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Background pain in fibromyalgia patients affecting clinical examination of the skin
Linköping University, Department of Medicine and Care, Pharmacology. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Care, Pharmacology. Linköping University, Faculty of Health Sciences.
2002 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 11, no 1, 58-64 p.Article in journal (Refereed) Published
Abstract [en]

• The purpose of this study was to investigate the relationship between on-going pain and acute thermal pain in patients suffering from chronic pain.

•  This experimental study in cold and heat sensitivity was performed in order to test the following hypothesis: that fibromyalgia patients scoring high in current background pain tolerate less experimental thermal pain in the skin than patients with low scores.

• Ethical aspects of the study are discussed.

•  The level of tolerable experimental thermal stimuli was tested and compared between the `low-score' and the `high-score' patients.

• Background pain seemed to affect the intensity of experimental cold pain.

•  Clinical routine examinations and bodily care of the skin that might interfere with background pain in the fibromyalgia patients are discussed.

• Clinical practice should be carefully planned in order to assist fibromyalgia patients in understanding and coping with thermal conditions that might influence background pain.

Place, publisher, year, edition, pages
2002. Vol. 11, no 1, 58-64 p.
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-27119DOI: 10.1046/j.1365-2702.2002.00542.xLocal ID: 11766OAI: oai:DiVA.org:liu-27119DiVA: diva2:247670
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Identification of subgroups in experimental and chronic pain: Sensory, emotional and evaluative aspects
Open this publication in new window or tab >>Identification of subgroups in experimental and chronic pain: Sensory, emotional and evaluative aspects
2002 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

One hundred and two healthy subjects, 32 fibromyalgia patients and 12 chronic low back pain patients were included in the study. Quantitative sensory tests were performed to identify thermal hyperalgesia in the fibromyalgia group and to compare the results with those in healthy pain-free subjects. Different questionnaires were used to map pain and stress-coping strategies /styles. (Coping Strategy Questionnaire, Jalowiec Coping Scale) and quality of life (Life Satisfaction Questionnaire and the SF-36).

Both healthy subjects and fibromyalgia patients suffering from chronic pain could be subgrouped according to experimental pain perception. On comparing the fibromyalgia subgroups, differences in both stress and pain-coping strategies were found. Thus, the confrontative stress-coping style was used more in the thermal painsensitive group than the others. Furthermore, attention-diverting and catastrophising pain-coping strategies were more frequent.

The chronic back-pain patients who had decreased their catastrophising pain-coping strategy at the 3-year follow-up also perceived an improved quality of life at the 6-year follow-up.

When. self-scoring life satisfaction, thermal pain-sensitive fibromyalgia patients experienced significantly more physical symptoms than slightly cold pain-sensitive patients and healthy subjects. They also had sleep disturbances, more tender points, more affective hand pain and increased hand pain intensity.

The relation between sensation and emotion must be regarded as a product of a conscious mind while the emotional part of the pain sensation is not just a passive response to an external stimulus.

Place, publisher, year, edition, pages
Linköping: Linköpings universitet, 2002. 51 p.
Series
Linköping University Medical Dissertations, ISSN 0345-0082 ; 714
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:liu:diva-27538 (URN)12196 (Local ID)91-7373-156-0 (ISBN)12196 (Archive number)12196 (OAI)
Public defence
2002-01-11, Berzeliussalen, Hälsouniversitetet, Linköping, 13:00 (Swedish)
Opponent
Available from: 2009-10-08 Created: 2009-10-08 Last updated: 2012-09-18Bibliographically approved

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Raak, RagnhildWahren, Lis Karin

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