Clicca qui per scaricare

Condividi
Catastrofizzazione, tensione muscolare e outcome del dolore cronico: un confronto tra Fibromialgia e Dolore Cronico Diffuso
Titolo Rivista: PSICOLOGIA DELLA SALUTE 
Autori/Curatori: Giulia Demo, Genni Duse, Marina Drigo, Daniela Palomba, Elisabetta Patron, Giulia Buodo, Lorena Zanus 
Anno di pubblicazione:  2022 Fascicolo: 1  Lingua: Italiano 
Numero pagine:  22 P. 39-60 Dimensione file:  329 KB
DOI:  10.3280/PDS2022-001004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


La Fibromialgia è una condizione di dolore muscoloscheletrico diffuso che si associa a fa-tigue, rigidità, insonnia, alterazioni dell’umore e comporta conseguenze importanti per la vita quotidiana. Ad oggi è ancora sottodiagnosticata e sono poco chiare sia l’eziopatogenesi sia la diagnosi differenziale con condizioni di Dolore Cronico Diffuso. Tra i fattori cognitivi che contribuiscono al mantenimento della condizione, la catastrofizzazione ha ottenuto particolare interesse. Lo scopo del presente studio è stato confrontare la sintomatologia in pazienti con diagnosi di Fibromialgia (FM; n = 27) e con diagnosi di Dolore Cronico Diffuso (Chronic Widespread Pain, CWP; n = 27) e indagare i predittori degli outcome riferiti di dolore. Tutti i pazienti han-no compilato i seguenti questionari: McGill Pain Questionnaire (MPQ), West Haven Yale Multidimensional Pain Inventory (WHY-MPI), Pain Related Self-Statement Scale (PRSS), Pain Related Control Scale (PRSS). È stato rilevato inoltre l’elettromiografia di superficie (EMG) a riposo per 5 minuti in corrispondenza del muscolo trapezio superiore sinistro e del muscolo frontale. Ai questionari, i pazienti con FM hanno presentato una maggiore catastrofizzazione (p < 0.05) rispetto ai pazienti CWP. Inoltre, il livello di catastrofizzazione modula la relazione tra EMG del muscolo trapezio e interferenza del dolore riportata nel gruppo di pazienti con FM. I risultati suggeriscono che alti livelli di catastrofizzazione accentuino l’effetto negativo di elevati livelli di tensione muscolare in pazienti con FM.


Keywords: Fibromialgia, Dolore Cronico Diffuso, dolore cronico, catastrofizzazione, ten-sione muscolare.

  1. Edwards R.R., Bingham C.O and Bathon J. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis and Rheumatism, 55(2): 325-332.
  2. Andersson H.I., Ejlertsson G., Leden I. and Rosenberg C. (1996). Characteristics of subjects with chronic pain, in relation to local and widespread pain report. A prospective study of symptoms, clinical findings and blood tests in subgroups of a geographically defined population. Scandinavian Journal of Rheumatology, 25(3): 146-154., DOI: 10.3109/0300974960908000
  3. Arnstein P., Caudil M., Mandle C.L., Norris A. and Beasley R. (1999). Self efficacy as a mediator of the relationship between pain intensity, disability and depression in chronic pain patients. Pain, 80(3): 483-491., DOI: 10.1016/S0304-3959(98)00220-
  4. Basmajian J. V. (1983). Biofeedback. Principles and practice for clinicians (2th ed.) Baltimore: Williams &Wilkins (trad. it.: Il Biofeedback: aspetti teorici ed applicazioni pratiche. Padova: Piccin, 1985).
  5. Bennett R.M. and Nelson D. (2006). Cognitive behavioral therapy for fibromyalgia. Nature Clinical Practice Rheumatology, 2(8): 416-424.
  6. Bergman S. (2005). Psychosocial aspects of chronic widespread pain and fibromyalgia. Disability and Rehabilitation, 27(12): 675-683., DOI: 10.1080/0963828040000903
  7. Bernardy K., Klose P., Busch A.J., Choy E.H. and Häuser W. (2013). Cognitive behavioural therapies for fibromyalgia. The Cochrane Database of Systematic Reviews, 9.
  8. Cho N.H., Kim I., Lim S.H. and Kim H.A. (2012). Prevalence of widespread pain and its influence on quality of life. Population study in Korea. Journal Korean Medical Science, 27(1): 16-21.
  9. Coster L., Kendal S., Gerdle B., Henriksson C., Henriksson K. and Bengtsson A. (2008). Chronic widespread musculoskeletal pain – A comparison of those who meet criteria for fibromyalgia and those who do not. European Journal of Pain, 12(5): 600-610.
  10. Ellingson L.D.; Stegner A.J.; Schwabacher I.J.; Lindheimer J.B. and Cook D.B. (2018). Catastrophizing Interferes with Cognitive Modulation of Pain in Women with Fibromyalgia. Pain Medicine, 19(12): 2408-2422.
  11. Ferrari R., Fipaldini E. e Birbaumer N. (2004). La valutazione del controllo percepito sul dolore: la versione italiana del “Pain Related Self-Statement Scale” e del “Pain Related Control Scale” [The assessment of perception control over pain: the Italian version of “Pain Related Self-Statement Scale” and “Pain Related Control Scale”] Giornale Italiano di Psicologia, 1: 187-208., DOI: 10.1421/1321
  12. Ferrari R., Novara C., Sanavio E. and Zerbini F. (2000). Internal structure and validity of the multidimensional pain inventory, Italian language version. Pain Medicine, 1(2): 123-130.
  13. Fields H.L. (1988). Il dolore: meccanismi di insorgenza e trattamento terapeutico. Milano: McGraw-Hill.
  14. Flor H., Behle D.J. and Birbaumer N. (1993). Assessment of pain-related cognitions in chronic pain patients. Behaviour Research and Therapy, 31(1): 63-73., DOI: 10.1016/0005-7967(93)90044-
  15. Flor H. and Turk D.C (2011). Chronic pain. An integrated biobehavioral approach. Seattle: IASP press.
  16. Hassett A. L., Cone J. D., Patella S. J., and Sigal L. H. (2000). The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis and Rheumatism: Official Journal of the American College of Rheumatology, 43(11): 2493-2500.
  17. Häuser W., Thieme K. and Turk D.C. (2010). Guidelines on the management of fibromyalgia syndrome–a systematic review. European Journal of Pain, 14(1): 5-10.
  18. Häuser W., Ablin J., Perrot S. and Fitzcharles M.A. (2017). Management of fibromyalgia: practical guides from recent evidence-based guidelines. Polish Archives of Internal Medicine, 127(1): 47-56.
  19. Hirsh A. T., George S. Z., and Riley J. L. (2007). An evaluation of the measurement of pain catastrophizing by the coping strategies questionnaire. European Journal of Pain, 11(1): 75-81.
  20. Hughes S.L., Dunlop D., Chang R.W. and Singer R.H. (1994). Impact of joint impairment on longitudinal disability in elderly persons. Journal of Gerontoly, 49(6): 291-300.
  21. Jones J., Rutledge D., Jones K.D., Matallana L. and Rooks D.S. (2008). Self-assessed physical function level of women with fibromyalgia. A national survey.Women’s health issues, 18(5): 406-412.
  22. Kato K., Sullivan P.F., Evengard B. and Pedersen N.L. (2006). Chronic widespread pain and its comorbidities: a population-based study. Archives of Internal Medicine, 166(15): 1649-1654.
  23. Khazan I.Z. (2013) The Clinical Handbook of Biofeedback: A Step-by-Step Guide for Training and Practice with Mindfulness. Chichester: Wiley-Blackwell (trad. it.: Manuale clinico del biofeedback. Una guida per il training e la pratica con la mindfulness. Milano: FrancoAngeli, 2018).
  24. Kerns R.D., Turk D.C., and Rudy T.E. (1985). The Haven – Yale Multidimensional Pain Inventory (WHYMPI). Pain, 23: 345-356.
  25. Kop W.J., Lyden A., Berlin A.A., Ambrose K., Olsen C., Gracely R.H. and Clauw D.J. (2005). Ambulatory monitoring of physical activity and symptoms in fibromyalgia and chronic fatigue syndrome. Arthritis and Rheumatism, 52(1): 296-303.
  26. Lami M.J., Martínez M.P., Miró E., Sánchez A.I. and Guzmán M.A. (2018). Catastrophizing, acceptance, and coping as mediators between pain and emotional distress and disability in fibromyalgia. Journal of Clinical Psychology in Medical Settings, 25(1): 80-92.
  27. Levine J.B., Lofland K.R. and Cassisi J.E. (1996). The relationship between self-efficacy and disability in chronic low back pain patients. International Journal of Rehabilitation and Health, 2(1): 19-28., DOI: 10.1007/BF0221356
  28. Macfarlane G.J., Kronisch C., Dean L.E., Atzeni F., Häuser W., Fluß E., Choy E., Kosek E., Amris K., Branco J., Dincer F., Leino-Arjas P., Longley K., McCarthy G.M., Makri S., Perrot S., Sarzi-Puttini P., Taylor A. and Jones G.T. (2017). EULAR revised recommendations for the management of fibromyalgia. Annals of the Rheumatic Diseases, 76: 318-328.
  29. Maiani G. e Sanavio E. (1984). Il McGill Pain Questionnaire: presentazione di una versione italiana [The McGill Pain Questionnaire: Presentation of an Italian version]. Giunti Organizzazioni Speciali, 170: 37-50.
  30. Maldonando A.S., Ruiz J.R., Aparicio V.A., Lopez F.E., Jimenez V.S., Gallardo I.C.A., Baeza A.C., Fernandez M.D. and Ortega F.B. (2015). Association of Physical Fitness with Pain in Women with Fibromyalgia: The Ándalus Project. Arthritis Care and Research, 67(11): 1561-1570.
  31. McBeth J., Macfarlane G.J., Hunt I.M. and Silman A.J. (2001). Risk factors for persistent chronic widespread pain: a community-based study. Rheumatology, 40(1): 95-101.
  32. Melzack R. and Torgerson W.S. (1971). On the language of pain. Anesthesiology, 34(1): 50-59., DOI: 10.1097/00000542-197101000-0001
  33. Miscali V., Duse G. and Zanus L. (2014). Caratteristiche psicologiche della sindrome fibromialgica: un’indagine esplorativa [Psychological characteristics in Fibromyalgia Syndrome: An exploratory survey]. Psicoterapia Cognitiva e Comportamentale, 20(3): 357-385.
  34. Nordeman L., Gunnarsson R. and Mannerkorpi K. (2012). Prevalence and characteristics of widespread pain in female primary health care patients with chronic low back pain. Clinical Journal Pain, 28(1): 65-72.
  35. Okifuji A. and Turk D.C. (1999). Fibromyalgia: search for mechanisms and effective treatments. In: Gatchel R.J., Turk D.C., editors, Psychosocial factors in pain: critical perspective. New York: Guilford Press, 227-246.
  36. Okifuji A., Turk D.C. and Sherman J.J. (2000). Evaluation of the relationship between depression and fibromyalgia syndrome: why aren’t all patients depressed? Journal of Rheumatology, 27(1): 212-219.
  37. On A.Y. (2016). Fibromyalgia or chronic widespread pain: Does it matter? Itch & Pain, 3.
  38. Picavet H.S., Vlaeyen J.W.S. and Schouten J.A.G. (2002). Pain catastrophizing andkinesiophobia: predictors of chronic low back pain. Am I Epidemiol, 156(11): 1028-1034.
  39. Pierini D.; Rolandi S. e Bertolotti G. (2013). L’assessment psicofisiologico nel contesto clinico [Psychophysiological assessment in clinical settings]. Psicoterapia Cognitiva e Comportamentale, 19(3): 355-380.
  40. Raphael K.G., Marbach J.J. and Klausner J. (2000). Myofascial face pain. Clinical characteristics of those with regional vs. widespread pain. Journal of American Dental Association, 131(2): 161-171.
  41. Şahin M.D. and Aybek E.C. (2019). Jamovi: an easy to use statistical software for the social scientists. International Journal of Assessment Tools in Education, 6(4): 670-692.
  42. Sánchez A.L., Martínez M.P., Miró E. e Medina A. (2011). Predictors of the pain perception and self-efficacy for pain control in patients with fibromyalgia. The Spanish Journal of Psychology, 14(1): 366-373.
  43. Shipley M. (2018). Chronic widespread pain and fibromyalgia syndrome. Medicine Journal, 46(4): 252-255.
  44. Staud R. (2009). Chronic widespread pain and fibromyalgia: two sides of the same coin? Current Rheumatology Reports, 11(6): 433-436.
  45. Sullivan M.J., Thorn B., Haythornthwaite J.A., Keefe F., Martin M., Bradley L.A. and Lefebvre J.C. (2001). Theoretical perspectives on the relation between catastrophizing and pain. The Clinical Journal of Pain, 17(1): 52-64., DOI: 10.1097/00002508-200103000-00008
  46. Svebak S., Anjia R. and Kaerstad S.I. (1993). Task-induced electromyographic activation in fibromyalgia subjects and controls. Scandinavian Journal of Rheumatology, 22(3): 124-130., DOI: 10.3109/03009749309099256
  47. Thieme K., Rose U., Pinkpank T., Spies C., Turk D.C. and Flor H. (2006). Psychophysiological responses in patients with fibromyalgia syndrome. Journal of Psychosomatic Research, 61(5): 671-679.
  48. Thieme K. and Turk D.C. (2005). Heterogeneity of psychophysiological stress responses in fibromyalgia syndrome patients. Arthritis Research and Therapy, 8(1).
  49. Turk D.C., Dworkin R.H., Revicki D., Harding G., Burke L.B., Cella D. and Max M.B. (2008). Identifying important outcomes domains for chronic pain clinical trials: an IMMPACT survey of people with pain. Pain, 137(2): 276-285.
  50. Turk D.C. and Okifuji A. (2002). Psychological factors in chronic pain: Evolution and revolution. Journal of Consulting and Clinical Psychology, 70(3): 678-690.
  51. Viniol A., Jegan N., Leonhardt C., Brugger M., Strauch K., Barth J., Baum E. and Becker A. (2013). Differences between patients with chronic widespread pain and local chronic low back pain in primary care – a comparative cross-sectional analysis. BMC Musculoskeletal Disorders,14: 351-359.
  52. White K.P., Nielson W.R., Harth M., Ostbye T. and Speechley M. (2002). Chronic widespread musculoskeletal pain with or without fibromyalgia: psychological distress in a representative community adult sample. Journal of Rheumatology, 29(3): 588-594.
  53. Willweber S.A., Zenz M. and Bartz D. (2000). Epidemiologie chronischer Schmerzen. Eine Befragung in 5 Facharztpraxen in Bochum. Der Schmerz, 14(2): 84-91.
  54. Wolfe F., Clauw D.J., Fitzcherles M., Goldenberg D. L., Hauser W., Katz R.S., Mease P., Russell A.S., Russel J. and Winfield J.B. (2011). Fibromyalgia Criteria and Severity Scales for Clinical and Epidemiological Studies: A Modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. The Journal of Rheumatology, 38(6): 1113-1122.
  55. Wolfe F., Schmukler J., Jamal S., Castrejon I., Gibson K.A., Srinivasan S., Häuser W. and Pincus T. (2019). Diagnosis of Fibromyalgia: Disagreement Between Fibromyalgia Criteria and Clinician Based Fibromyalgia Diagnosis in a University Clinic. Arthritis Care and Research, 71(3): 343-351.
  56. Wolfe F., Smythe H.A., Yunus M.B., Bennett R., Bombardier C. and Goldenberg D.L. (1990). The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis and Rheumatism, 33(2): 160-172.
  57. Wolff B., Burns W.J., Quartana P.J., Lofland K., Bruehl S. and Chung O.K. (2008). Pain catastrophizing, physiological indexes, and chronic pain severity: tests of mediation and moderation models. Journal Behavioral Medicine, 31(2): 105-114.
  58. Zidar J., Backman E., Bengtsson A. and Henriksson K.G. (1990). Quantitative EMG and muscle tension in painful muscles in fibromyalgia. Pain, 40(3): 249-254., DOI: 10.1016/0304-3959(90)91122-Y

Giulia Demo, Genni Duse, Marina Drigo, Daniela Palomba, Elisabetta Patron, Giulia Buodo, Lorena Zanus, in "PSICOLOGIA DELLA SALUTE" 1/2022, pp. 39-60, DOI:10.3280/PDS2022-001004

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche