Impact of Moving From a Widespread to Multisite Pain Definition on Other Fibromyalgia Symptoms

Dean, Linda E; Arnold, Lesley M.; Crofford, Leslie J.; Bennett, Robert M.; Goldenberg, Don L.; Fitzcharles, Mary Ann; Paiva, Eduardo S.; Staud, Roland; Clauw, D.; Sarzi‐Puttini, Piercarlo; Jones, Gareth T; Ayorinde, Abimbola; Flüß, Elisa; Beasley, Marcus; Macfarlane, Gary J.

doi:10.1002/acr.23214

Cited by 15 publications

(9 citation statements)

References 29 publications

(40 reference statements)

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“…Fibromyalgia (FM) is a multifaceted, multifactorial chronic pain disorder characterized by various symptoms such as widespread pain, difficulty with sleep, cognitive difficulties, depression, anxiety, and fatigue. 18 Fibromyalgia affects predominantly women, and the broad array of FM symptoms and contributory factors suggests a strong biopsychosocial basis for the condition. Many of the most effective treatments for FM pain symptomatology involve mind–body treatments that emphasize physical activity along with a cognitive and emotional focus (eg, yoga and movement therapies).…”

Section: Introductionmentioning

confidence: 99%

The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

Lazaridou

Paschali

Schreiber

et al. 2020

PR9

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Section: Introductionmentioning

confidence: 99%

The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

Lazaridou

Paschali

Schreiber

et al. 2020

PR9

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“…Widespread pain (axial, present in both sides of the body, in upper and lower limb), as well as multisite pain (seven or more anatomical sites), increases the risk of developing a chronic condition [19–21]. An overlap between multisite and chronic widespread pain (CWP) has also been shown [22].…”

Section: Introductionmentioning

confidence: 99%

“…The American College of Rheumatology’s (ACR) definition of CWP [20] has been used in epidemiological studies to classify individuals with pain symptoms into subgroups [22]. The definition states that CWP is pain (i) for at least three months during the past 12, (ii) distributed in the axial skeleton, (iii) in both sides of the body, and (iv) in the upper and lower limbs.…”

Section: Introductionmentioning

confidence: 99%

The StarT back screening tool and a pain mannequin improve triage in individuals with low back pain at risk of a worse prognosis – a population based cohort study

Haglund

Bremander

Bergman

2019

BMC Musculoskelet Disord

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BackgroundThe STarT Back Screening Tool (SBT) identifies patients with low back pain (LBP) at risk of a worse prognosis of persistent disabling back pain, and thereby facilitates triage to appropriate treatment level. However, the SBT does not consider the pain distribution, which is a known predictor of chronic widespread pain (CWP). The aim of this study was to determine if screening by the SBT and screening of multisite chronic widespread pain (MS-CWP) could identity individuals with a worse prognosis. A secondary aim was to analyze self-reported health in individuals with and without LBP, in relation to the combination of these two screening tools.MethodsOne hundred and nineteen individuals (aged 40–71 years, mean (SD) 59 (8) years), 52 with LBP and 67 references, answered two screening tools; the SBT and a pain mannequin – as well as a questionnaire addressing self-reported health. The SBT stratifies into low, medium or high risk of a worse prognosis. The pain mannequin stratifies into either presence or absence of CWP in combination with ≥7 painful areas of pain (0–18), here defined as MS-CWP (high risk of worse prognosis). The two screening tools were studied one-by-one, and as a combined screening. For statistical analyses, independent t-tests and Chi-square tests were used.ResultsBoth the SBT and the pain mannequin identified risk of a worse prognosis in individuals with (p = 0.007) or without (p = 0.001) LBP. We found that the screening tools identified partly different individuals at risk. The SBT identified one individual, while the pain mannequin identified 21 (19%). When combining the two screening methods, 21 individuals (17%) were at high risk of a worse prognosis. When analyzing differences between individuals at high risk (combined SBT and MS-CWP) with those at low risk, individuals at high risk reported worse health (p = 0.013 - < 0.001).ConclusionsBoth screening tools identified individuals at risk, but they captured different aspects, and also different number of individuals at high risk of a worse prognosis. Thus, using a combination may improve early detection and facilitate triage to appropriate treatment level with multimodal approach also in those otherwise missed by the SBT.

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“…The current principles in the diagnostic criteria of fibromyalgia have moved from a pain-focused to a symptom-focused condition, and the proposed diagnostic criteria also require the presence of additional symptoms associated with FM: fatigue, sleep disturbances, somatic and cognitive symptoms, anxiety and depressive episodes. A recent largescale study (Dean et al, 2017) investigated whether associations between pain and the additional symptoms associated with FM are different in persons with chronic widespread pain compared to multi-site pain, including or excluding joint areas. The study demonstrated that regardless of the definition of pain used, the magnitude of association between pain and other associated symptoms of FM is similar.…”

Section: Introductionmentioning

confidence: 99%

Structured Short-Term Group Art Therapy in Patients with Fibromyalgia. A Pilot Study

Rüütel

Kruus

Ivanova

et al. 2019

Reabilitacijos mokslai

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Research background. The causes of fibromyalgia (FM) are unclear and diagnosing FM is complicated, which limits treatment options, and no treatment to date has proven fully effective in alleviating its symptoms. In current studies, where art therapy has been applied in the case of FM, art therapy has been part of a multidisciplinary intervention. The authors were unable to find any published data on the effects of art therapy on FM. The aim of the research was to determine the effect of group art therapy on pain, emotional state, and feeling of health and comfort of FM patients. Research methods. Intervention included ten structured art therapy sessions. The participants were 20 women between the ages of 39–64 years. In order to assess the results of therapy, a self-rate questionnaire was used. Therapy session changes were registered using pain and fatigue NRS and semantic differential scales of feeling of health and comfort. The outcome of group art therapy was assessed with a pain and fatigue NRS, and an Emotional State Questionnaire (EST-Q2). An open question was used to study the expectations of participants at the beginning of therapy and the main result of the therapy upon its conclusion. Research results. During the group art therapy session, pain and fatigue decreased and the feeling of health and comfort improved. This was confirmed by the content analysis of open questions. Following therapy, a significant decrease had taken place in the subscales of the Emotional State Questionnaire in depression, anxiety, and agoraphobia-panic; a substantial decrease in pain and fatigue took place in patients with heightened baseline measures. Conclusion. The changes following the therapy session confirm the results of earlier studies on the positive effects of psychotherapy and art therapy sessions on pain. The pilot study provided promising results for the application of structured short-term group art therapy with FM patients. Keywords: group art therapy, fibromyalgia, pain, fatigue, emotional state.

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Impact of Moving From a Widespread to Multisite Pain Definition on Other Fibromyalgia Symptoms

Cited by 15 publications

References 29 publications

The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

The StarT back screening tool and a pain mannequin improve triage in individuals with low back pain at risk of a worse prognosis – a population based cohort study

Structured Short-Term Group Art Therapy in Patients with Fibromyalgia. A Pilot Study

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