Assessment of Psychological Symptoms and Quality if Life Among Fibromyalgia Patients and Its Risk Factors
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 40
- 主要终点
- Evaluate prevelance of psychiatric disorders among fibromyalgia patients
研究概览
简要总结
Fibromyalgia is a syndrome characterized by chronic widespread pain at multiple tender points, joint stiffness, and systemic symptoms (e.g., mood disorders, fatigue, cognitive dysfunction, and insomnia) [14] without a well-defined underlying organic disease. Nevertheless, it can be associated with specific diseases such as rheumatic pathologies, psychiatric or neurological disorders, infections, and diabetes.
The prevalence of fibromyalgia has been estimated to be around 1%-2% (3.4% for women and 0.5% for men) [5, 6].
详细描述
The etiology and pathogenesis of fibromyalgia are still not fully understood. Several factors such as dysfunction of the central and autonomic nervous systems, neurotransmitters, hormones, immune system, external stressors, psychiatric aspects, and others seem to be involved.
diagnosis is principally based on the two major diagnostic criteria defined by the ACR in 1990 [7]: (1) a history of widespread musculoskeletal pain present for at least three months, and (2) tenderness in at least 11 of 18 defined tender points
Psychiatric problems seem to contribute considerably to the development of fibromyalgia. The prevalence of psychiatric conditions among patients affected by fibromyalgia is higher than among subjects complaining of other rheumatic diseases . The most common disorders associated are anxiety, somatization, dysthymia, panic disorders, posttraumatic stress, and overall depression [8]. Depression is more frequently associated with fibromyalgia than with other musculoskeletal diseases [9] Depression worsens fibromyalgic symptoms and vice versa, and antidepressants represent a cornerstone of fibromyalgia therapy [1011].
Over the last decade, it has been repeatedly shown that noninvasive repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex (M1) induces analgesic effects both in experimental pain [1216] , probably by activating pain modulation systems.
Another way studied to relieve fibromyalgia pain is sphenopalatine ganglion block
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Women aged from 18 to 60 years old Diagnosed as fibromyalgia with resistence to pharmacological treatment
排除标准
- •Previous psychiatric disorders Sever cognitive dysfunction Other medical or neurological disorders Pregnant females
研究组 & 干预措施
Fibromyalgia patients with use of rtms sessions for treatment
Repitetive transcranial magnetic stimulation on primary motor area with 20 HZ for 20 sessions
干预措施: Repitetive transcranial magnetic stimulation (Device)
Fibromyalgia pt with use of sphenopalatine ganglion block as treatment
Pain killing intervention for pain control of myofacial pain in fibromyalgia patients
干预措施: Repitetive transcranial magnetic stimulation (Device)
结局指标
主要结局
Evaluate prevelance of psychiatric disorders among fibromyalgia patients
时间窗: 3 years
Identify possible risk factors that lead to psychiatric illness in fibromyalgia patients Evaluate effect of non pharmacological treatment in form of sphenopalatine ganglion block and transcranial mag netic stimulation on psychiatric symptoms in fibromyalgia patients
次要结局
未报告次要终点
研究者
CA Adeeb
Principal investigator
Assiut University