What are the functional and clinical characteristics shared by fibromyalgia and low back pain? A scoping review.

IF 2.1 Q3 RHEUMATOLOGY BMC Rheumatology Pub Date : 2024-10-28 DOI:10.1186/s41927-024-00430-6
Bastien Couëpel, Mathieu Tremblay, Marjorie Bernier, Jacques Abboud, Martin Descarreaux
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Abstract

Background: Fibromyalgia and chronic primary low back pain are two chronic pain conditions with a significant biopsychosocial burden. Recently, the International Association for the Study of Pain has grouped them under the term chronic primary pain. To further explore similarities and differences between these two conditions, the objective of this scoping review is to explore the pain-related, physiological and psychological outcomes in individuals with fibromyalgia and low back pain.

Methods: The following databases were used to find relevant studies, using the PRISMA guidelines: Medline, Psycinfo, and CINAHL. Studies were included if they encompassed both participants with fibromyalgia or low back pain, with the objective to compare pain-related, physiological and/or psychological outcomes.

Results: Nineteen studies were selected for extraction. Among the 2801 participants, 968 had fibromyalgia (mean age 48.56 ± 7.97 years, with 94% being female) and 896 had low back pain (mean age 47.48 ± 8.15 years, with 80% being female). Pain sensitivity, physical dysfunction, illness perception, psychological distress, alexithymia, depression, and anxiety were generally more severe in participants with fibromyalgia. Most studies found similar levels of pain intensity, kinesiophobia, quality of pain, quality of life, impact of pain, suicidal risk, anger, and social support comparing individuals with fibromyalgia and individuals with low back pain.

Discussion: This scoping review highlights that although both conditions show similar pain intensity and impact on quality of life, fibromyalgia is associated with greater overall severity than low back pain, especially in sensitivity to pain and depression/anxiety.

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纤维肌痛和腰背痛有哪些共同的功能和临床特征?范围综述。
背景:纤维肌痛和慢性原发性腰背痛是两种对生物-心理-社会造成重大负担的慢性疼痛。最近,国际疼痛研究协会将它们归为慢性原发性疼痛。为了进一步探讨这两种病症的异同,本范围综述旨在探讨纤维肌痛和腰背痛患者与疼痛相关的生理和心理结果:采用 PRISMA 指南,使用以下数据库查找相关研究:Medline、Psycinfo 和 CINAHL。如果研究的参与者同时患有纤维肌痛或腰背痛,并旨在比较与疼痛相关的生理和/或心理结果,则将其纳入研究范围:结果:共选取了 19 项研究。在 2801 名参与者中,968 人患有纤维肌痛(平均年龄为 48.56 ± 7.97 岁,94% 为女性),896 人患有腰背痛(平均年龄为 47.48 ± 8.15 岁,80% 为女性)。纤维肌痛患者的疼痛敏感性、身体机能障碍、疾病感知、心理困扰、自闭症、抑郁和焦虑通常更为严重。大多数研究发现,纤维肌痛患者与腰背痛患者在疼痛强度、运动恐惧、疼痛质量、生活质量、疼痛影响、自杀风险、愤怒和社会支持方面的水平相似:本范围界定综述强调,虽然两种疾病的疼痛强度和对生活质量的影响相似,但纤维肌痛的总体严重程度高于腰背痛,尤其是在对疼痛的敏感性和抑郁/焦虑方面。
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来源期刊
BMC Rheumatology
BMC Rheumatology Medicine-Rheumatology
CiteScore
3.80
自引率
0.00%
发文量
73
审稿时长
15 weeks
期刊最新文献
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