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天气变化是否会影响纤维肌痛女性的疼痛程度,以及社会心理变量是否会调节这些影响?

Do weather changes influence pain levels in women with fibromyalgia, and can psychosocial variables moderate these influences?

作者信息

Smedslund Geir, Eide Hilde, Kristjansdottir Ólöf Birna, Nes Andrea Aparecida Gonçalves, Sexton Harold, Fors Egil A

机构信息

National Resource Centre for Rehabilitation in Rheumatology, Diakonhjemmet Hospital, Box 23 Vinderen, 0319, Oslo, Norway,

出版信息

Int J Biometeorol. 2014 Sep;58(7):1451-7. doi: 10.1007/s00484-013-0747-7. Epub 2013 Oct 17.

Abstract

The aim of this study was to examine the association between fibromyalgia pain and weather, and to investigate whether psychosocial factors influence this relationship. Women with chronic widespread pain/fibromyalgia (N = 50) enrolled in a larger study, were recruited from a 4-week inpatient rehabilitation program in Norway ( 2009-2010), and reported their pain and psychological factors up to three times per day (morning, afternoon, evening) for 5 weeks. These ratings were then related to the official local weather parameters. Barometric pressure recorded simultaneously impacted pain significantly while temperature, relative humidity, and solar flux did not. No psychological variables influenced the weather-pain interaction. No weather parameter predicted change in the subsequent pain measures. The magnitude of the inverse association between pain and barometric pressure was very small, and none of the psychological variables studied influenced the association between pain and barometric pressure. All in all, the evidence for a strong weather-pain association in fibromyalgia seems limited at best.

摘要

本研究的目的是检验纤维肌痛疼痛与天气之间的关联,并调查心理社会因素是否会影响这种关系。患有慢性广泛性疼痛/纤维肌痛的女性(N = 50)参与了一项更大规模的研究,她们是从挪威一个为期4周的住院康复项目中招募的(2009 - 2010年),并在5周内每天最多报告三次(早晨、下午、晚上)她们的疼痛和心理因素。然后将这些评分与当地官方天气参数相关联。同时记录的气压对疼痛有显著影响,而温度、相对湿度和太阳辐射通量则没有。没有心理变量影响天气与疼痛的相互作用。没有天气参数能预测后续疼痛指标的变化。疼痛与气压之间的负相关程度非常小,并且所研究的心理变量均未影响疼痛与气压之间的关联。总而言之,纤维肌痛中存在强烈天气 - 疼痛关联的证据似乎充其量是有限的。

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