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Psychiatric Comorbidity and Fibromyalgia

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Fibromyalgia Syndrome

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Abstract

Psychiatric comorbidity is common in patients with fibromyalgia. It is critical that such conditions are identified and addressed, as to fail to take a patient’s mental health into consideration is one way to assure suboptimal pain and functional outcomes. In this chapter, the most common mental health conditions will be discussed including mood disorders such as depression and bipolar disorder, a range of anxiety disorders, substance use disorders, somatic symptoms disorders, and the prospect of suicidality. Yet, we also discuss an often-overlooked aspect of mental health in people with FM, positive emotions and resilience. Some of the patients you will encounter have good, even great, mental health with high levels of grit, gratitude, and/or positive affect (happiness). These patients are those who will be more likely to do well with treatment and everyday life, despite the pain. Also, we will touch on the psychosocial and neurobiological aspects of mood and anxiety disorders in the context of chronic pain where shared mechanisms are presumed to be at play. Lastly, some practical recommendations about the approach to caring for these patients are made.

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Author information

Authors and Affiliations

  1. Department of Anesthesiology, Division of Pain Research, University of Michigan, Ann Arbor, MI, USA

    Megha G. Fatabhoy & Afton L. Hassett

  2. Department of Anesthesiology, Chronic Pain and Fatigue Research Center, University of Michigan, Ann Arbor, MI, USA

    Afton L. Hassett

  3. The Back & Pain Center, University of Michigan, Ann Arbor, MI, USA

    Afton L. Hassett

Authors
  1. Megha G. Fatabhoy
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  2. Afton L. Hassett
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Correspondence to Megha G. Fatabhoy .

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Editors and Affiliations

  1. Tel Aviv Sourasky Medical Center & Tel Aviv University School of Medicine, Tel Aviv, Israel

    Jacob N. Ablin

  2. Ariel University, Ariel, Israel

    Yehuda Shoenfeld

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Fatabhoy, M.G., Hassett, A.L. (2021). Psychiatric Comorbidity and Fibromyalgia. In: Ablin, J.N., Shoenfeld, Y. (eds) Fibromyalgia Syndrome . Springer, Cham. https://doi.org/10.1007/978-3-030-78638-0_9

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  • DOI: https://doi.org/10.1007/978-3-030-78638-0_9

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