Pöyhiä R, Da Costa D, Fitzcharles M A
Department of Medicine and Clinical Epidemiology, McGill University Health Center, McGill University, Montreal, Quebec, Canada.
J Rheumatol. 2001 Aug;28(8):1888-91.
To examine the frequency of commonly occurring pain and adverse experiences throughout life by self-report in women with fibromyalgia (FM) and chronic inflammatory arthritis (IA) and nonpainful healthy women.
Fifty-one patients with FM and 44 with IA and 52 nonpainful healthy controls were consecutively interviewed in a tertiary clinic setting regarding the occurrence of lifetime common pain experience and adverse events, as well as a family history of FM and/or a childhood pain environment.
Patients with FM reported significantly more irritable bowel syndrome, migraine headaches, severe menstrual pain, physical and psychological trauma affecting well being, family history of FM, and family pain environment than subjects with IA or controls. Both patient groups had more adult hospitalizations and surgeries than the controls.
Patients with FM report a high rate of varied pain and adverse experiences throughout life. This real or perceived experience of pain supports the concept that FM is a lifetime disorder of pain processing.
通过自我报告来调查纤维肌痛（FM）和慢性炎症性关节炎（IA）女性患者以及无疼痛的健康女性一生中常见疼痛和不良经历的发生频率。
在一家三级诊所环境中，对51名FM患者、44名IA患者和52名无疼痛的健康对照者进行了连续访谈，内容涉及一生中常见疼痛经历和不良事件的发生情况，以及FM家族史和/或童年疼痛环境。
与IA患者或对照者相比，FM患者报告的肠易激综合征、偏头痛、严重痛经、影响幸福感的身体和心理创伤、FM家族史以及家庭疼痛环境明显更多。两组患者的成人住院和手术次数均多于对照组。
FM患者报告一生中各种疼痛和不良经历的发生率很高。这种真实或感知到的疼痛经历支持了FM是一种终生疼痛处理障碍的概念。
