A Comparison of Self-Estimated Symptoms and Impact of Disease in Fibromyalgia and Rheumatoid Arthritis

Viitanen, J. V.; Ronni, Sisko; Ala-Peijari, Sirkku; Uoti-Reilama, Kirsti; Kautiainen, Hannu

doi:10.1300/j094v08n03_03

Cited by 9 publications

(6 citation statements)

References 18 publications

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“…It also concurs with the view that pain behavior, rather than pain per se, should be the target for treatment [50]. Our finding that FM women experienced lower PWB than the RA women can be explained by the finding that persons with FM often report more functional and psychiatric impairment than persons with RA [51, 52]. …”

Section: Discussionsupporting

confidence: 90%

In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia

Schleicher¹,

Alonso²,

Shirtcliff³

et al. 2005

Psychother Psychosom

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Background: Few studies have examined the potentially beneficial role of positive psychological functioning in individuals with chronic pain. This study examined the relationship of psychological well-being (PWB) to pain and disability in women with fibromyalgia (FM) as compared to women with rheumatoid arthritis (RA) and healthy controls (HC). We targeted several domains of PWB that have been associated with health, and also tested whether PWB was related to the women’s social network. Methods: PWB, pain, and disability were assessed in 125 women (57 with FM, 20 with RA, and 48 HC) on two occasions. Results: Women with FM reported lower overall PWB than did RA and HC women. Further, greater PWB was associated with less disability and fatigue, but not pain in women with FM. Self-acceptance, environmental mastery, purpose in life, and positive relations with others emerged as four important constructs in the association between PWB and disability. In addition, PWB mediated the relationship between social network size and disability. Conclusions: This assessment of PWB provides insight into those psychological domains that should be emphasized in treatments aimed at reducing the disabling aspects of FM.

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Section: Discussionsupporting

confidence: 90%

In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia

Schleicher¹,

Alonso²,

Shirtcliff³

et al. 2005

Psychother Psychosom

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“…The validity and reliability of the ISI has been demonstrated, 5,38 and it has been used effectively across multiple populations with comorbid disease. 58 A clinical cut-off of 10 is sensitive and specific to differentiating normal sleepers from those with clinically significant insomnia among persons with medical conditions. 38 …”

Section: Methodsmentioning

confidence: 99%

“…24,25,51,52,58 However, a recent review suggests that sleep disruption may be a more consistent predictor of the incidence and augmentation of pain severity as opposed to pain causing difficulties in sleep. 21 A possible explanation for these observations is sleep disturbance may engage multiple pain modulatory circuits within the central nervous system through inflammatory mediators or N-methyl-D-aspartate receptor activation.…”

Section: Introductionmentioning

confidence: 99%

Disrupted Sleep Is Associated With Altered Pain Processing by Sex and Ethnicity in Knee Osteoarthritis

Petrov

Goodin

Cruz-Almeida

et al. 2015

The Journal of Pain

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Studies indicate that improving sleep decreases reported pain in patients with knee osteoarthritis (OA), but it is unclear if this association extends to experimentally-induced pain responses. A community-based sample of 88 African-American and 52 non-Hispanic white adults (45-76y) with knee OA completed the Insomnia Severity Index and the arousal subscale of the Sleep Hygiene and Practices Scale. Participants underwent quantitative sensory testing including measures of pain sensitivity and facilitation at the knee, and pain inhibition. Outcomes were analyzed with multiple Tobit, hierarchical regression models, with adjustment for relevant covariates. Ethnicity and sex by sleep interactions were also entered into the models. After covariate adjustment, main associations were not observed. However, sex interacted with insomnia severity to predict greater temporal summation of heat and punctate pressure pain among women and lower heat temporal summation among men. Men and women who engaged in frequent arousal-associated sleep behaviors demonstrated higher and lower heat temporal summation, respectively. Non-Hispanic whites with greater insomnia severity displayed lower pressure pain thresholds and pain inhibition. Our findings are the first to demonstrate that disrupted sleep is associated with altered pain processing differentially by sex and ethnicity/race among people with knee OA.

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“…The ISI was developed to be an outcomes measure for insomnia research and has frequently been used as an outcome in clinical trials, both of pharmacologic therapies and behavioral interventions (58–64). It has also been used to identify morbidity and poor outcomes associated with insomnia, including in rheumatologic diseases (65, 66).…”

Section: Insomnia Severity Index (Isi)mentioning

confidence: 99%

Measures of sleep in rheumatologic diseases: Epworth Sleepiness Scale (ESS), Functional Outcome of Sleep Questionnaire (FOSQ), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI)

Omachi¹

2011

Arthritis Care & Research

101

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A Comparison of Self-Estimated Symptoms and Impact of Disease in Fibromyalgia and Rheumatoid Arthritis

Cited by 9 publications

References 18 publications

In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia

In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia

Disrupted Sleep Is Associated With Altered Pain Processing by Sex and Ethnicity in Knee Osteoarthritis

Measures of sleep in rheumatologic diseases: Epworth Sleepiness Scale (ESS), Functional Outcome of Sleep Questionnaire (FOSQ), Insomnia Severity Index (ISI), and Pittsburgh Sleep Quality Index (PSQI)

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