Abstract
The primary aim of this study was to assess the quality of life (Qol) in men with fibromyalgia (FM) as compared to the Qol of depressive patients, using the SF-36 questionnaire. The secondary objectives were as follows: to describe demographic and clinical characteristics of male patients with FM; to evaluate basal levels of dehydroepiandrosterone sulfate (DHEAS) and total testosterone in both groups; and to investigate the relationship among pain, tender points, anxiety, and depression in these patients. Fifty men with FM and 20 depressed males, matched by age and body mass index entered the study. All participants answered the SF-36, the Beck Depression Inventory and the State-Trait Anxiety Inventory questionnaire. Radioimmunoassay was used to determine serum concentration of DHEAS and total testosterone. Patients and controls had similar demographic characteristics. The scores were significantly lower in all domains of the SF-36 in patients with FM as compared with the depressive controls. No significant differences were observed among patient and control in the mean concentration of either DHEAS or total testosterone. Male patients with FM experience worse Qol than depressive men. Depression was influential on mental health, whereas FM impacted on both physical and mental health.
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Cathey MA, Wolfe F, Kleinheksel SM (1988) Functional ability and work status in patients with fibromyalgia. Arthritis Care Res 1:85–98. doi:10.1002/art.1790010205
Henriksson C, Burckhardt C (1996) Impact of fibromyalgia on everyday life: a study of women in the USA and Sweden. Disabil Rehabil 18(5):241–248
Kurtze N, Gundersen K, Svebak S (1999) Quality of life, functional disability and lifestyle among subgroups of fibromyalgia patients: significance of anxiety and depression. Br J Med Psychol 72:471–484. doi:10.1348/000711299160185
Neumann L, Berzak A, Buskila D (2000) Measuring healthy status in Israeli patients with fibromyalgia syndrome and widespread pain and healthy individuals: utility of the short form 36-item health survey (SF-36). Semin Arthritis Rheum 29:400–408. doi:10.1053/sarh.2000.7171
Mengshoel AM, Haugen M (2001) Health status in fibromyalgia—a followup study. J Rheumatol 28:2085–2089
Martinez JE, Filho Barauna IS, Kubokawa K et al (2001) Evaluation of the quality of life in Brazilian women with fibromyalgia, through the medical outcome survey 36 item short-form study. Disabil Rehabil 23(2):64–68. doi:10.1080/769983632
Wolfe F, Anderson J, Harkness D et al (1997) Health status and disease severity in fibromyalgia Results of a six-center longitudinal study. Arthritis Rheum 40(9):1571–1579. doi:10.1002/art.1780400905
Martinez JE, Ferraz MB, Sato EI, Atra E (1995) Fibromyalgia vs rheumatroid arthritis: a longitudinal comparison of quality of life. J Rheumatol 22:201–204
Okifuji A, Turk DC, Sherman JJ (2000) Evaluation of the relationship between depression and fibromyalgia syndrome: why aren’t all patients depressed? J Rheumatol 27:212–219
Pyne JM, Patterson TL, Kaplan RM, Gillin JC, Koch W, Grant I (1997) Assessment of the quality of life of patients with major depression. Psychiatr Serv 48:224–230
Wolfe F, Smythe HA, Yunus MB et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: report of the multicenter criteria committee. Arthritis Rheum 33:160–172. doi:10.1002/art.1780330203
Wolfe F, Ross K, Anderson J et al (1995) The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 38:19–28. doi:10.1002/art.1780380104
Buskila D, Neumann L, Odes LR, Schleifer E (2001) The prevalence of musculoskeletal pain and fibromyalgia in patients hospitalized on internal medicine wards. Semin Arthritis Rheum 30:411–417. doi:10.1053/sarh.2001.21152
Korszun A, Young EA, Engleberg NC et al (2000) Follicular phase hypothalamic-pituitary-gonadal axis function in women with fibromyalgia and chronic fatigue syndrome. J Rheumatol 27:1526–1530
Neeck G (2002) Pathogenic mechanisms of fibromyalgia. Ageing Res Rev 1:243–255. doi:10.1016/S1568-1637(01)00004-6
Spielberger CD, Gorsuch RL, Lushene R, Vagg PR, Jacobs GA (1983) Manual for the State-Trait Anxiety Inventory STAI (form Y) (self evaluation questionnaire). Consulting Psychologists Press, Palo Alto
Beck AT, Steer RA, Garbin MG (1988) Psychometric properties of the Beck Depression Inventory. Twenty-five years of evaluation. Clin Psychol Rev 8:77–100. doi:10.1016/0272-7358(88)90050-5
Gorenstein C, Andrade L (1996) Validation of a portuguese version of the Beck Depression Inventory and the State-Trait Anxiety Inventory in Brazilian subjects. Braz J Med Biol Res 29:453–457
Buskila D, Neumann L, Alhoashle A, Abu-Shakra M (2000) Fibromyalgia syndrome in men. Semin Arthritis Rheum 30:47–51. doi:10.1053/sarh.2000.8363
Yunus MB, Inanici F, Aldag JC, Mangold RF (2000) Fibromyalgia in men: comparison of clinical features with women. J Rheumatol 27(2):485–490
Yunus MB, Celiker R, Aldag J (2004) Fibromyalgia in men: comparison of psychological features with women. J Rheumatol 31:2464–2467
Hudson JI, Pope HG (1996) The relationship between fibromyalgia and major depressive disorder. Rheum Dis Clin North Am 22(2):285–303. doi:10.1016/S0889-857X(05)70273-8
Hassett AL, Cone JD, Patella SJ, Sigal LH (2000) The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. J Rheumatol 43(11):2493–2500
Kurtze N, Svebak S (2001) Fatigue and patterns of pain in fibromyalgia: correlations with anxiety, depression and co-morbidity in a female country sample. Br J Med Psychol 74:523–537. doi:10.1348/000711201161163
Connelly JE, Philbrick JT, Smith GR et al (1989) Health perceptions of primary care patients and the influence on health care utilization. Med Care 27(Suppl 3):S99–S109. doi:10.1097/00005650-198903001-00009
Baumstark KE, Buckelew SP, Sher KJ, Beck N, Buescher KL, Hewett J, Crews TM (1993) Pain behavior predictors among fibromyalgia patients. Pain 55(3):339–346. doi:10.1016/0304-3959(93)90009-E
Ciconelli RM, Ferraz MB, Santos WS, Meinão I, Quaresma MR (1999) Tradução para língua portuguesa e validação do questionário genérico de validação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol 39(3):143–150
Gladman DD, Urowitz MB, Gough J, MacKinnon A (1997) Fibromyalgia is a major contributor to quality of life in lupus. J Rheumatol 24:2145–2148
Wolfe F, Michaud K (2004) Severe rheumatoid arthritis (RA), worse outcomes, comorbid illness, and sociodemographic disadvantage characterize RA patients with fibromyalgia. J Rheumatol 31:659–700
Schlenk EA, Erlen JA, Dunbar-Jacob J et al (1998) Health related quality of life in chronic disorders: a comparison across studies using the MOS SF-36. Qual Life Res 7:57–65. doi:10.1023/A:1008836922089
Turk DC, Monarch ES, Williams AD (2002) Psychological evaluation of patients diagnosed with fibromyalgia syndrome: a comprehensive approach. Rheum Dis Clin North Am 28:219–233. doi:10.1016/S0889-857X(01)00003-5
Tuzun AH, Albayrak G, Eker L, Sozay S et al (2004) A comparison study of quality of life in women with fibromyalgia and myofascial pain syndrome. Disabil Rehabil 26(4):198–202. doi:10.1080/09638280310001639696
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Many Thanks to Lilian, Ivone and Kelly for their technical expertise and assistance with the hormone assays.
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Yoshikawa, G.T., Heymann, R.E., Helfenstein, M. et al. A comparison of quality of life, demographic and clinical characteristics of Brazilian men with fibromyalgia syndrome with male patients with depression. Rheumatol Int 30, 473–478 (2010). https://doi.org/10.1007/s00296-009-0994-4
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DOI: https://doi.org/10.1007/s00296-009-0994-4