Contextual and time dependent pain in fibromyalgia: An explorative study

BMC Research Notes

Øyvind Bakke²  Tormod Landmark¹  Egil A Fors¹ 

[1] National Competence Centre for Complex Symptom Disorders, St Olav University Hospital, Trondheim, Norway;Department of Mathematical Sciences,

[2] Norwegian University of Science and Technology, Trondheim, Norway

关键词: Explorative;    Cohort;    Long-term;    Time;    Context;    Chronic pain;    Fibromyalgia;   

Others  :  1165176
DOI  :  10.1186/1756-0500-5-644

 received in 2012-04-14, accepted in 2012-11-16,  发布年份 2012

【 摘 要 】

Background

Little is known about contextual effects on chronic pain, and how vulnerability factors influence pain in different contexts. We wanted to examine if fibromyalgia (FM) pain varied between two social contexts, i.e. at home versus in a doctor office, when it was measured the same day, and if pain was stable for 14 years when measured in similar contexts (doctor office). Our secondary aim was to explore if pain vulnerability factors varied in the two different contexts.

Findings

Fifty-five female FM patients were included in the study and scored pain in both contexts at baseline. Their age ranged between 21–68 years (mean 45.7), mean education level was 11 years and mean FM-duration was 15.6 years. Their mean pain was perceived significantly lower at home than in a doctor context the same day. However, pain was much more stable when measured in two similar contexts 14 year apart where 30 subjects (54.5%) completed. Predictor analyses revealed that pain vulnerability factors apparently varied by home anddoctor contexts.

Conclusion

Pain and pain predictors seem to vary by contexts and time, with less pain at home than to a doctor the same day, but with unchanged pain in the same context after 14 years. Thus, contextual pain cues should be accounted for when pain is measured and treated, e.g. by focusing more on home-measured pain and by optimizing the doctor office context. This explorative study should be followed up by a larger full-scale study.

【 授权许可】

   
2012 Fors et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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