Impacto da fibromialgia e fatores associados em uma população do sul do Brasil
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Universitário da Ânima (RUNA) |
Texto Completo: | https://repositorio.animaeducacao.com.br/handle/ANIMA/3010 |
Resumo: | Introduction: Fibromyalgia is a syndrome characterized by chronic central pain, fatigue, sleep disorders and depressive symptoms, which causes a great impact on patients' quality of life. The knowledge of the factors that may interfere with this impact may help to achieve an individualized therapy. Objective: To evaluate the impact of fibromyalgia and associated factors in women treated at the Policlínica Municipal de Palhoça Unisul (PMPU) in Santa Catarina. Methods: From Agust to December 2017, a cross-sectional epidemiological study was carried out withfibromyalgia patients who were asked to answer a self-administered questionnaire, which included sociodemographic data, life habits, clinical comorbidities, as well as validated instruments for the evaluation of anxiety (HADS-A, STAI-T and STAI-S) and depression (HADS-D and BDI), child abuse (CTQ) and domestic violence (WHO-VAW). The impact of fibromyalgia was assessed through FIQR-Br. The data were analyzed in the SPSS program, and the associations by Student's t-test and Pearson's correlation coefficient, with values of p <0.05 considered significant. Results: 51 patients participated in the research, with a mean age of 54.4 years. They were mostly married housewives with a family income of up to 3 minimum wages, not smokersneither alcohol consumers. Eighty percent were on pharmacological treatment and 20.6% on non-pharmacological therapy. Seventy percent related chronic comorbidities; 72.5 to 81.6% and 48 to 56.9% achieved scores compatible with anxiety and depression disorders, respectively. Twenty-four percent of patients had suffered severe physical abuse in childhood, and 34% reported having been sexually abused. Regarding domestic violence, 33% reported physical abuse, 47% psychological and 19.6% sexual abuse. The total FIQR-br was 67.33 ± 19.69. There was a positive correlation between HADS-A, HADS-D and BDI scores with all FIQR-Br domains. In the bivariate analysis by categories, there was a significant association of IDATE and BDI with all FIQ domains, and HADS-A and HADS-D with functional, symptom and total domains. Conclusion: The results demonstrate the high impact of fibromyalgia in patients treated at PMPU, as well as the high prevalence of anxiety and depressive symptoms, which are associated with a greater impact of the disease. |
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Impacto da fibromialgia e fatores associados em uma população do sul do BrasilFibromialgiaFIQDepressãoAnsiedadeIntroduction: Fibromyalgia is a syndrome characterized by chronic central pain, fatigue, sleep disorders and depressive symptoms, which causes a great impact on patients' quality of life. The knowledge of the factors that may interfere with this impact may help to achieve an individualized therapy. Objective: To evaluate the impact of fibromyalgia and associated factors in women treated at the Policlínica Municipal de Palhoça Unisul (PMPU) in Santa Catarina. Methods: From Agust to December 2017, a cross-sectional epidemiological study was carried out withfibromyalgia patients who were asked to answer a self-administered questionnaire, which included sociodemographic data, life habits, clinical comorbidities, as well as validated instruments for the evaluation of anxiety (HADS-A, STAI-T and STAI-S) and depression (HADS-D and BDI), child abuse (CTQ) and domestic violence (WHO-VAW). The impact of fibromyalgia was assessed through FIQR-Br. The data were analyzed in the SPSS program, and the associations by Student's t-test and Pearson's correlation coefficient, with values of p <0.05 considered significant. Results: 51 patients participated in the research, with a mean age of 54.4 years. They were mostly married housewives with a family income of up to 3 minimum wages, not smokersneither alcohol consumers. Eighty percent were on pharmacological treatment and 20.6% on non-pharmacological therapy. Seventy percent related chronic comorbidities; 72.5 to 81.6% and 48 to 56.9% achieved scores compatible with anxiety and depression disorders, respectively. Twenty-four percent of patients had suffered severe physical abuse in childhood, and 34% reported having been sexually abused. Regarding domestic violence, 33% reported physical abuse, 47% psychological and 19.6% sexual abuse. The total FIQR-br was 67.33 ± 19.69. There was a positive correlation between HADS-A, HADS-D and BDI scores with all FIQR-Br domains. In the bivariate analysis by categories, there was a significant association of IDATE and BDI with all FIQ domains, and HADS-A and HADS-D with functional, symptom and total domains. Conclusion: The results demonstrate the high impact of fibromyalgia in patients treated at PMPU, as well as the high prevalence of anxiety and depressive symptoms, which are associated with a greater impact of the disease.Introdução: A fibromialgia é uma síndrome caracterizada por dor crônica central, fadiga, distúrbios do sono e sintomas depressivos, que provoca grande impacto na qualidade de vida dos pacientes.Conhecer os fatores que podem interferir no impacto pode ajudar a individualizar a terapêutica. Objetivo: Avaliar o impacto da fibromialgia e fatores associados em mulheres atendidas na Policlínica Municipal de Palhoça Unisul (PMPU), em Santa Catarina. Métodos: Foi realizado um estudo epidemiológico transversal, de agosto a dezembro de 2017, emmulheres com fibromialgia que responderam a um questionário autoaplicável, que incluiu dados sociodemográficos, hábitos de vida, comorbidades clínicas, assim como instrumentos validados para a avaliação de ansiedade (HADS-A, IDATE-T e IDATE-E) e depressão (HADS-D e BDI), maus tratos na infância (QUESI) e violência doméstica (WHO-VAW).O impacto da fibromialgia foi avaliado pelo FIQR-Br. Os dados foram analisados no programa SPSS e,as associações,pelo do teste t de Student e pelocoeficiente de correlação de Pearson, comvalores de p < 0,05 considerados significativos. Resultados: 51 pacientes responderam ao instrumento, com média de idadede 54,4 anos. A maioria era casada, do lar e com renda familiar de até 3 salários mínimos; não era tabagista nem fazia consumo de bebidas alcoólicas. Oitenta por cento estavam em tratamento farmacológico e 20,6% em terapia não-farmacológica. Setenta por cento eram portadoras de comorbidades crônicas;72,5 a 81,6% e 48 a 56,9% atingiram pontuação compatível com transtorno de ansiedade e depressão, respectivamente. Vinte e quatro por cento das pacientes sofreram abuso físico severo na infância, e 34% reportaram ter sofrido abuso sexual. Quanto à violência doméstica, 33% relataram abuso físico, 47% psicológico e 19,6% sexual. O FIQR-Br total foi 67,33 ± 19,69. Houve correlação positiva entre escores HADS-A, HADS-D e BDI com todos os domínios do FIQR-Br. Na análise bivariada por categorias,houve associação do IDATE e BDI com todos os domínios do FIQ, e da HADS-A e HADS-D com os domínios funcional, sintomas e total. Conclusão: Os resultados demonstraram alto impacto da fibromialgia nas pacientes atendidas na PMPU, assim como alta prevalência de sintomas ansiosos e depressivos, os quais estão associados a um maior impacto da doença.Schlindwein, Aline DaianeFrantz, Patrícia Junges2018-09-10T12:54:53Z2020-11-26T20:47:26Z2018-09-10T12:54:53Z2020-11-26T20:47:26Z2018info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis104 f.application/pdfhttps://repositorio.animaeducacao.com.br/handle/ANIMA/3010Programa de Pós-Graduação em Ciência da SaúdePalhoça/ SCAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessporreponame:Repositório Universitário da Ânima (RUNA)instname:Ânima Educaçãoinstacron:Ânima2020-12-01T16:46:11Zoai:repositorio.animaeducacao.com.br:ANIMA/3010Repositório InstitucionalPRIhttps://repositorio.animaeducacao.com.br/oai/requestcontato@animaeducacao.com.bropendoar:2020-12-01T16:46:11Repositório Universitário da Ânima (RUNA) - Ânima Educaçãofalse |
dc.title.none.fl_str_mv |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
title |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
spellingShingle |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil Frantz, Patrícia Junges Fibromialgia FIQ Depressão Ansiedade |
title_short |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
title_full |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
title_fullStr |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
title_full_unstemmed |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
title_sort |
Impacto da fibromialgia e fatores associados em uma população do sul do Brasil |
author |
Frantz, Patrícia Junges |
author_facet |
Frantz, Patrícia Junges |
author_role |
author |
dc.contributor.none.fl_str_mv |
Schlindwein, Aline Daiane |
dc.contributor.author.fl_str_mv |
Frantz, Patrícia Junges |
dc.subject.por.fl_str_mv |
Fibromialgia FIQ Depressão Ansiedade |
topic |
Fibromialgia FIQ Depressão Ansiedade |
description |
Introduction: Fibromyalgia is a syndrome characterized by chronic central pain, fatigue, sleep disorders and depressive symptoms, which causes a great impact on patients' quality of life. The knowledge of the factors that may interfere with this impact may help to achieve an individualized therapy. Objective: To evaluate the impact of fibromyalgia and associated factors in women treated at the Policlínica Municipal de Palhoça Unisul (PMPU) in Santa Catarina. Methods: From Agust to December 2017, a cross-sectional epidemiological study was carried out withfibromyalgia patients who were asked to answer a self-administered questionnaire, which included sociodemographic data, life habits, clinical comorbidities, as well as validated instruments for the evaluation of anxiety (HADS-A, STAI-T and STAI-S) and depression (HADS-D and BDI), child abuse (CTQ) and domestic violence (WHO-VAW). The impact of fibromyalgia was assessed through FIQR-Br. The data were analyzed in the SPSS program, and the associations by Student's t-test and Pearson's correlation coefficient, with values of p <0.05 considered significant. Results: 51 patients participated in the research, with a mean age of 54.4 years. They were mostly married housewives with a family income of up to 3 minimum wages, not smokersneither alcohol consumers. Eighty percent were on pharmacological treatment and 20.6% on non-pharmacological therapy. Seventy percent related chronic comorbidities; 72.5 to 81.6% and 48 to 56.9% achieved scores compatible with anxiety and depression disorders, respectively. Twenty-four percent of patients had suffered severe physical abuse in childhood, and 34% reported having been sexually abused. Regarding domestic violence, 33% reported physical abuse, 47% psychological and 19.6% sexual abuse. The total FIQR-br was 67.33 ± 19.69. There was a positive correlation between HADS-A, HADS-D and BDI scores with all FIQR-Br domains. In the bivariate analysis by categories, there was a significant association of IDATE and BDI with all FIQ domains, and HADS-A and HADS-D with functional, symptom and total domains. Conclusion: The results demonstrate the high impact of fibromyalgia in patients treated at PMPU, as well as the high prevalence of anxiety and depressive symptoms, which are associated with a greater impact of the disease. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-09-10T12:54:53Z 2018-09-10T12:54:53Z 2018 2020-11-26T20:47:26Z 2020-11-26T20:47:26Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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https://repositorio.animaeducacao.com.br/handle/ANIMA/3010 |
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https://repositorio.animaeducacao.com.br/handle/ANIMA/3010 |
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por |
language |
por |
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Programa de Pós-Graduação em Ciência da Saúde |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-NonCommercial-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nc-nd/3.0/br/ |
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openAccess |
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104 f. application/pdf |
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reponame:Repositório Universitário da Ânima (RUNA) instname:Ânima Educação instacron:Ânima |
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Ânima Educação |
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Repositório Universitário da Ânima (RUNA) |
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Repositório Universitário da Ânima (RUNA) - Ânima Educação |
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contato@animaeducacao.com.br |
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