Edwin S Meresh, Sarah Xu, Angelina Palomino, Hewa Artin, Julia Padiyara, Conrad Stasieluk, Abid Khurshid
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引用次数: 0
Abstract
Background: This pilot study measures pain perception, somatosensory amplification and its relationship to health anxiety in patients with fibromyalgia (FM) and patients with FM and obstructive sleep apnea (OSA); this study also examines the effects of OSA on pain perception in patients with FM.
Methods: In this pilot study, patients diagnosed with FM or FM and OSA, completed three self-reported questionnaires: Short-Form McGill Pain Questionnaire (SF-MPQ), Somatosensory Amplification Scale (SSAS), and Illness Behavior Questionnaire (IBQ). Sleep study results were analyzed. Scores were summarized using medians and interquartile ranges and are compared using Wilcoxon rank sum tests.
Results: Overall FM (n = 25), female n=23 male n=3 mean age, 57.48 years. OSA n=17 (68%) and 8 (32%) were not. The SF-MPQ Sensory sub-scale scores and the SF-MPQ overall scores differed significantly between patients with and without OSA. The SF-MPQ Sensory sub-scale scores were significantly lower for patients with OSA (p=0.03), as were SF-MPQ overall scores (p=0.04). SSAS overall scores and IBQ overall scores did not differ significantly by OSA diagnosis. Correlations of the different dimensions of IBQ with SSAS and mean number of diagnoses in FM and FM+OSA, mean number of diagnoses in problem list of SSAS ≤30 was 29.5, mean number of diagnoses in SSAS ≥30 was 34.9.
Discussion: Developing a better understanding of the effects of OSA on pain perception in patients with FM is needed for improved health status. More research is needed to see if higher pain perception and SSAS score lead to increased health care utilization and to evaluate the relationship between untreated disordered sleeping and pain perception in patients with FM.
Conclusion: Our findings highlight the need for more research to evaluate the relationship between treated and untreated disordered sleeping, pain perception, somatization and illness behavior in the health status of individuals with FM.
背景:本试验性研究测量纤维肌痛(FM)患者和FM合并阻塞性睡眠呼吸暂停(OSA)患者的痛觉、体感放大及其与健康焦虑的关系;本研究还探讨了OSA对FM患者痛觉的影响:在这项试点研究中,被诊断为 FM 或 FM 合并 OSA 的患者填写了三份自我报告问卷:短式麦吉尔疼痛问卷(SF-MPQ)、躯体感觉放大量表(SSAS)和疾病行为问卷(IBQ)。对睡眠研究结果进行了分析。得分采用中位数和四分位数之间的范围进行汇总,并采用 Wilcoxon 秩和检验进行比较:总体 FM(n = 25),女性 n=23 男性 n=3 平均年龄 57.48 岁。OSA n=17 (68%),非 OSA n=8 (32%)。有 OSA 和没有 OSA 的患者在 SF-MPQ 感官分量表得分和 SF-MPQ 总分上有显著差异。OSA患者的SF-MPQ感官子量表得分明显较低(P=0.03),SF-MPQ总分也明显较低(P=0.04)。SSAS 总分和 IBQ 总分在 OSA 诊断上没有明显差异。IBQ的不同维度与SSAS及FM和FM+OSA的平均诊断数相关,SSAS问题清单中≤30的平均诊断数为29.5,SSAS≥30的平均诊断数为34.9:为了改善健康状况,需要更好地了解 OSA 对调频患者痛觉的影响。需要开展更多的研究,以了解较高的疼痛感和SSAS评分是否会导致医疗保健利用率的增加,并评估未经治疗的睡眠紊乱与FM患者疼痛感之间的关系:我们的研究结果突出表明,有必要开展更多的研究,以评估治疗和未治疗的失眠、疼痛感、躯体化和疾病行为在调频患者健康状况中的关系。