[Impact of the fibromyalgia in the chronic fatigue syndrome].

Med Clin (Barc)

Unidad de Fatiga Crónica, Institut de Recerca Vall d'Hebron, Hospital Universitario Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, España.

Published: June 2014

AI Article Synopsis

  • The study examines the relationship between chronic fatigue syndrome (CFS) and fibromyalgia (FM), specifically looking at clinical differences in patients with either or both conditions.
  • A total of 980 CFS patients were analyzed, revealing that those with FM experienced significantly higher levels of fatigue, pain, and more severe cognitive and neurological symptoms compared to those without FM.
  • The findings suggest that the presence of fibromyalgia negatively impacts the overall quality of life for patients suffering from chronic fatigue syndrome.

Article Abstract

Background And Objective: Different studies have showed association of the chronic fatigue syndrome (CFS) with other pathologies, including fibromyalgia (FM). The objective of this study is to analyze whether there are differences in the clinic and in the assessment of fatigue in CFS patients associated or not with FM.

Patients And Methods: A cross-sectional, single-site observational study was undertaken on a consecutive cases of a register of CFS patients at CFS Unit in Vall d'Hebron Hospital, Barcelona, from January 2008 until March 2011. The variables analyzed were FM comorbidity, sleep and fatigue characteristics and cognitive, neurological and autonomic symptoms. Questionnaires of fatigue impact scale, fatigue strength and impact on quality of life SF-36 were evaluated.

Results: We included 980 CFS patients (mean age: 48±9 years; 91% women). Fibromyalgia was present in 528 patients (54%). The level of fatigue (P=.001) and pain (P<.001) was higher in FM patients. Patients with CFS and FM had more prevalence of sleep-related phenomena. The percentage of patients and the degree of severity of cognitive symptoms, neurological and autonomic dysfunction was higher in FM patients (P<.001). FM patients scored higher on the fatigue impact scale (P<.001) and showed worse results in the quality of life questionnaire (P<.001).

Conclusions: FM co-morbidity worse clinical parameters, fatigue and the perception of quality of life in CFS patients.

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Source
http://dx.doi.org/10.1016/j.medcli.2013.06.030DOI Listing

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