Abstract
Background
Fibromyalgia has been associated with various physical and mental disorders. However, these comorbidities need to be quantified in a population‐based study.
Method
We compared participants with and without self‐reported fibromyalgia to assess (1) The prevalence of self‐reported fibromyalgia and its sociodemographic characteristics in a US representative sample, (2) The associations between self‐reported fibromyalgia and lifetime and past 12‐months mental and physical disorders, and (3) The quality of life associated with self‐reported fibromyalgia.
This cross‐sectional study used a large national sample (n=36,309) of the US population, the NESARC‐III. Face to face interviews were conducted, collecting socio‐demographic characteristics, DSM‐5 structured diagnosis, and self‐reported medical conditions (including fibromyalgia).
Results
The past 12 months prevalence of self‐reported fibromyalgia was estimated at 2.05%. Participants with self‐reported fibromyalgia were significantly at higher risk to report a lifetime history of mental disorder (adjusted odds ratio (aOR) = 2.32). Self‐reported fibromyalgia was also positively associated with 24 of the 27 physical conditions assessed in this study.
Participants with self‐reported fibromyalgia were more likely to report a past 12‐months history of suicide attempts (aOR = 5.81), substance use disorders (aOR = 1.40), mood disorders (aOR = 2.67), anxiety disorders (aOR = 2.75) and eating disorders (aOR = 2.45).
Participants with self‐reported fibromyalgia had lower levels of both mental and physical quality of life than those without fibromyalgia.
Conclusions
Participants with self‐reported fibromyalgia have a higher prevalence of comorbid mental and physical disorders, and lower mean levels of mental and physical quality of life than their counterparts without fibromyalgia.
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