A Framework for Fibromyalgia Management for Primary Care Providers

Arnold, Lesley M.; Clauw, Daniel J.; Dunegan, L. Jean; Turk, Dennis C.

doi:10.1016/j.mayocp.2012.02.010

Cited by 132 publications

(127 citation statements)

References 40 publications

(61 reference statements)

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“…The severity of depressive symptoms in the group of positive patients was distributed as mild level of depression in 54.9% of detected cases and 45.1% of major depression (Figures 6 and 7). These indings are consistent with the results of a number of authors, according to which the depressive disorders were observed in approximately 90% of patients with FM and major depression was established in 62-86% of cases [12,[19][20][21][22].…”

Section: Depressive Symptomssupporting

confidence: 92%

Chronic Pain and Depression

Karapetyan¹,

Manvelyan²

2017

Depression

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Today, it is clear that chronic pain and depression are closely related. Depression can cause pain, and chronic pain can cause depression too. According to the American Pain Foundation, about 32 million people in the U.S. report have had pain lasting longer than 1 year. Statistical international data prove that more than half of the patients with pain are depressed or have mood swings, and on average, 65% of depressed people also complain of pain. Patients simultaneously sufering of chronic pain and limited independence are especially vulnerable. Fibromyalgia (FM) is one of the most common chronic pain syndromes, afecting 15 up to 5% of world population, is characterized as difuse widespread body pain, with deinite tender points and clinical features, and also triggers the development of depression. Depression severity in patients with FM worsens severity of pain. Depressive disorders are observed in approximately 90% of patients with FM. Pain triggers development of depressive conditions in patients with chronic character of pain, and time course of disease shows certain patern of increasing of severity of depression and worsens long term outcomes. Patients with chronic pain must be evaluated for depression, and successful management of pain must include treatment of depressive mood too.

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Section: Depressive Symptomssupporting

confidence: 92%

Chronic Pain and Depression

Karapetyan¹,

Manvelyan²

2017

Depression

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“…The current treatment for FM envisages a comprehensive assessment including pharmacological and non-pharmacological therapies. The latter provide for a multimodal approach including physical activity, sleep hygiene, behavioural therapy, regular education and monitoring of treatment response [14,15] . It has been shown that regular exercise, in particular aerobic, improves pain, fatigue and sleep disturbance in patients with FM.…”

Section: Rheumatic Diseasesmentioning

confidence: 99%

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Musumeci

2015

WJO

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Physical activity covers not just sports but also simple everyday movements such as housework, walking and playing. Regular exercise has a great importance in maintaining good health, indeed inactivity is a risk factor for different chronic diseases. Physical exercise can play a crucial role in the treatment of rheumatic diseases, optimizing both physical and mental health, enhancing energy, decreasing fatigue and improving sleep. An exercise program for patients with rheumatic diseases aims to preserve or restore a range of motion of the affected joints, to increase muscle strength and endurance, and to improve mood and decrease health risks associated with a sedentary lifestyle. In this editorial I describe the benefits of the exercise on physical limitations and fatigue in rheumatic diseases that seem to have a short and long-term effectiveness. A literature review was conducted on PubMed, Scopus and Google Scholar using appropriate keywords based on the present editorial.

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“…Ос-новные побочные эффекты -головокружение, сонливость, сухость во рту, нечеткость зрения [42] -выражены слабо, отмечаются в начале терапии и проходят самостоятельно при ее продолжении. У некоторых пациентов наблюдается увеличение массы тела (дозозависимый эффект).…”

Section: д и а г н о с т и ч е с к и е к р и т е р и и ф м 2 0 1 0 г unclassified

Current therapy of fibromyalgia syndrome

Чичасова¹,

Иголкина²

2014

Modern Rheumatology Journal

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A Framework for Fibromyalgia Management for Primary Care Providers

Cited by 132 publications

References 40 publications

Chronic Pain and Depression

Chronic Pain and Depression

Effects of exercise on physical limitations and fatigue in rheumatic diseases

Current therapy of fibromyalgia syndrome

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