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A Double-blind Placebo Controlled Trial of Fluoxetine in Fibromyalgia
Abstract
42 women were randomized to receive either placebo or fluoxetine at 20 mgs per day. Inter and intra group differences in clinical variables were evaluated after 3 and 6 weeks of treatment. Except for self rated anxiety which improved in the placebo treated group at 3 weeks, no differences between groups were noted. For those receiving fluoxetine both AIMS Anxiety (4.0 baseline vs. 3.3, p = 0.04) and Depression scores (2.6 baseline vs. 1.9, p = 0.03) improved at 3 weeks; however, improvement in the Beck Depression Scale did not reach significance (11.8 vs. 9.4, p = 0.34). At 6 weeks, both AIMS Depression (2.6 at baseline and 1.5 at 6 weeks, p = 0.03) and Beck Depression Scales (11.8 at baseline vs. 8.3 at 6 weeks, p = 0.04) showed improvement, as did sleep quality (9.6 vs. 7.6, p = 0.03). But no other variable had a significant change from baseline at either the 3 or 6 week point. Our data do not suggest that fluoxetine improves the signs and symptoms of fibromyalgia.
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Self-reported sleep quality perceptions were significantly better with fluoxetine (20mg) than placebo for patients with fibromyalgia.
“(Wolfe et al., 1994) found that self-reported sleep quality perceptions were significantly better with fluoxetine (20mg) than placebo for patients with fibromyalgia.”
From Antidepressants and their effect on sleep (2005) · cites this paper as Wolfe et al., 1994
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Metadata
- Authors
- Wolfe, F., Cathey, M. A., & Hawley, D. J.
- Affiliations
- University of Kansas (US)
- Wichita State University (US)
- ORCID
- Wolfe, F.
- Venue
- Scandinavian Journal of Rheumatology
- Publisher
- Informa UK Limited
- Published
- 1994-01
- Volume
- 23
- Issue
- 5
- Pages
- 255-259
- ISSN
- 0300-9742 (ISSN-L)
- 1502-7732
- OpenAlex
- W2017836712
- Cited by
- 252
- References
- 0
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 20 · 2023: 1 · 2022: 2 · 2021: 4 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 2 · 2015: 4 · 2014: 4 · 2013: 7 · 2012: 10
- FWCI
- 3.95
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Rheumatology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- fluoxetine, fibromyalgia, selective serotonin reuptake inhibitors, depression, anxiety, sleep quality, women, antidepressant efficacy
- MeSH terms
- Adult, Aged, Anxiety, Depression, Double-Blind Method, Female, Fibromyalgia, Fluoxetine, Humans, Middle Aged, Pain Measurement, Psychiatric Status Rating Scales
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