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Related Experiment Videos

Risk factors for persistent chronic widespread pain: a community-based study.

J McBeth1, G J Macfarlane, I M Hunt

  • 1Arthritis Research Campaign Epidemiology Unit, School of Epidemiology and Health Sciences, Stopford Building, University of Manchester, Oxford Road, Manchester M13 9PT, UK.

Rheumatology (Oxford, England)
|February 7, 2001
PubMed
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Features of somatization, including psychological distress and fatigue, predict the persistence of chronic widespread pain. Identifying these factors can help target treatments for fibromyalgia syndrome.

Area of Science:

  • Pain Medicine
  • Psychosomatic Medicine
  • Epidemiology

Background:

  • Fibromyalgia syndrome is characterized by chronic widespread pain, often persistent in clinic patients.
  • Community-based studies show pain persistence in only half of individuals, especially those with psychological distress.
  • The relationship between psychological distress, somatization, and pain persistence remains unclear.

Purpose of the Study:

  • To investigate if somatization features predict the persistence of chronic widespread pain in a population-based study.
  • To test the hypothesis that psychological distress and illness behavior influence long-term pain outcomes.
  • To identify risk factors associated with persistent fibromyalgia symptoms.

Main Methods:

  • A prospective, population-based study of 1953 adults, with 252 identified as having chronic widespread pain.

Related Experiment Videos

  • Utilized detailed questionnaires, pain drawings, and psychosocial instruments to assess somatization and distress.
  • Followed up 225 patients after 12 months to assess pain status and persistence.

    • Main Results:

    • 56% of patients reported persistent chronic widespread pain at 12-month follow-up.
    • High baseline psychological distress and fatigue scores were strongly associated with persistent pain.
    • Increased prevalence of persistent pain correlated with the number of identified risk factors.

    Conclusions:

    • Somatization features, including psychological distress and illness behavior, are significant predictors of persistent chronic widespread pain.
    • This study provides the first evidence linking somatization to the persistence of fibromyalgia symptoms.
    • Findings have implications for early identification and targeted treatment strategies for individuals with persistent pain.