Weather, beliefs about weather, and disease severity among patients with fibromyalgia.
Weather, beliefs about weather, and disease severity among patients with fibromyalgia.
复制标题
纤维肌痛患者的天气、对天气的信念和疾病严重程度。
DOI：
10.1002/art.1790070306
复制
发表时间：
1994
期刊：
影响因子：
--
通讯作者：
Kay,DR
中科院分区：
文献类型：
--
作者：
Hagglund,KJ;Deuser,WE;Buckelew,SP;Hewett,J;Kay,DR
目的：这项调查1)研究了纤维肌痛患者的实际天气、疾病严重程度和症状之间的关系，2)评估了受试者对天气影响其症状的信念，3)检查了具有高和低“天气敏感性”的个体之间的差异。方法：84名符合尤努斯诊断纤维肌痛标准的个体参与。受试者完成了天气和疼痛问卷(WPQ)、关节炎影响评定量表(AIMS)、症状自评量表(SCL-90-R)和视觉模拟量表(VAS)评估疼痛。压痛点指数和肌痛评分也被获得。结果：受试者报告天气主要影响肌肉骨骼症状。在天气信念和自我报告的疼痛评分之间发现了最强的关系。对天气高度敏感的受试者往往有更多的功能损害和心理痛苦。结论：纤维肌痛患者认为天气会加重他们的症状，但生理变化不太可能与实际天气有关。
Objective.This investigation 1) examined the relationships among actual weather, disease severity, and symptoms for individuals with fibromyalgia, 2) assessed subjects' beliefs about weather affecting their symptoms, and 3) examined differences between individuals with high and low “weather sensitivity.”Methods.Eighty‐four individuals meeting Yunus' criteria for the diagnosis of fibromyalgia participated. Subjects completed the Weather and Pain Questionnaire (WPQ), the Arthritis Impact Measurement Scales (AIMS), the Symptom Checklist‐90‐Revised (SCL‐90‐R), and a Visual Analog Scale (VAS) assessing pain. A tender point index and a myalgic score were also obtained.Results.Subjects reported that weather affected musculoskeletal symptoms predominantly. The strongest relationship was found between weather beliefs and self‐reported pain scores. Subjects with high weather sensitivity tended to have more functional impairment and psychological distress.Conclusions.Individuals with fibromyalgia believe that weather worsens their symptoms, but it is unlikely that physiologic changes are associates with actual weather.