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A Randomized, Sham-Controlled Trial of Cranial Electrical Stimulation for Fibromyalgia Pain and Physical Function, Using Brain Imaging Biomarkers

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Screening for pain-persistence and pain-avoidance patterns in fibromyalgia.

S van Koulil¹, F W Kraaimaat, W van Lankveld

¹Department of Medical Psychology, Nijmegen Medical Center, Radboud University, Nijmegen, The Netherlands. s.vankoulil@mps.umcn.nl

International Journal of Behavioral Medicine

|August 13, 2008

Summary

A new screening tool effectively identifies pain-avoidance versus pain-persistence patterns in fibromyalgia (FM) patients. This distinction aids in tailoring treatments for improved outcomes in diverse FM populations.

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Area of Science:

Pain Management
Fibromyalgia Research
Cognitive Behavioral Therapy

Background:

Fibromyalgia (FM) patient outcomes vary due to differences in pain-related cognitive-behavioral mechanisms.
Pain-avoidance and pain-persistence patterns are key factors contributing to this heterogeneity.

Purpose of the Study:

To validate a screening instrument for differentiating pain-persistence from pain-avoidance patterns in FM patients.
To assess the utility of a screening tool in a heterogeneous FM population.

Main Methods:

A self-reported screening instrument was employed to categorize FM patients into pain-avoidance and pain-persistence groups.
The identified groups were compared based on cognitive-behavioral factors, physical fitness, and therapist assessments.

Main Results:

The screening instrument demonstrated validity in distinguishing between pain-avoidance and pain-persistence patterns.
Validity was confirmed through comparisons with established questionnaires, physical fitness tests, and blinded therapist judgments.

Conclusions:

A concise self-report screening tool can effectively differentiate pain-avoidance and pain-persistence patterns in FM patients.
This tool offers potential for personalized treatment strategies to enhance therapeutic efficacy in fibromyalgia.