纤维肌痛的持续性身体症状和精神病体分析:在疼痛管理单元的横截面研究
Jose A Cabero-Pérez1, Julen Susperregui2, Mª José Diez3
1Anesthesiology, Resuscitation and Pain Management, Complejo Asistencial Universitario de Leon, 24008 Leon, Spain.
Journal of clinical medicine
|March 14, 2026
概括
纤维肌痛与持续的身体症状 (PPS) 和情绪困扰有关. 修改的体质感知问卷 (MSPQ) 和痛苦和风险评估方法 (DRAM) 对纤维肌痛患者的精神体质风险概况显示出希望.
科学领域:
- 疼痛医学 医学 疼痛医学
- 精神病体医学是一种精神病体医学.
- 临床心理学 临床心理学
背景情况:
- 纤维肌痛是一种复杂的慢性疼痛疾病,受身体和心理因素的影响.
- 纤维肌痛的身体和情绪维度之间的相互作用尚未完全理解.
- 鉴定纤维肌痛需要评估身体和情绪方面的工具.
研究的目的:
- 评估结合身体和情绪维度的工具来表征纤维肌痛.
- 评估纤维肌痛,持续的身体症状 (PPS) 和情绪困扰之间的关联.
- 探索苦难和风险评估方法 (DRAM) 对于心理风险概况的临床实用性.
主要方法:
- 对1588名被转诊至疼痛管理单位的患者进行了横截面研究.
- 使用了2019年ACTTION-美国疼痛协会疼痛分类标准来诊断纤维肌痛.
- 收集了关于社会人口统计,身体/心理状况 (中央敏感化库存B部分),疼痛 (VAS),修改体质感知问卷 (MSPQ) 和自评抑郁量表的数据.
- 集成的MSPQ和Zung数据使用危险和风险评估方法 (DRAM).
主要成果:
- 女性患有纤维肌痛的几率更高 (p = 0.003) 和特定的PPS概况 (慢性疲劳).
- 纤维肌痛与PPS有显著的关联 (p < 0.001),男性有不同的形状 (部损伤/鞭).
- MSPQ显示了高预测值 (或在仪器中最高),DRAM类别区分了纤维肌痛状态 (p < 0.001).
结论:
- 性与纤维肌痛和PPS概况有关,这些概况也与纤维肌痛有关.
- MSPQ是评估纤维肌痛特征的高度信息化的工具.
- 通过DRAM集成MSPQ和Zung数据,可以为纤维肌痛的精神病学风险分析提供潜力.
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