Tender points as predictors of distress and the pharmacologic management of fibromyalgia syndrome
(2003) In American Journal of Therapeutics 10(3). p.92-176- Abstract
The object of this study was to determine the association between tender point pain ratings, tender point counts and distress in people with fibromyalgia and to review the pharmacotherapy of fibromyalgia. Demographic, psychosocial, and health status information was collected from 316 health maintenance organization members with fibromyalgia. A manual tender point exam was conducted. Tender point counts predicted 3.0%, and tender point severity ratings predicted 8.3%, of the variance in distress. Little difference was found between the variance predicted for physical versus psychologic distress. A principal components analysis of all measures produced four distinct factors: global-physical functioning, tender points, psychologic, and... (More)
The object of this study was to determine the association between tender point pain ratings, tender point counts and distress in people with fibromyalgia and to review the pharmacotherapy of fibromyalgia. Demographic, psychosocial, and health status information was collected from 316 health maintenance organization members with fibromyalgia. A manual tender point exam was conducted. Tender point counts predicted 3.0%, and tender point severity ratings predicted 8.3%, of the variance in distress. Little difference was found between the variance predicted for physical versus psychologic distress. A principal components analysis of all measures produced four distinct factors: global-physical functioning, tender points, psychologic, and physical. Tender point pain ratings and counts predicted a small but significant amount of variance in distress. In addition, FMS involves at least four rather distinct factors, one of which is related to tender points. Pharmacotherapeutic management is provided on a patient-specific basis including pharmacokinetics, pharmacodynamic, pathophysiologic, and psychosocial needs designed and modulated for each individual patient.
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- author
- McCarberg, Bill ; Barkin, Robert L ; Wright, Julie A ; Cronan, Terry A ; Groessl, Erik and Schmidt, Steven M LU
- publishing date
- 2003-05-21
- type
- Contribution to journal
- publication status
- published
- keywords
- Adult, Aged, Analgesics, Antidepressive Agents, Cyclooxygenase Inhibitors, Female, Fibromyalgia, Humans, Middle Aged, Pain, Pain Measurement, Pain Threshold, Palpation, Receptors, Serotonin, Reproducibility of Results, Serotonin Antagonists, Severity of Illness Index, Surveys and Questionnaires, United States, Journal Article
- in
- American Journal of Therapeutics
- volume
- 10
- issue
- 3
- pages
- 17 pages
- publisher
- Lippincott Williams & Wilkins
- external identifiers
-
- pmid:12756425
- scopus:0141765778
- ISSN
- 1075-2765
- language
- English
- LU publication?
- no
- id
- a62e81e9-cf36-4c9d-9846-ff7c36ef63cb
- date added to LUP
- 2017-03-08 12:09:45
- date last changed
- 2024-10-14 02:10:34
@article{a62e81e9-cf36-4c9d-9846-ff7c36ef63cb, abstract = {{<p>The object of this study was to determine the association between tender point pain ratings, tender point counts and distress in people with fibromyalgia and to review the pharmacotherapy of fibromyalgia. Demographic, psychosocial, and health status information was collected from 316 health maintenance organization members with fibromyalgia. A manual tender point exam was conducted. Tender point counts predicted 3.0%, and tender point severity ratings predicted 8.3%, of the variance in distress. Little difference was found between the variance predicted for physical versus psychologic distress. A principal components analysis of all measures produced four distinct factors: global-physical functioning, tender points, psychologic, and physical. Tender point pain ratings and counts predicted a small but significant amount of variance in distress. In addition, FMS involves at least four rather distinct factors, one of which is related to tender points. Pharmacotherapeutic management is provided on a patient-specific basis including pharmacokinetics, pharmacodynamic, pathophysiologic, and psychosocial needs designed and modulated for each individual patient.</p>}}, author = {{McCarberg, Bill and Barkin, Robert L and Wright, Julie A and Cronan, Terry A and Groessl, Erik and Schmidt, Steven M}}, issn = {{1075-2765}}, keywords = {{Adult; Aged; Analgesics; Antidepressive Agents; Cyclooxygenase Inhibitors; Female; Fibromyalgia; Humans; Middle Aged; Pain; Pain Measurement; Pain Threshold; Palpation; Receptors, Serotonin; Reproducibility of Results; Serotonin Antagonists; Severity of Illness Index; Surveys and Questionnaires; United States; Journal Article}}, language = {{eng}}, month = {{05}}, number = {{3}}, pages = {{92--176}}, publisher = {{Lippincott Williams & Wilkins}}, series = {{American Journal of Therapeutics}}, title = {{Tender points as predictors of distress and the pharmacologic management of fibromyalgia syndrome}}, volume = {{10}}, year = {{2003}}, }