Development of the Sensory Hypersensitivity Scale (SHS): a self-report tool for assessing sensitivity to sensory stimuli

Dixon, E.; Benham, Grant; Sturgeon, John A.; Mackey, Sean; Johnson, Kevin A.; Younger, Jarred

doi:10.1007/s10865-016-9720-3

Cited by 39 publications

(50 citation statements)

References 53 publications

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“…Questionnaires included the Fibromyalgia 2011 Diagnostic Criteria for WPI and SS scores, the Sensory Hypersensitivity Scale (SHS) , the Patient‐Reported Outcomes Measurement Information System (PROMIS) fatigue measure , and the Short Form Brief Pain Inventory measure (BPI) . Quantitative sensory testing (QST) was conducted immediately after MRI scanning and assessed pressure pain thresholds, mechanical hyperalgesia, mechanical temporal summation, and response to a cold pressor test (see Supplementary Methods, available at http://onlinelibrary.wiley.com/doi/10.1002/art.40746/abstract).…”

Section: Methodsmentioning

confidence: 99%

Altered Cervical Spinal Cord Resting‐State Activity in Fibromyalgia

Martucci

Weber

Mackey

2019

Arthritis & Rheumatology

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Objective Altered afferent input and central neural modulation are thought to contribute to fibromyalgia symptoms, and these processes converge within the spinal cord. We undertook this study to investigate the hypothesis that, using resting‐state functional magnetic resonance imaging (rs‐fMRI) of the cervical spinal cord, we would observe altered frequency‐dependent activity in fibromyalgia. Methods Cervical spinal cord rs‐fMRI was conducted in fibromyalgia patients (n = 16) and healthy controls (n = 17). We analyzed the amplitude of low‐frequency fluctuations (ALFF), a measure of low‐frequency oscillatory power, for frequencies of 0.01–0.198 Hz and frequency sub‐bands to determine regional and frequency‐specific alterations in fibromyalgia. Functional connectivity and graph metrics were also analyzed. Results As compared to healthy controls (n = 14), greater ventral and lesser dorsal mean ALFF of the cervical spinal cord was observed in fibromyalgia patients ( n = 15) (uncorrected P < 0.05) for frequencies of 0.01–0.198 Hz and all sub‐bands. Additionally, lesser mean ALFF within the right dorsal quadrant (corrected P < 0.05) for frequencies of 0.01–0.198 Hz and sub‐band frequencies of 0.073–0.198 Hz was observed in fibromyalgia. Regional mean ALFF was not correlated with pain; however, regional lesser mean ALFF was correlated with fatigue in patients (r = 0.763, P = 0.001). Functional connectivity and graph metrics were similar between groups. Conclusion Our results indicate unbalanced activity between the ventral and dorsal cervical spinal cord in fibromyalgia. Increased ventral neural processes and decreased dorsal neural processes may reflect the presence of central sensitization and contribute to fatigue and other bodily symptoms in fibromyalgia.

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Section: Methodsmentioning

confidence: 99%

Altered Cervical Spinal Cord Resting‐State Activity in Fibromyalgia

Martucci

Weber

Mackey

2019

Arthritis & Rheumatology

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“…One such measure is the Sensory Hypersensitivity Scale (SHS)(Dixon et al, 2016). The SHS is a 25-item measure that assesses both general hypersensitivity as well as modality-specific sensitivity (e.g., touch taste, auditory).…”

Section: Chronic Overlapping Pain Conditions (Copcs): the Diagnosmentioning

confidence: 99%

“…Quantitative sensory testing may not be feasible in all clinical settings, so self-reported sensory hypersensitivity may also be used to document this phenomena. One such measure is the Sensory Hypersensitivity Scale (SHS; Dixon et al, 2016). The SHS is a 25-item measure that assesses both general hypersensitivity as well as modalityspecific sensitivity (e.g., touch taste, auditory).…”

Section: Generalized Sensory Hypersensitivitymentioning

confidence: 99%

Phenotypic features of central sensitization

Williams

2018

J Appl Biobehavioral Res

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Purpose The current manuscript reviews approaches for phenotyping central sensitization (CS). Methods The manuscript covers the concept of diagnostic phenotyping, use of endophenotypes, biomarkers, and symptom clusters. Specifically, the components of CS that include general sensory sensitivity (assessed by quantitative sensory testing) and a symptom cluster denoting sleep difficulties, pain, affect, cognitive difficulties, and low energy (S.P.A.C.E.). Results Each of the assessment domains are described with reference to CS and their presence in chronic overlapping pain conditions (COPCs) - conditions likely influenced by CS. Conclusions COPCs likely represent clinical diagnostic phenotypes of CS. Components of CS can also be assessed using QST or self-report instruments designed to assess single elements of CS or more general composite indices.

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“…For example, prior studies report mixed findings on the relationships between thermal pain sensitivity and non-noxious sensory sensitivity. 11,13,21 However, if MSS is related to chronic pain due to underlying shared central mechanisms as previously suggested, 11,12,14 then one might expect MSS to be more closely related to dynamic QST and referred pain, both associated with central mechanisms, [5][6][7]22 than to static QST or local pain. Unfortunately, studies are lacking that consider multiple QST modalities (eg, thermal and mechanical) using both static (thresholds) and dynamic (temporal summation or conditioned pain modulation) assessments or controlled experimentally induced pain models.…”

Section: Introductionmentioning

confidence: 90%

“…6,7 Emerging evidence suggests multisensory sensitivity (MSS) could potentially serve as an additional marker to reflect the status of CNS sensitivity as elevated MSS has been theorized to be attributable to a sensitized CNS. [11][12][13][14] Indeed, a review showed pre-morbid assessments of high sensory sensitivity using QST were predictors of central sensitization. 14 Several pain populations, suspected to involve central mechanisms or nociplastic pain, report hypersensitivity to normal daily sensations, such as light touch, bright light or noise.…”

Section: Introductionmentioning

confidence: 99%

<p>Multisensory Sensitivity is Related to Deep-Tissue but Not Cutaneous Pain Sensitivity in Healthy Individuals</p>

Wang¹,

Merkle²,

Lee³

et al. 2020

JPR

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Purpose: Some individuals with chronic pain find daily life sensations (eg, noise, light, or touch) aversive. This amplification of multisensory sensations has been associated with centrally mediated plasticity; for example, greater multisensory sensitivity (MSS) occurs in patients with fibromyalgia than rheumatoid arthritis. However, whether MSS preferentially relates to pain measures which reflect central influences (eg, dynamic quantitative sensory testing (QST) or referred pain), or whether the MSS-pain relationship requires priming from chronic pain, is unknown. Thus, this cross-sectional study investigated the relationships between MSS assessed in a pain-free state and evoked pain sensitivity. Methods: Experimental intramuscular infusion pain and multiple static and dynamic QST were assessed in 465 healthy, pain-free adults: pain thresholds using pressure (PPTs) and heat (HPTs), temporal summation of pain (TSP) using pressure, heat or punctate stimuli, and conditioned pain modulation (CPM) using pressure or heat test stimuli. MSS was assessed using 7 items from Barsky's Somatosensory Amplification Scale. Differences in pain and QST between sex-specific MSS quartiles were assessed, adjusting for multiple comparisons. All participants completed at least one intramuscular infusion condition, but not all were asked to complete each QST (n=166-465). Results: Both static and dynamic QST differed between highest and lowest MSS quartiles using pressure stimuli: lower PPTs (adjusted-p<0.01); increased pressure TSP (adjusted-p=0.02); lower pressure CPM (adjusted-p=0.01). However, none of the heat or punctate QST measures (HPTs, TSP, or CPM) differed between MSS quartiles (adjusted-p>0.05). Odds of experiencing TSP or referred pain was not greater, whereas CPM was 8-fold less likely, in those with highest MSS. Conclusion: Normal variation in non-noxious MSS is related to both static and dynamic pain sensitivity, without sensitization associated with chronic pain, but is dependent on the QST stimulus. Thus, common influences on MSS and pain sensitivity may involve central mechanisms but are likely more complex than previously recognized.

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Development of the Sensory Hypersensitivity Scale (SHS): a self-report tool for assessing sensitivity to sensory stimuli

Cited by 39 publications

References 53 publications

Altered Cervical Spinal Cord Resting‐State Activity in Fibromyalgia

Altered Cervical Spinal Cord Resting‐State Activity in Fibromyalgia

Phenotypic features of central sensitization

<p>Multisensory Sensitivity is Related to Deep-Tissue but Not Cutaneous Pain Sensitivity in Healthy Individuals</p>

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