Many studies link fibromyalgia and depression. In fact, people with fibromyalgia are up to three times more likely to have depression at the time of their diagnosis than someone without fibromyalgia.
Some researchers feel that depression leads to changes in brain chemistry. Others look at abnormalities of the sympathetic nervous system -- the part of the nervous system that determines how you handle stress and emergencies. These abnormalities, they contend, may lead to the release of substances that cause more sensitivity to pain. The result is fibromyalgia with its chronic pain and feelings of depression.
Learning more about the connection between fibromyalgia and depression can help you seek appropriate medical treatment from your doctor. That includes asking your doctor about antidepressants. By following an appropriate fibromyalgia treatment plan and getting the support of family and friends, you can take control of your fibromyalgia. You can also get control over your symptoms of depression and improve your quality of life.
Substantial mood disturbances are common features of clinical picture of fibromyalgia syndrome. Low mood is very common however, serious depression is not infrequent. Fibromyalgia is chronic widespread pain syndrome with accompanying several, manifold vegetative aliments. The pain and vegetative complains hardly or not at all react to common treatment. The pain and vegetative complains hardly or not at all react to common treatment. It is needed several years of disease continuation to diagnose fibromyalgia and launching appropriate treatment, usually. The family, social, occupational relationships could be damaged within this period of time. All that sooner and later would have negative impact on mental condition of patient. Significant mood lowering is found in considerable number of cases. In some cases depression is also diagnosed.
Complex Character of Fibromyalgia
It seems that fibromyalgia nosologically* is not a single disease unit (morbus) but disease syndrome (syndroma) that has many and various causes (ethiology**) and common, often very complex, clinical picture (symptomatology***). Persons with widespread pain of periarticular (joint surrounding) tissues of "fibromyalgia type" often have numerous and manifold multiorgan functional (vegetative) disorders that also accompany fibromyalgia and also correspond to physical symptoms of depression (PDF file, 5 pages). Threfore some scietists propose an assumption that fibromyalgia could be a specific form of depression, formerly called masked depression.
Depression is quite common and affect at least 10% of our community. Depression affect at least 10% of our community. Depression is something different than transient (temporarily) deterioration of mood. It may last weeks or months and its commonly known symptoms like sadness and lack of energy might be masked by fear and anxiety, sleeping disorders, gastro-intestinal disorders, and chronic pain.It has been found that over 50% of fibromyalgia patients has depressed mood and fulfils criteria for a major depressive episode. Common coexistence of fibromyalgia and depression does not raise any doubts. It has been demonstrated that both fibromyalgia syndrome and major depression disorder have mutual family determinants and risk factors. Coexistence of fibromyalgia syndrome and affective disorders among closely related persons and also family incidence of fibromyalgia has been confirmed.
Seventy eight percent up to 94 % of fibromyalgia patients reports chronic tiredness. It has been also fund that concurrent depression has a major impact on feeling of chronic tiredness. It has been demonstrated also vicious circle mechanism that is pretty common in fibromyalgia (76–92%) sleep disorders constitute intermediate factor between pain and fatigue, and moreover these ailments amplify themselves mutually. The other symptoms that frequently accompany fibromyalgia belong: headache, dizziness, feeling of cold limbs, dryness in mouth, feeling of a lump in the throat, gastrointestinal disorder, breathlessness, feeling of arrhythmic heart beating, dysaesthesia*, dysuria**.
**dysuria – urinary bladder ailment, dysuria is a symptom of discomfort, pain, or burning when urinating.
More about link between depression and fibromyalgia one can read in: Anxiety, depression and fibromyalgia pain and severity Aparicio VA, Ortega FB et al University of Granada (Spain), Behavioral Psychology,2013:2;381-392
*Nosology – a branch of medical science that deals with classification of diseases
**Etiology – a branch of medical science concerned with the causes and origins of diseases
***Symptomatology – a branch of medical science concerned with symptoms of diseases