Factors that affect the number of tender points in fibromyalgia and chronic widespread pain patients who did not meet the ACR 1990 criteria for fibromyalgia

dc.authorwosidCakir, Necati/AAG-7283-2019
dc.contributor.authorPamuk, Omer Nuri
dc.contributor.authorYepil, Yusuf
dc.contributor.authorCakir, Necati
dc.date.accessioned2024-06-12T11:01:55Z
dc.date.available2024-06-12T11:01:55Z
dc.date.issued2006
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective This study aims to compare fibromyalgia (FM) and chronic widespread pain (CWP) patients who do not fulfill the criteria for tender points (TP). Methods We included 150 patients diagnosed with FM according to ACR 1990 criteria and 42 patients with CWP who did not fulfill TP criteria for FM into the study. The clinical features of the patients were recorded, and the TP count was determined. By means of a visual analog scale (VAS), all patients were questioned about the severity of pain and FM-related symptoms. In addition, the patients were administered the Duke Anxiety Depression (Duke-AD) scale and somatization symptom questionnaire. Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) pain scale was used to determine the neuropathic pain score. Results According to VAS, the severity of pain, sleep disturbance, the number of somatization symptoms, LANSS, and Duke-AD scores were significantly higher in FM patients than in patients with CWP (all P values < 0.05). The number of TP correlated with severity of pain (r = 0.32, P < 0.001), the number of somatization symptoms (r = 0.26, P = 0.01), sleep disturbance (r = 0.18, P = 0.01), and LANSS score (r = 0.4, P < 0.001). Multiple logistic regression analysis revealed that independent factors that affected the presence of >= 11 TP were the severity of pain on VAS (OR: 1.03, 95% CI: 1.01-1.06, P = 0.045) and LANSS score (OR: 1.36, 95% CI: 1.12-1.62, P = 0.001). Conclusions CWP patients have symptoms similar to FM patients, though less severe. The most important factor that affects the criteria for fulfilling the number TP in CWP patients is the neuropathic pain score, which suggests that FM is primarily a neuropathic pain syndrome. (c) 2006 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.semarthrit.2006.05.002
dc.identifier.endpage134en_US
dc.identifier.issn0049-0172
dc.identifier.issue2en_US
dc.identifier.pmid16884973en_US
dc.identifier.scopus2-s2.0-33749118883en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage130en_US
dc.identifier.urihttps://doi.org/10.1016/j.semarthrit.2006.05.002
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21080
dc.identifier.volume36en_US
dc.identifier.wosWOS:000241365000007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofSeminars In Arthritis And Rheumatismen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFibromyalgiaen_US
dc.subjectChronic Widespread Painen_US
dc.subjectTender Pointen_US
dc.subjectAnxietyen_US
dc.subjectDepressionen_US
dc.subjectSomatizationen_US
dc.subjectNeuropathic Painen_US
dc.subjectLeeds Assessmenten_US
dc.subjectPsychological Distressen_US
dc.subjectImpact Questionnaireen_US
dc.subjectSymptomsen_US
dc.subjectDisorderen_US
dc.subjectSignsen_US
dc.subjectValidationen_US
dc.subjectScaleen_US
dc.titleFactors that affect the number of tender points in fibromyalgia and chronic widespread pain patients who did not meet the ACR 1990 criteria for fibromyalgiaen_US
dc.typeReview Articleen_US

Dosyalar