纤维肌痛综合征和地理环境：这种疾病在农村和城市地区的影响

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-04-30 DOI:10.1016/j.aprim.2025.103285

Virginia López-Moreno , Noelia Zagalaz-Anula , Ana Belén Peinado-Rubia , Irene Cortés-Pérez , María del Rocío Ibancos-Losada , Esteban Obrero-Gaitán , María Catalina Osuna-Pérez

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引用次数: 0

摘要

目的探讨城市和农村纤维肌痛综合征（FMS）患者是否存在显著性差异，分析疾病影响、中枢致敏（CS）和疼痛敏感性之间的相关性，以及其与FMS患者其他临床变量的可能相关性。设计：观察性横断面相关性研究。地点：贾文森（西班牙）的农村和城市地区。参与者：FMS患者。主要测量结果变量为FMS对日常生活、中枢敏化CS、疼痛敏感性、自尊、疼痛、生活质量（QoL）、焦虑和抑郁、睡眠质量的影响。此外，还收集了社会人口学和临床数据。结果两组间除学历差异外，社会人口学及临床指标差异无统计学意义（p = 0.01）。FMS、CS的影响与疼痛敏感性之间存在低至中度显著相关(p <；0.01)。FMS、CS和疼痛敏感性对疼痛、生活质量、焦虑抑郁和睡眠质量的影响呈低到强的显著相关(p <；0.01)。此外，FMS的影响与生活质量之间存在非常强的关联(p <；0.01)。结论FMS城乡组间除学历差异外，其他社会人口学及临床变量均无差异。FMS、CS和疼痛敏感性对FMS患者的影响之间存在显著的关联，无论其居住地区如何。此外，FMS的影响与生活质量之间存在很强的相关性。

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Fibromyalgia Syndrome and geographical setting: The impact of this disorder in rural and urban areas

Objective

To determine if there are significant differences between Fibromyalgia Syndrome (FMS) patients who live in urban and rural areas and to analyze the correlation between the impact of the disease, Central Sensitization (CS) and pain sensitivity, including its possible correlation with the rest of the clinical variables in patients with FMS.

Design

Observational cross-sectional correlational study.

Location

Rural and urban areas in Jaén (Spain).

Participants

Patients with FMS.

Main measurements

The outcome variables measured were the impact of FMS on daily life, Central sensitization CS, pain sensitivity, self-esteem, pain, Quality of Life (QoL), anxiety and depression, and sleep quality. Also, sociodemographic and clinical data, were collected.

Results

No differences were found between the groups for sociodemographic and clinical variables, except for educational level (p = 0.01). Low-to-moderate significant association between the impact of FMS, CS and pain sensitivity were found (p < 0.01). Low-to-strong significant associations were observed between the impact of FMS, CS and pain sensitivity with pain, QoL, anxiety and depression and sleep quality (p < 0.01). Furthermore, a very strong association was found between impact of FMS and QoL (p < 0.01).

Conclusions

No differences were found between FMS rural/urban groups for sociodemographic and clinical variables, except for educational level. There was a significant association between the impact of FMS, CS and pain sensitivity in patients with FMS, regardless of their area of residence. Besides, a very strong association was found between Impact of FMS and QoL.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.