The prevalence and associated features of chronic widespread pain in the community using the 'Manchester' definition of chronic widespread pain
The prevalence and associated features of chronic widespread pain in the community using the 'Manchester' definition of chronic widespread pain
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DOI：
10.1093/rheumatology/38.3.275
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发表时间：
1999-03-01
期刊：
影响因子：
5.5
通讯作者：
Macfarlane, GJ
中科院分区：
文献类型：
--
作者：
Hunt, IM;Silman, AJ;Macfarlane, GJ
Objective.我们使用“曼彻斯特”定义[CWP（M）]研究慢性广泛性疼痛的描述性流行病学，并根据这些更严格的标准评估具有此类疼痛特征的受试者的心理社会和其他特征。在英国大曼彻斯特地区进行了一项对3004名受试者的人口邮政调查。曼彻斯特定义的慢性广泛性疼痛的点患病率为4.7%。CWP（M）与心理障碍相关[风险比（RR）= 2.2，95%置信区间（CI）]（1.4-3.5）]、疲劳[RR = 3.8，95% CI（2.3-6.1）]、自我护理水平低[RR = 2.2，95%CI（1.4-3.6）]和报告其他躯体症状[RR = 2.0，95%CI（1.3-3.1）]。低血糖信念和对身体症状的关注也与CWP（M）的存在有关。这种慢性广泛性疼痛的定义在识别真正广泛性疼痛及其相关不良心理社会因素的受试者方面更精确。与其他“非疼痛”的躯体症状明确的协会被确定，这进一步支持了这一假设，慢性广泛疼痛是躯体化的一个特点。
Objective. We examine the descriptive epidemiology of chronic widespread pain using the 'Manchester' definition [CWP(M)] and assess psychosocial and other features which characterize subjects with such pain according to these more stringent criteria.Methods. A population postal survey of 3004 subjects was conducted in the Greater Manchester area of the UK.Results. The point prevalence of Manchester-defined chronic widespread pain was 4.7%. CWP(M) was associated with psychological disturbance [risk ratio (RR) = 2.2, 95% confidence interval (CI) (1.4-3.5)], fatigue [RR = 3.8, 95% CI (2.3-6.1)], low levels of self-care [RR = 2.2, 95% CI (1.4-3.6)] and with the reporting of other somatic symptoms [RR = 2.0, 95% CI (1.3-3.1)]. Hypochondriacal beliefs and a preoccupation with bodily symptoms were also associated with the presence of CWP(M).Conclusion. This definition of chronic widespread pain is more precise in identifying subjects with truly widespread pain and its associated adverse psychosocial factors. Clear associations with other 'non-pain' somatic symptoms were identified, which further supports the hypothesis that chronic widespread pain is one feature of somatization.