S-20 1 Physical Medicine and Rehabilitation Department, 2 Psychiatry Department, and 3 Urology Department, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey. Mahmut Yener, MD, Assist. Prof. Ayhan Askin, MD Feray Soyupek, MD, Assoc. Prof. Abdullah Akpinar, MD, Assist. Prof. Arif Demirdas, MD, Assist. Prof. Selma Sonmez, Sedat Soyupek, MD, Assoc. Prof. Please address correspondence to: Mahmut Yener, MD, Suleyman Demirel Universitesi Arastirma ve Uygulama, Hastanesi Fizik Tedavi ve Rehabilitasyon Bolumu, Dogu Kampusu, 32260 Isparta, Turkey. E-mail: bahtiyaryener@yahoo.com Received on June 3, 2013; accepted in revised form on February 4, 2014. Clin Exp Rheumatol 2015; 33 (Suppl. 88): S20-S24. © Copyright CliniCal and ExpErimEntal rhEumatology 2015. Key words: fbromyalgia, depression, anxiety, sexual dysfunction, spouses Competing interests: none declared. ABSTRACT Objective. Fibromyalgia (FM) can cause neuropsychiatric symptoms and sexual dysfunction. However, no data exist regarding anxiety and depres- sion status in spouses of sexually ac- tive women with FM. Accordingly, we aimed to evaluate whether emotional status are affected in spouses of women with FM, and to search whether there was a relationship between sexual dys- function of women with FM and emo- tional status of their spouses. Methods. Thirty newly diagnosed, never treated reproductive women with FM and 30 age-matched healthy wom- en as well as their spouses were includ- ed. Psychological status was evaluated using Beck depression/anxiety inven- tory (BDI/BAI). Sexual function was evaluated using Female Sexual Func- tion Index (FSFI) and Index of Female Sexual Function (IFSF). Results. BDI, BAI, FSFI and IFSF scores were signifcantly higher in women with FM than in controls. The spouses of women with FM had in- creased BDI and BAI scores as com- pared to spouses of controls (7.10±7.76 vs. 2.10±2.68, 6.96±6.62 vs. 2.20±3.16, respectively, p<0.001). BDI scores of women with FM signifcantly correlated to BDI scores of their spouses, but there was no signifcant relationship between BDI scores of spouses and sexual func- tions of women with FM. Conclusion. FM can cause deteriora- tion of emotional status and lead to sexual dysfunction. Also, psychologi- cal status could be affected in spouses of women with FM at reproductive age, and the severity of depression of their spouses was signifcantly correlated to that of women with FM. However, this affection in psychological status did not relate to sexual problems of the women with FM. Introduction Fibromyalgia (FM), one of the most common chronic musculoskeletal pain disorders, is defned as presence of chronic (for 3 months or more) wide- spread pain and pain on palpation of at least 11 of 18 tender point sites throughout the body (1-3). In addition, several additional symptoms have been reported in patients with FM such as fatigue, sleep disruption, anxiety and depression, headache, and concentra- tion problems (1-4). Moreover, func- tional disability can occur and quality of life (QOL) can be impaired in those patients (1, 2, 5). The prevalence of FM is higher in women and previous studies have shown that there is a strong association between FM and sexual dysfunction in women (6-10). The patients with FM can decrease frequency of sex activity due to the onset of chronic pain, physi- cal limitations, fatigue, and loss of sex- ual satisfaction (11). In addition, most patients can experience a decline in their sexual activities, and consequent- ly a cessation of their sex life (10). Moreover, it has been reported that as high as two thirds of married patients with FM have a decline in sexual ac- tivities and 30% of them report deterio- ration of the marital relationship (12). Although substantial data exists that FM leads to many symptoms related to musculoskeletal system, depression and anxiety, impairment of QOL, and sexual dysfunction resulting in deterio- ration of the marital relationship, there has been no data regarding anxiety and depression status in spouses of sexu- ally active women with FM. Accord- ingly, in the present study, we aimed to evaluate whether emotional status are affected in spouses of sexually active women with FM during reproductive age, and to search whether there was The evaluation of anxiety and depression status in spouses of sexually active reproductive women with fbromyalgia M. Yener 1 , A. Askin 1 , F. Soyupek 1 , A. Akpinar 2 , A. Demirdas 2 , S. Sonmez 3 , S. Soyupek 3