纤维肌痛患者平均压痛点评分与自我报告疼痛之间缺乏相关性。
Lack of correlation between the mean tender point score and self-reported pain in fibromyalgia.
作者信息
Jacobs J W, Rasker J J, van der Heide A, Boersma J W, de Blécourt A C, Griep E N, van Rijswijk M H, Bijlsma J W
出版信息
Arthritis Care Res. 1996 Apr;9(2):105-11. doi: 10.1002/1529-0131(199604)9:2<105::aid-anr1790090206>3.0.co;2-#.
OBJECTIVES
To study the validity and nature of self-assessed symptoms among patients with fibromyalgia syndrome (FMS) and to compare our data with findings reported in the US. To determine whether tender point scores correlate with self-reported pain and other symptoms and to study the influence of disease duration.
METHODS
Tender point scores were assessed in 113 consecutive patients with FMS. All patients completed 2 self-assessment questionnaires (an extended Campbell list, the Enschede Fibromyalgia Questionnaire, and the Dutch Arthritis Impact Measurement Scales).
RESULTS
The self-assessed symptoms of the Dutch FMS patients seem to be valid and are comparable with those of American patients. No association between disease duration and number of self-reported symptoms was found. An association between self-reported pain and mean tender point score was lacking for patients with disease of shorter duration and was weak for patients with disease of longer duration.
CONCLUSIONS
The use of a self-report questionnaire for patients with FMS is feasible and appears to be valid. Tender point scores and self-reported pain represent very different aspects of pain in FMS.
目的
研究纤维肌痛综合征（FMS）患者自我评估症状的有效性和性质，并将我们的数据与美国报告的研究结果进行比较。确定压痛点评分是否与自我报告的疼痛及其他症状相关，并研究病程的影响。
方法
对113例连续的FMS患者进行压痛点评分评估。所有患者均完成2份自我评估问卷（一份扩展的坎贝尔列表、恩斯赫德纤维肌痛问卷和荷兰关节炎影响测量量表）。
结果
荷兰FMS患者的自我评估症状似乎是有效的，且与美国患者的症状具有可比性。未发现病程与自我报告症状数量之间存在关联。病程较短的患者自我报告的疼痛与平均压痛点评分之间无关联，病程较长的患者之间的关联较弱。
结论
使用自我报告问卷对FMS患者进行评估是可行的，且似乎是有效的。压痛点评分和自我报告的疼痛代表了FMS疼痛的非常不同的方面。
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