Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status
Eissa, B., Elsebaei, E., Salem, A., Abd al-azim, H., Abdelmoneim, N., Blamoun, S., Abdulazim, D. (2024). Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status. EKB Journal Management System, 75(3), 739-746. doi: 10.21608/asmj.2024.291595.1276
Basma M. Eissa; Eman H. Elsebaei; Amany A. Salem; Hadeer Abd al-azim; Noha A. Abdelmoneim; Sara A. Blamoun; Dina O. Abdulazim. "Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status". EKB Journal Management System, 75, 3, 2024, 739-746. doi: 10.21608/asmj.2024.291595.1276
Eissa, B., Elsebaei, E., Salem, A., Abd al-azim, H., Abdelmoneim, N., Blamoun, S., Abdulazim, D. (2024). 'Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status', EKB Journal Management System, 75(3), pp. 739-746. doi: 10.21608/asmj.2024.291595.1276
Eissa, B., Elsebaei, E., Salem, A., Abd al-azim, H., Abdelmoneim, N., Blamoun, S., Abdulazim, D. Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status. EKB Journal Management System, 2024; 75(3): 739-746. doi: 10.21608/asmj.2024.291595.1276

Fibromyalgia and Depression in Egyptian Medical Students: A Cross-Sectional Study of Impact on Physical Functional Status

Ain Shams Medical Journal
Volume 75, Issue 3, September 2024, Page 739-746  XML PDF (396.86 K)
Document Type: Original Article
DOI: 10.21608/asmj.2024.291595.1276
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Authors
Basma M. Eissa email orcid 1; Eman H. Elsebaei2; Amany A. Salem2; Hadeer Abd al-azim3; Noha A. Abdelmoneim3; Sara A. Blamoun4; Dina O. Abdulazim1
1Department of Rheumatology and Rehabilitation, Faculty of Medicine, Cairo University.
2Department of Public Health, Faculty of Medicine, Cairo University, Cairo, Egypt.
3Faculty of Medicine, Cairo University, Cairo, Egypt.
4Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Abstract
Background: Fibromyalgia (FM) patients experience depression at a higher rate than healthy subjects. FM patients with comorbid depression tend to have worse functional status.
Aim of the work: To determine the impact of FM, depression and their comorbidity on the physical functional status.
Patients Methods: Egyptian medical students (undergraduates and interns) were screened for FM using FM Rapid Screening Tool (FiRST), and for depression with the Beck Depression Inventory II (BDI-II). Physical functional status was assessed using Health Assessment Questionnaire II (HAQ-II).
Results: Among 430 medical students, the frequency of FM was 13.3% (12.3% in undergraduates, 16.2% in interns) and of depression was 38.4% (37.8% in undergraduates, 40.0% in interns). Female sex, the presence of any psychiatric comorbidity and the presence of depression were predictors of FM. Depressed medical students had higher frequency of FM compared to the non-depressed (24.2 vs. 6.4%, p<0.001). Medical students with FM had higher frequency of depression than those without (70.2% vs. 33.5%, p<0.001). Median (interquartile range) HAQ-II scores were higher in medical students with FM compared to those without (0.4(0.6) vs. 0.1(0.3), p<0.001) and in depressed medical students compared the non-depressed (0.3(0.5) vs. 0.1(0.3), p<0.001). HAQ-II scores were higher in medical students with comorbid FM and depression than in those free from both (0.4(0.54) vs 0.09(0.3), p<0.001), those with isolated depression (0.2(0.5), p<0.001) and those with isolated FM (0.18(0.43), p=0.049).
Conclusions: FM and depression negatively impact physical function in medical students. The comorbidity of both results in greater functional impairment than either condition in isolation.
Keywords
Depression; fibromyalgia; interns; medical students; physical function
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