Fibromyalgia is associated with panic disorder and functional dyspepsia with mood disorders - A study of women with random sample population controls

Background: We compared ICD-10 psychiatric disorders in female patients wit h fibromyalgia (n = 45) or functional dyspepsia (n = 18) with age-matched r andom sample controls (n = 49). Method: Version 2 of The Schedules for Clin ical Assessment in Neuropsychiatry (SCAN) was used for present state examin ation and lifetime diagnoses. Results: Current psychiatric disorders (somat oform pain disorder and specific phobia omitted) were diagnosed in 80% of f ibromyalgia patients (OR = 8.3), 83% of functional dyspepsia patients (OR = 10.3) and 33% controls. Among fibromyalgia patients 27% had lifetime panic disorder. Lifetime mood disorders were found in 83% of functional dyspepsi a patients. First-degree relatives with psychiatric disorder were found in 16% of the fibromyalgia patients, 50% of functional dyspepsia patients and 20% of controls. Conclusions: Fibromyalgia is associated with panic disorde r and functional dyspepsia with mood disorders in substantial subgroups. Ps ychiatric symptoms and somatic complaints are closely related in these diso rders. (C) 2000 Elsevier Science Inc. All rights reserved.