用于评估纤维肌痛的患者自我报告调查与肌肉骨骼疼痛个体的疼痛敏感性及心理因素之间的关联
The Association Between the Patient Self-Report Survey for the Assessment of Fibromyalgia with Pain Sensitivity and Psychological Factors in Individuals with Musculoskeletal Pain.
作者信息
Wilson Abigail T, Razzell Charlotte, Hanney William J
机构信息
University of Central Florida, School of Kinesiology and Rehabilitation Sciences, College of Health Professions and Sciences, Orlando, FL, USA.
Musculoskeletal Research Lab, Institute of Exercise Physiology and Rehabilitation Science, University of Central Florida, Orlando, FL, USA.
出版信息
J Pain Res. 2023 Sep 28;16:3297-3308. doi: 10.2147/JPR.S425687. eCollection 2023.
PURPOSE
The Patient Self-Report Survey for the Assessment of Fibromyalgia may potentially be a method for subgrouping patients with musculoskeletal pain who have a nociplastic pain presentation. Limited research has explored the convergent validity of this questionnaire against psychophysical measures of pain sensitivity and psychological factors in individuals with musculoskeletal pain. Therefore, the purpose of this study is to examine the strength of the association between total scores on the Patient Self-Report Survey for the Assessment of Fibromyalgia with clinical, pain sensitivity, and psychological factors.
PATIENTS AND METHODS
As a secondary analysis of a cross-sectional study, participants with shoulder (n = 20) or low back pain (n = 20) completed Quantitative Sensory Testing (QST), pain-related psychological questionnaires, and the Patient Self-Report Survey for the Assessment of Fibromyalgia. A Spearman correlation determined the association between total scores on the Patient Self Report Survey for the Assessment of Fibromyalgia with psychological factors and pain sensitivity behaviorally assessed with QST.
RESULTS
Negative psychological factors demonstrate moderate to strong positive associations with the Patient Self-Report Survey for the Assessment of Fibromyalgia (rho range = 0.36-0.80), suggesting greater negative psychological factors were observed in patients with higher severity of fibromyalgia symptoms. Pain sensitivity factors demonstrated weak to moderate negative associations with The Patient Self-Report Survey for the Assessment of Fibromyalgia (PPT rho range=-0.36- -0.41), suggesting that elevated pain sensitivity was observed in individuals with higher severity of nociplastic pain symptoms.
CONCLUSION
Collectively, this supports the convergent validity of the Patient Self-Report Survey for the Assessment of Fibromyalgia with psychological and pain sensitivity factors in patients with musculoskeletal pain.
目的
用于评估纤维肌痛的患者自我报告调查问卷可能是对具有伤害性感受性疼痛表现的肌肉骨骼疼痛患者进行亚组划分的一种方法。针对该问卷与肌肉骨骼疼痛个体的疼痛敏感性心理物理学测量方法及心理因素之间的收敛效度，相关研究较少。因此，本研究的目的是检验用于评估纤维肌痛的患者自我报告调查问卷总分与临床、疼痛敏感性及心理因素之间关联的强度。
患者与方法
作为一项横断面研究的二次分析，患有肩部疼痛（n = 20）或下背部疼痛（n = 20）的参与者完成了定量感觉测试（QST）、疼痛相关心理问卷以及用于评估纤维肌痛的患者自我报告调查问卷。采用Spearman相关性分析来确定用于评估纤维肌痛的患者自我报告调查问卷总分与心理因素以及通过QST行为评估的疼痛敏感性之间的关联。
结果
消极心理因素与用于评估纤维肌痛的患者自我报告调查问卷呈现中度至强的正相关（rho范围 = 0.36 - 0.80），这表明在纤维肌痛症状严重程度较高的患者中观察到了更多的消极心理因素。疼痛敏感性因素与用于评估纤维肌痛的患者自我报告调查问卷呈现弱至中度的负相关（PPT rho范围 = -0.36 - -0.41），这表明在伤害性感受性疼痛症状严重程度较高的个体中观察到了较高的疼痛敏感性。
结论
总体而言，这支持了用于评估纤维肌痛的患者自我报告调查问卷在肌肉骨骼疼痛患者中与心理及疼痛敏感性因素的收敛效度。
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