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Titolo:
Risk factors for persistent chronic widespread pain: a community-based study
Autore:
McBeth, J; Macfarlane, GJ; Hunt, IM; Silman, AJ;
Indirizzi:
Univ Manchester, Sch Epidemiol & Hlth Sci, ARC, Epidemiol Unit, ManchesterM13 9PT, Lancs, England Univ Manchester Manchester Lancs England M13 9PT rM13 9PT, Lancs, England Univ Manchester, Sch Epidemiol & Hlth Sci, Unit Chron Dis Epidemiol, Manchester M13 9PT, Lancs, England Univ Manchester Manchester Lancs England M139PT M13 9PT, Lancs, England
Titolo Testata:
RHEUMATOLOGY
fascicolo: 1, volume: 40, anno: 2001,
pagine: 95 - 101
SICI:
1462-0324(200101)40:1<95:RFFPCW>2.0.ZU;2-T
Fonte:
ISI
Lingua:
ENG
Soggetto:
SOMATIZATION DISORDER; FIBROMYALGIA SYNDROME; GENERAL-POPULATION; PREVALENCE; SCALES;
Keywords:
chronic widespread pain; persistence; risk factors; somatization;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: McBeth, J Univ Manchester, Sch Epidemiol & Hlth Sci, ARC, Epidemiol Unit, Stopford Bldg,Oxford Rd, Manchester M13 9PT, Lancs, England Univ ManchesterStopford Bldg,Oxford Rd Manchester Lancs England M13 9PT
Citazione:
J. McBeth et al., "Risk factors for persistent chronic widespread pain: a community-based study", RHEUMATOLOG, 40(1), 2001, pp. 95-101

Abstract

Background. Chronic widespread pain is the cardinal clinical feature of the fibromyalgia syndrome, which, in the majority of clinic patients, is persistent. By contrast, in community-derived patients, pain is persistent in only half of the affected individuals, particularly those with psychologicaldistress. Whether such distress is a consequence of the pain or a manifestation of a wider process of somatization which is associated with the persistence of pain is unclear. Objectives. We tested in a large, prospective, population-based study thr hypothesis that features of somatization predict the persistence of chronicwidespread pain. Methods. In all, 252 (13%) of 1953 adult subjects selected from a population register were classified as having chronic widespread pain based on a detailed questionnaire which included a pain drawing. Thr patients also completed a number of psychosocial instruments which measure features known to be associated with somatization. Two hundred and twenty-five (91%) of the patients were successfully followed up after 12 months and provided data on pain status using the same instruments. Results. In all, 126 (56%) patients reported chronic widespread pain at follow-up. 74 (33%) reported other pain acid 25 (11%) reported no pain. Persistent chronic widespread pain was strongly associated with baseline test scores for high psychological distress and fatigue. In addition, these subjects were more likely to display a pattern of illness behaviour characterizedby frequent visits to medical practitioners for symptoms which disrupt daily activities. The prevalence of persistent pain increased with the number of risk factors the subjects were exposed to. Conclusions. Although almost half of the eases of chronic widespread pain resolved within 1 yr, this study has demonstrated for the first time that these subjects who display features of somatization are more likely to have widespread pain which persists. These findings have implications for the identification and treatment of poisons with persistent chronic widespread pain.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 25/09/20 alle ore 22:45:58