与健康成年人相比，纤维肌痛患者在聆听自己喜欢的音乐时对疼痛的敏感度更高：负面情绪的作用

IF 2.9 3区医学 Q1 ANESTHESIOLOGY

Pain Medicine Pub Date : 2024-05-02 DOI:10.1093/pm/pnae005

Jenna M Wilson, Angelina R Franqueiro, Robert R Edwards, Peter R Chai, Kristin L Schreiber

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引用次数: 0

摘要

目的我们研究了纤维肌痛患者最喜爱的音乐对疼痛处理的影响。我们还研究了纤维肌痛患者和健康对照组（HC）在聆听喜爱的音乐时疼痛处理过程的差异，并探讨了心理社会因素是否导致了这些差异：纤维肌痛患者和健康对照者填写了基线心理社会问卷，然后在3种随机音乐条件（冥想音乐、最喜欢的音乐、白噪音）下进行了定量感觉测试（QST）。在纤维肌痛患者中，弗里德曼检验用于研究不同条件下 QST 的差异。协方差分析用于研究在最喜欢的音乐中 QST 的组间差异（HC vs. 纤维肌痛）。进行相关性分析，以探讨基线心理社会因素与在最喜欢的音乐中的 QST 之间的关联。此外，还进行了中介分析，以探究与纤维肌痛患者相比，心理社会因素是否会导致纤维肌痛患者在最喜欢的音乐中对疼痛更加敏感：结果：与白噪声相比，纤维肌痛患者在聆听最喜欢的音乐时对压痛的敏感度较低。与白噪声相比，纤维肌痛患者的基线负性情绪较高，在听喜欢的音乐时疼痛阈值和耐受性较低。负性情绪在一定程度上调节了疼痛状态（HC vs. 纤维肌痛）与听喜欢的音乐时疼痛敏感度之间的关系：结论：与白噪声相比，纤维肌痛患者在聆听喜爱的音乐时对疼痛的敏感度较低，尽管他们比HC更敏感。纤维肌痛患者认可的负面情绪更强，这也是他们对疼痛更敏感的原因之一。未来的研究应探讨喜爱的音乐对临床疼痛的影响。

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Individuals with fibromyalgia report greater pain sensitivity than healthy adults while listening to their favorite music: the contribution of negative affect.

Objective: We investigated the impact of favorite music on pain processing among individuals with fibromyalgia. We also examined differences in pain processing between individuals with fibromyalgia and healthy controls (HC) while listening to favorite music and explored whether psychosocial factors contributed to these differences.

Methods: Individuals with fibromyalgia and HC completed baseline psychosocial questionnaires and then underwent quantitative sensory testing (QST) during 3 randomized music conditions (meditative music, favorite music, white noise). Among individuals with fibromyalgia, Friedman tests were used to investigate differences in QST across conditions. Analyses of Covariance were used to examine group (HC vs fibromyalgia) differences in QST during favorite music. Correlations were conducted to explore associations of baseline psychosocial factors with QST during favorite music. Mediation analyses were conducted to explore whether psychosocial factors contributed to greater pain sensitivity among individuals with fibromyalgia compared to HC during favorite music.

Results: Individuals with fibromyalgia were less sensitive to pressure pain while listening to their favorite music compared to white noise. Compared to HC, individuals with fibromyalgia reported higher baseline negative affect and lower pain thresholds and tolerances during favorite music. Negative affect partially mediated the relationship between pain status (HC vs fibromyalgia) and pain sensitivity during favorite music.

Conclusions: Individuals with fibromyalgia were less pain sensitive while listening to favorite music than white noise, although they were more sensitive than HC. Greater negative affect endorsed by individuals with fibromyalgia contributed to their greater pain sensitivity. Future studies should explore the impact of favorite music on clinical pain.

Clinical trails registration: This study was registered with ClinicalTrials.gov (NCT04087564) and began on 6/13/2019.

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来源期刊

Pain Medicine 医学-医学：内科

CiteScore

6.50

自引率

3.20%

发文量

187

审稿时长

3 months

期刊介绍： Pain Medicine is a multi-disciplinary journal dedicated to pain clinicians, educators and researchers with an interest in pain from various medical specialties such as pain medicine, anaesthesiology, family practice, internal medicine, neurology, neurological surgery, orthopaedic spine surgery, psychiatry, and rehabilitation medicine as well as related health disciplines such as psychology, neuroscience, nursing, nurse practitioner, physical therapy, and integrative health.