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纤维肌痛女性的女儿的疼痛灾难化:病例对照研究。

Pain catastrophizing in daughters of women with fibromyalgia: a case-control study.

机构信息

Universidade La Salle, Programa de Pós-Graduação em Saúde e Desenvolvimento Humano, Canoas, RS, Brazil.

Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Ciências Médicas, Porto Alegre, RS, Brazil; Universidade Federal do Rio Grande do Sul (UFRGS), Hospital de Clínicas de Porto Alegre (HCPA), Laboratório de Dor e Neuromodulação, Porto Alegre, RS, Brazil.

出版信息

Braz J Anesthesiol. 2021 May-Jun;71(3):228-232. doi: 10.1016/j.bjane.2020.10.012. Epub 2021 Feb 6.

DOI:10.1016/j.bjane.2020.10.012
PMID:33934878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9373569/
Abstract

Fibromyalgia is a syndrome characterized by chronic pain related to the musculoskeletal system. Patients feel incapable and show catastrophic thoughts (exaggeration of the sensations) related to painful events. This study aimed to compare catastrophic thoughts of pain between daughters of women with fibromyalgia and daughters of women without fibromyalgia, no daughter having the syndrome. It was a case-control study in which 76 women were included: 38 daughters of women diagnosed with fibromyalgia (case group), and 38 daughters of women without fibromyalgia (control group). The Brazilian versions of the Profile of Chronic Pain: Screen, the Pittsburgh Sleep Quality Index, the Pain Catastrophizing Scale, Resilience Scale, Beck Depression Inventory-II, and the State-Trait Anxiety Inventory were used. Data were tabulated and analyzed using SPSS 20.0. Continuous variables were compared between the groups using the Mann-Whitney U test or Student's t-test for independent samples. A significant difference was considered at p < 0.05. Regarding catastrophism, the case group had higher total catastrophism compared to the control group (p = 0.025). Daughters of patients with fibromyalgia showed higher rumination and magnification levels related to pain (p = 0.028 and p = 0.007, respectively) but did not show hopelessness. This study concludes that daughters of women with fibromyalgia are more likely to have symptoms of fibromyalgia due to their visualization of the syndrome. This indicates that emotional aspects may induce changes, and additional research on an individual basis is necessary.

摘要

纤维肌痛是一种以与骨骼肌肉系统相关的慢性疼痛为特征的综合征。患者感到无能为力,并表现出与疼痛事件相关的灾难性思维(感觉夸大)。本研究旨在比较纤维肌痛女性的女儿与无纤维肌痛女性的女儿之间的疼痛灾难性思维,没有女儿患有该综合征。这是一项病例对照研究,共纳入 76 名女性:38 名患有纤维肌痛的女性的女儿(病例组),和 38 名无纤维肌痛的女性的女儿(对照组)。使用了巴西版慢性疼痛概况:筛选、匹兹堡睡眠质量指数、疼痛灾难化量表、韧性量表、贝克抑郁量表二、状态-特质焦虑量表。使用 SPSS 20.0 对数据进行制表和分析。使用 Mann-Whitney U 检验或独立样本 Student's t 检验比较组间的连续变量。p < 0.05 被认为具有统计学差异。关于灾难化,病例组的总灾难化程度高于对照组(p = 0.025)。纤维肌痛患者的女儿表现出与疼痛相关的更高的沉思和放大水平(p = 0.028 和 p = 0.007),但没有表现出绝望。本研究得出结论,纤维肌痛女性的女儿更有可能出现纤维肌痛症状,因为她们对该综合征的可视化。这表明情绪方面可能会引起变化,需要对个体进行进一步的研究。

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本文引用的文献

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Pain Catastrophizing and Pain Persistence in Temporomandibular Disorder Patients.颞下颌关节紊乱病患者的疼痛灾难化和疼痛持续存在。
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Undifferentiated connective tissue disease, fibromyalgia and the environmental factors.未分化结缔组织病、纤维肌痛与环境因素
Curr Opin Rheumatol. 2017 Jul;29(4):355-360. doi: 10.1097/BOR.0000000000000392.
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Unique Contributions of Acceptance and Catastrophizing on Chronic Pain Adaptation.接纳与灾难化思维对慢性疼痛适应的独特作用。
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Pain Catastrophizing, rather than Vital Signs, Associated with Pain Intensity in Patients Presenting to the Emergency Department for Pain.对于因疼痛前往急诊科就诊的患者,疼痛灾难化而非生命体征与疼痛强度相关。
Pain Manag Nurs. 2017 Apr;18(2):102-109. doi: 10.1016/j.pmn.2016.12.001. Epub 2017 Mar 2.
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Pain extent is associated with pain intensity but not with widespread pressure or thermal pain sensitivity in women with fibromyalgia syndrome.在纤维肌痛综合征女性患者中,疼痛范围与疼痛强度相关,但与广泛的压力或热痛敏感性无关。
Clin Rheumatol. 2017 Jun;36(6):1427-1432. doi: 10.1007/s10067-017-3557-1. Epub 2017 Feb 4.
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Torque and Muscle Activation Impairment Along With Insulin Resistance Are Associated With Falls in Women With Fibromyalgia.扭矩和肌肉激活受损以及胰岛素抵抗与纤维肌痛女性的跌倒有关。
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