walk test), FM severity (revised Fibromyalgia Impact Questionnaire), and HRQoL (SF-36) were assessed.RESULTS: Participants with severe depressive symptoms had significantly higher pain intensity (NRS = 1.1; 95 % CI 0.3-1.8), fatigue (12.6-units; 95 % CI 8.2-17.1) and overall FM severity (12.6-units; 95 % CI 11.4-23.7), as well as poorer sleep quality (3.2-units; 95 % CI 1.7-4.7) and mental component of HRQoL (-17.0-units; 95 % CI -21.0 to -12.9) than participants with minimal signs of depression. There was no association of signs of depression with pain sensitivity, exercise capacity, or the physical component of HRQoL (P > 0.05).CONCLUSIONS: These results extend current knowledge on the association of signs of depression with FM severity and quality of life in women with FM, and suggest that severity of depressive symptoms could potentially be a prognostic factor to be considered in future prospective intervention studies.

U2 - 10.1007/s11136-015-1045-0

DO - 10.1007/s11136-015-1045-0

M3 - Comment/debate

C2 - 26071756

SN - 0962-9343

VL - 24

SP - 2951

EP - 2957

JO - Quality of Life Research

JF - Quality of Life Research

IS - 12

ER -

Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia

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