Depressão em mulheres com fibromialgia: associação entre dor física, funcionalidade, percepção de solidão, dor psicológica, anedonia e risco de suicídio

Abstract

OBJECTIVES: To investigate the association between Fibromyalgia and depression in women, considering the intensity of physical pain, functional impairment, perception of loneliness, psychological pain, anhedonia, and suicide risk. METHODS: Analytical crosssectional study. The instruments used include: the Brazilian version of the UCLA Loneliness Scale, the Psychological Pain Scale, the Fibromyalgia Impact Questionnaire, ACR criteria for FM diagnosis, the Numeric Pain Scale, and the Beck Depression Inventory. The sample was subdivided into two groups according to the presence or absence of severe depressive symptoms. The groups were compared using Student's t-test, Mann-Whitney, Chi-square, or Fisher's Exact tests, and correlations by Spearman. Statistical analysis was performed using JAMOVI® . RESULTS: The sample consisted of 100 women with an average age of 48.7 years (±9.5), the majority had a partner (54%), self-identified as non-white (74%), had low educational attainment (61.2%), were sedentary (69%), and had comorbidities such as hypertension and/or diabetes (53%). There was no difference in the intensity of physical pain between groups with or without severe depressive symptoms; however, women with severe depressive symptoms were 10 times more likely to report severe functional impairment (p<0.001); 2.6 times more likely to report moderate to severe loneliness (p=0.024), 10 times more likely to experience severe anhedonia (p<0.001), and 8.6 times more likely to be at risk of suicide (p<0.001). CONCLUSION: Women with FM who have severe depressive symptoms exhibit greater functional impairment, more intense psychological pain with suicide risk, higher perception of moderate to severe loneliness, greater severity of anhedonia symptoms, and higher risk of suicide. However, the physical pain manifested in FM is not influenced by severe depressive symptoms.