Smoking habits influence pain and functional and psychiatric features in fibromyalgia

Lee, Shin-Seok; Kim, Seongho; Nah, Seong‐Su; Lee, Ji Hyun; Lee, Yeon-Ah; Kim, Hyun‐Sook; Lee, Hye‐Soon; Kim, Hyoun‐Ah; Joung, Chung-Il; Choe, Jung‐Yoon; Kim, Seong-Kyu

doi:10.1016/j.jbspin.2010.07.018

Cited by 18 publications

(20 citation statements)

References 32 publications

(56 reference statements)

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“…These observations are consistent with several previous reports that smoking may affect clinical features and functional disturbances in FM (Yunus et al, 2002;Pamuk et al, 2009;Weingarten et al, 2009;Lee et al, 2011), including the prevalence of chronic musculoskeletal pain and widespread pain (Brage and Bjerkedal, 1996;Andersson et al, 1998;Thomas et al, 1999). Cluster 1 had a significantly higher prevalence of past or current smokers, whereas the other groups contained relatively small numbers of smokers.…”

Section: Discussionsupporting

confidence: 91%

Identifying fibromyalgia subgroups using cluster analysis: Relationships with clinical variables

Yim

Lee

Park

et al. 2016

European Journal of Pain

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Section: Discussionsupporting

confidence: 91%

Identifying fibromyalgia subgroups using cluster analysis: Relationships with clinical variables

Yim

Lee

Park

et al. 2016

European Journal of Pain

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“…As hypothesized, FM+ smokers reported more severe pain and functional impairment than did FM+ nonsmokers. Although these results are generally consistent with initial findings that smokers with fibromyalgia have reported greater pain and impairment than nonsmokers with fibromyalgia , these earlier studies failed to include nonfibromyalgia comparisons, thus prohibiting inferences regarding the relative importance of centralized pain in these outcomes.…”

Section: Discussionsupporting

confidence: 81%

Associations Between Pain, Current Tobacco Smoking, Depression, and Fibromyalgia Status Among Treatment-Seeking Chronic Pain Patients

et al. 2015

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Objective As smoking impacts physiological pathways in the central nervous system, it is important to consider the association between smoking and fibromyalgia, a pain condition caused predominantly by central nervous system dysfunction. The objectives were to assess the prevalence of current smoking among treatment-seeking chronic pain patients with (FM+) and without (FM−) a fibromyalgia-like phenotype; test the individual and combined influence of smoking and fibromyalgia on pain severity and interference; and examine depression as a mediator of these processes. Methods Questionnaire data from 1566 patients evaluated for a range of conditions at an outpatient pain clinic were used. The 2011 Survey Criteria for Fibromyalgia were used to assess the presence of symptoms associated with fibromyalgia. Results Current smoking was reported by 38.7% of FM+ patients compared to 24.7% of FM− patients. FM+ smokers reported higher pain and greater interference compared to FM+ nonsmokers, FM− smokers, and FM− nonsmokers. There was no interaction between smoking and fibromyalgia. Significant indirect effects of fibromyalgia and smoking via greater depression were observed for pain severity and interference. Conclusions Current smoking and positive fibromyalgia status were associated with greater pain and impairment among chronic pain patients, possibly as a function of depression. Although FM+ smokers report the most negative clinical symptomatology (i.e., high pain, greater interference) smoking does not appear to have a unique association with pain or functioning in FM+ patients, rather the effect is additive. The 38.7% smoking rate in FM+ patients is high, suggesting FM+ smokers present a significant clinical challenge.

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“…In addition to those reviewed herein, there is evidence of associations between tobacco smoking and the prevalence/severity of several other painful conditions, including: fibromyalgia (Lee et al, 2010; Weingarten, Podduturu, et al, 2009; Wolfe & Hawley, 1998; Yunus, Arslan, & Aldag, 2002), dyspepsia (Wildner-Christensen, Hansen, & De Muckadell, 2006), menstrual pain (Allen, Hatsukami, Christianson, & Brown, 2000; Gold et al, 2007), pregnancy-related pelvic pain (Biering, Aagaard Nohr, Olsen, Nybo Andersen, & Juhl, 2010), Buerger's disease (Quintas & Albuquerque, 2008), HIV-related bodily pain (Patel et al, 2006; Turner et al, 2001), painful temporomandibular joint disorders (Melis et al, 2010; Weingarten, Iverson, et al, 2009), and pain associated with osteoarthritis (Amin et al, 2007) and sickle cell disease (Cohen, DeBaun, Blinder, Strunk, & Field, 2010). …”

Section: Effects Of Smoking On Painmentioning

confidence: 89%

Pain, nicotine, and smoking: Research findings and mechanistic considerations.

Ditre

Brandon

Zale

et al. 2011

Psychological Bulletin

280

272

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Tobacco addiction and chronic pain represent two highly prevalent and comorbid conditions that engender substantial burdens upon individuals and systems. Although interrelations between pain and smoking have been of clinical and empirical interest for decades, research on the topic of pain, nicotine, and tobacco smoking has increased dramatically over the past five years. We conceptualize the interaction of pain and smoking as a prototypical example of the biopsychosocial model. Accordingly, the current review extrapolated from behavioral, cognitive, affective, biomedical, and social perspectives to propose causal mechanisms that may contribute to the observed comorbidity between these two conditions. Research in the broad area of pain and smoking was first dichotomized into investigations of either "effects of smoking on pain" or "effects of pain on smoking." We then integrated the extant literature to present a reciprocal model of pain and smoking that is hypothesized to interact in the manner of a positive feedback loop, resulting in greater pain, increased smoking, and the maintenance of tobacco addiction. Finally, we proposed directions for future research, and discussed clinical implications for smokers with comorbid pain disorders. We observed modest evidence to support the notions that smoking may be a risk factor in the multifactorial etiology of some chronically painful conditions, and that the experience of pain may come to serve as a potent motivator of smoking. We also found that whereas animal studies yielded consistent support for direct pain-inhibitory effects of nicotine and tobacco smoke, results from human studies were much less consistent. Future research in the emerging area of pain and smoking has the potential to inform theoretical and clinical applications with respect to tobacco smoking, chronic pain, and their comorbid presentation.

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Smoking habits influence pain and functional and psychiatric features in fibromyalgia

Cited by 18 publications

References 32 publications

Identifying fibromyalgia subgroups using cluster analysis: Relationships with clinical variables

Identifying fibromyalgia subgroups using cluster analysis: Relationships with clinical variables

Associations Between Pain, Current Tobacco Smoking, Depression, and Fibromyalgia Status Among Treatment-Seeking Chronic Pain Patients

Pain, nicotine, and smoking: Research findings and mechanistic considerations.

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