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: English
Numero pagine: 22 P. 39-60 Dimensione file: 329 KB
DOI: 10.3280/PDS2022-001004
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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.

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Giulia Demo, Genni Duse, Marina Drigo, Daniela Palomba, Elisabetta Patron, Giulia Buodo, Lorena Zanus, Catastrofizzazione, tensione muscolare e outcome del dolore cronico: un confronto tra Fibromialgia e Dolore Cronico Diffuso in "PSICOLOGIA DELLA SALUTE" 1/2022, pp 39-60, DOI: 10.3280/PDS2022-001004