Stefan Bergman1. 1. Research and Development Centre, Spenshult, Oskarström, Sweden. stefan.bergman@spenshult.se
Abstract
PURPOSE: To study the impact on health status as measured by SF-36 in groups of subjects having chronic musculoskeletal pain with different degree of generalization: No chronic pain (NCP), chronic regional pain (CRP), chronic widespread pain (CWP), CWP with a stricter 'Manchester' definition (CWP-M), and clinically defined fibromyalgia (FM). The study also examines the association between psychosocial and lifestyle background variables, and these pain-groups. METHOD: A cross-sectional study with a postal survey to 3928 subjects, constituting a representative sample of the adult general population, followed by clinical examination in a selected group of subjects with CWP. CWP and FM were diagnosed according to ACR 1990 fibromyalgia criteria. Health status was measured by SF-36 Health Survey. RESULTS: Patients with CWP, CWP-M, and FM were found to present with more severe impairment of health status than the other two population groups. Several psychosocial factors, such as belonging to a lower socio-economic group, being an immigrant, living in a compromised housing area, having lower educational level, experiencing lower social support and having a family history of chronic pain, were associated with the populations with CWP and FM. CONCLUSIONS: The spectrum of impact on health and association to background variables, with respect to a stricter definition of CWP, indicates that these factors are important to attend to in the understanding and management of CWP and FM.
PURPOSE: To study the impact on health status as measured by SF-36 in groups of subjects having chronic musculoskeletal pain with different degree of generalization: No chronic pain (NCP), chronic regional pain (CRP), chronic widespread pain (CWP), CWP with a stricter 'Manchester' definition (CWP-M), and clinically defined fibromyalgia (FM). The study also examines the association between psychosocial and lifestyle background variables, and these pain-groups. METHOD: A cross-sectional study with a postal survey to 3928 subjects, constituting a representative sample of the adult general population, followed by clinical examination in a selected group of subjects with CWP. CWP and FM were diagnosed according to ACR 1990 fibromyalgia criteria. Health status was measured by SF-36 Health Survey. RESULTS:Patients with CWP, CWP-M, and FM were found to present with more severe impairment of health status than the other two population groups. Several psychosocial factors, such as belonging to a lower socio-economic group, being an immigrant, living in a compromised housing area, having lower educational level, experiencing lower social support and having a family history of chronic pain, were associated with the populations with CWP and FM. CONCLUSIONS: The spectrum of impact on health and association to background variables, with respect to a stricter definition of CWP, indicates that these factors are important to attend to in the understanding and management of CWP and FM.
Authors: Joy R Goebel; Lynn V Doering; Lorraine S Evangelista; Adeline M Nyamathi; Sally L Maliski; Steven M Asch; Cathy D Sherbourne; Lisa R Shugarman; Andy B Lanto; Angela Cohen; Karl A Lorenz Journal: J Card Fail Date: 2008-11-13 Impact factor: 5.712
Authors: Antoni Castel; Sonia Castro; Ramon Fontova; Maria José Poveda; Rosalia Cascón-Pereira; Salvador Montull; Anna Padrol; Rami Qanneta; Maria Rull Journal: Rheumatol Int Date: 2014-08-01 Impact factor: 2.631
Authors: Jacob M Vigil; Patricia Pendleton; Patrick Coulombe; Kevin E Vowles; Joe Alcock; Bruce W Smith Journal: Pain Res Manag Date: 2014 Jul-Aug Impact factor: 3.037