Gender Differences in Pain Severity, Disability, Depression, and Widespread Pressure Pain Sensitivity in Patients with Fibromyalgia Syndrome Without Comorbid Conditions

Gender Differences in Pain Severity, Disability, Depression, and Widespread Pressure Pain Sensitivity in Patients with Fibromyalgia Syndrome Without Comorbid Conditions
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DOI:
10.1111/j.1526-4637.2012.01523.x
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发表时间:
2012-12-01
期刊:
影响因子:
3.1
通讯作者:
Fernandez-de-las-Penas, Cesar
Fernandez-de-las-Penas, Cesar
中科院分区:
医学3区
文献类型:
--
作者:
Castro-Sanchez, Adelaida M.;Mataran-Penarrocha, Guillermo A.;Fernandez-de-las-Penas, Cesar

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目的探讨纤维肌痛综合征(FMS)患者疼痛、失能、抑郁和压力敏感性的差异,并分析FMS患者疼痛与压力敏感性的关系。设计横断面研究。FMS患者疼痛敏感性的性别差异尚未明确。男性24名(年龄:52岁+/-?)6岁)和24名年龄匹配的女性(年龄:52?+/-?根据1990年美国风湿病学会标准诊断为FMS的患者参加了研究。评估了18个压痛点、第二掌骨和胫骨前肌的压痛阈值(PPTs)。计算疼痛的强度和持续时间、压痛点计数、纤维肌痛影响问卷和抑郁(贝克抑郁量表- ii)。结果女性报告的疼痛强度、压痛点计数和抑郁程度高于男性(P?
Objectives To determine the differences in pain, disability, depression, and pressure sensitivity between men and women with fibromyalgia syndrome (FMS), and to analyze the relationship between pain and pressure sensitivity in FMS. Design A cross-sectional study. Setting Gender differences in pain sensitivity in individuals with FMS have not been yet clarified. Patients Twenty-four men (age: 52?+/-?6 years) and 24 age-matched women (age: 52?+/-?5 years) with FMS diagnosed according to 1990 American College of Rheumatology criteria participated. Outcome Measures Pressure pain thresholds (PPTs) over the 18 tender points and over the second metacarpal and tibialis anterior muscle were assessed. The intensity and duration of pain, tender point count, the Fibromyalgia Impact Questionnaire, and depression (Beck Depression Inventory-II) were calculated. Results Women reported higher intensity of pain, tender point count, and depression than men (P?