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Minerva Psichiatrica 1999 June;40(2):129-38

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: Italian

Fibromyalgia. Psychopathologic aspects

Bogetto F., Bonatto Revello R., Bertoli C., Ferro G., Maina G., Ravizza L.


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The authors deal with the main topics of discussion on fibromyalgia, underlining especially the psycopathologic aspects of this disorder. The international literature on these topics has been reviewed. Fibromyalgia is a form of nonarticular rheumatism characterized by diffuse musculoskeleton pain. Its etiology is unknown (and no abnormal histopathology has been found in association with it). Many theories have been advanced about etiology and considerable interest is about the possible role of psychological and psychiatric factors. Especially there are many evidences suggesting a relationship between fibromyalgia and somatization and among fibromyalgia and major affective disorders. Such evidences are based on existence of biological and clinical common elements among fibromyalgia and these psychiatric disorders and they are exhaustively exposed by the authors. Also fibromyalgic patients' psychiatric comorbidity, above all with major depression, corroborates the hypothesis of a relationship among these disorders. As far as fibromyalgia treatment is concerned, it can avail itself of several kinds of pharmacologic agents and also in this case the existence of good interesting results with antidepressive drugs represents another common element among such disorders. Although further studies are needed, after having reviewed international literature, it emerges the possible existence of a relationship among fibromyalgia and psychiatric disorders, above all major affective disorders.

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