Current Treatments to Counter Sleep Dysfunction as a Pathogenic Stimulus of Fibromyalgia

Choy, Ernest

doi:10.2217/pmt-2016-0009

Cited by 8 publications

(7 citation statements)

References 72 publications

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“…In contrast, the FM and Depressive groups did not differ in their depressive and anxious symptoms, although the FM group exhibited worse sleep quality than the Depressive group. This finding was in line with Choy [ 57 ], who suggested that sleep dysfunction might be pathogenic in fibromyalgia. This is also important because it has been identified as one of the main domains interfering with patient quality of life [ 58 ].…”

Section: Discussionsupporting

confidence: 91%

The effect of depressive symptoms on cognition in patients with fibromyalgia

et al. 2018

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BackgroundFibromyalgia (FM) patients frequently complain of cognitive problems, but it remains unclear whether these cognitive complaints can be attributed to a dysfunction of the central nervous system or if they can be explained by other factors associated with the disease, such as depression, anxiety and sleep dysfunction.MethodsOne hundred and ten patients with FM were compared with thirty-three patients diagnosed with a depressive disorder (DD) and fifty healthy controls (HC). Several measures of attention and executive functions were used to make these comparisons and the patients were also asked to complete questionnaires on depression, anxiety and sleep quality. Univariate analyses of covariance (ANCOVA) were performed to identify and control confounders and multiple linear models were used to examine the effects of fibromyalgia and depression on cognitive measures.ResultsFM and HC differed significantly with respect to depression, anxiety and sleep dysfunction, whereas FM and DD did not differ in terms of symptoms of depression and anxiety. However, FM was associated with a worse quality of sleep than DD. Comparisons of cognitive performance between groups showed that short-term and working memory and inattention measures were only associated with symptoms of depression, whereas selective attention was associated with both depression and fibromyalgia, and processing speed, cognitive flexibility and inhibitory control showed a significant interaction between depression and fibromyalgia. Moreover, cognitive flexibility and inhibition abilities were specifically associated with FM.ConclusionFM patients show a cluster of cognitive impairment in the attentional and executive domains, although some of the symptoms observed could be explained by the severity of the symptoms of depression, while others seem to depend on the effects of fibromyalgia. Implications of the findings for the understanding and management of cognitive impairment of FM patients are discussed.

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Section: Discussionsupporting

confidence: 91%

The effect of depressive symptoms on cognition in patients with fibromyalgia

et al. 2018

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“…Anxiety, which is a key symptom in fibromyalgia, is associated with higher levels of pain and neuropsychological disorders in these patients [18]. It is also associated with higher fibromyalgia impact, and patients with high levels of anxiety usually present an increased risk of severe fibromyalgia.…”

Section: Introductionmentioning

confidence: 99%

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Nadal-Nicolás

Rubio-Arias

Martínez-Olcina

et al. 2020

IJERPH

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Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia (n = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was “treated” with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia (p < 0.001). Correlations showed a relationship between fatigue and sleep variables (R = 0.411; p = 0.046) and pain variables with the POMS anger-hostility subscale (R = 0.436; p = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety.

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“…Duloxetine and MLN are dual reuptake inhibitors which are proposed to increase norepinephrine and serotonin signaling in the descending pain pathways, resulting in inhibition of pain signaling in the CNS 7 . These drugs are used to relieve pain, fatigue, and sleep problems; however, they are prescribed at doses lower than those used for the treatment of depression 8 …”

Section: Introductionmentioning

confidence: 99%

“…however, they are prescribed at doses lower than those used for the treatment of depression. 8 Both PGB and MLN have mechanisms of action that may be potentially complementary to each other in the treatment of FM; 9,10 however, they have low risk for drug-drug pharmacokinetic interactions. 11,12 In addition, this combination has not been vastly and thoroughly explored.…”

mentioning

confidence: 99%

Efficacy of pregabalin as a monotherapy versus combined pregabalin and milnacipran in the management of fibromyalgia

Abdelfattah

Elnemr

2020

Int J of Rheum Dis

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Fibromyalgia (FM) is characterized by persistent chronic widespread pain, fatigue, cognitive difficulty, anxiety and/or depression, sleep disturbance, as well as limitation of daily activities which can be debilitating. 1,2 It typically presents in young and middle-aged women, with a prevalence ranging from 2.4% to 6.8% in females and 0.2% to 6.6% in the general population. 3 Although the pathogenesis of FM is not completely understood, it may be linked to biochemical, metabolic, and immunoregulatory abnormalities. It could also be considered as a neurosensory disorder characterized by abnormalities along pain pathways in the central nervous system (CNS). 4 The increased understanding of the pathogenesis underlying FM is rapidly leading to a new era of specific pharmacological therapy.

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Current Treatments to Counter Sleep Dysfunction as a Pathogenic Stimulus of Fibromyalgia

Cited by 8 publications

References 72 publications

The effect of depressive symptoms on cognition in patients with fibromyalgia

The effect of depressive symptoms on cognition in patients with fibromyalgia

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Efficacy of pregabalin as a monotherapy versus combined pregabalin and milnacipran in the management of fibromyalgia

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