Department of Psychology, University of Saskatchewan , Saskatoon, Saskatchewan, Canada.
Women Health. 2020 Sep;60(8):946-957. doi: 10.1080/03630242.2020.1781741. Epub 2020 Jul 8.
The association among dysmenorrhea, chronic pain, and conditions classified as central sensitivity syndromes (CSS) is largely unknown. We investigated the co-occurrence of dysmenorrhea with chronic pain and other CSS (e.g., fibromyalgia, migraines); and, whether severity of menstrual symptoms was associated with severity of chronic pain and of somatic symptoms. Women from a mid-sized Canadian university women (N = 248, age = 21.52) completed measures of menstrual pain severity, chronic pain severity, somatic symptoms severity, and the presence of comorbid CSS. Pearson's correlations assessed the relationship between severity of dysmenorrhea, chronic pain, and somatic symptoms. MANOVA procedures assessed the interaction between dysmenorrhea and chronic pain and χ analyses were used to test the frequency of CSS among women with dysmenorrhea. Higher ratings of menstrual symptom severity were associated with increased chronic pain severity ( =.66, <.001), and somatic symptom severity ( =.66, <.001). Women with dysmenorrhea were not more likely to experience chronic pain, but were more likely to report a CSS, χ (1) = 5.12, <.05. Dysmenorrhea symptoms may extend beyond the menstrual phase and be associated with more severe symptoms among women with comorbid pain and somatic concerns.
痛经、慢性疼痛与被归类为中枢敏化综合征 (CSS) 的病症之间的关联在很大程度上尚未被了解。我们研究了痛经与慢性疼痛和其他 CSS（例如纤维肌痛、偏头痛）的同时发生情况；以及月经症状的严重程度是否与慢性疼痛和躯体症状的严重程度相关。来自加拿大一所中型大学的女性（N=248，年龄=21.52）完成了月经疼痛严重程度、慢性疼痛严重程度、躯体症状严重程度以及共病 CSS 的存在的测量。Pearson 相关分析评估了痛经、慢性疼痛和躯体症状严重程度之间的关系。MANOVA 程序评估了痛经和慢性疼痛之间的相互作用，χ 分析用于检验痛经女性中 CSS 的发生频率。更高的月经症状严重程度评分与更高的慢性疼痛严重程度（=.66，<.001）和躯体症状严重程度（=.66，<.001）相关。痛经女性不太可能经历慢性疼痛，但更有可能报告存在 CSS，χ(1)=5.12，<.05。痛经症状可能会超出月经周期，并与患有共病疼痛和躯体问题的女性更严重的症状相关。
