High frequency of childhood ADHD history in women with fibromyalgia

Reyero, Felipe; Ponce, G.; Rodríguez‐Jiménez, Roberto; Fernandez-Dapica, P.; Taboada, Diana; Martín, Verónica Puertas; Navío, Mercedes; Jiménez‐Arriero, Miguel Ángel; Hoenicka, Janet; Palomo, Tomás

doi:10.1016/j.eurpsy.2010.03.012

Cited by 65 publications

(24 citation statements)

References 9 publications

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“…Therefore, we set out here, in an exploratory fashion, to examine the potential for EEG-BF in improving FMS features, as measured by changes in a CPT and certain clinical findings. A CPT seemed appropriate in measuring a portion of the CNS lesion in FMS since it is an objective and easily reproducible test directly affected by CNS function, particularly in ADHD (Epstein et al 2003), a disorder that occurs with striking frequency in FMS (Reyero et al 2010). CPT results might also be helpful to investigators interested in psychometric testing in FMS since CPT scores may correlate with the affective state (Chen et al 2004;Bedwell et al 2009), even in the pre-clinical setting (Bove 2008).…”

Section: Discussionmentioning

confidence: 98%

EEG Biofeedback Treatment Improves Certain Attention and Somatic Symptoms in Fibromyalgia: A Pilot Study

Xavier

Winter

2011

Appl Psychophysiol Biofeedback

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Fibromyalgia (FMS) is a chronic, painful disorder often associated with measurable deficiencies in attention. Since EEG biofeedback (EEG-BF) has been used successfully to treat attention problems, we reasoned that this modality might be helpful in the treatment of attention problems in FMS. We also speculated that improvement in central nervous system (CNS) function might be accompanied by improvement in FMS somatic symptoms. We studied fifteen FMS patients with attention problems, demonstrated by visual and auditory continuous performance testing (CPT), while completing 40 or more EEG-BF sessions. Training consisted of a "SMR protocol" that augmented 12-15 Hz brainwaves (sensory motor rhythm; SMR), while simultaneously inhibiting 4-7 Hz brainwaves (theta) and 22-30 Hz brainwaves (high beta). Serial measurements of pain, fatigue, psychological distress, morning stiffness, and tenderness were also obtained. Sixty-three FMS patients who received standard medical care, but who did not receive EEG-BF, served as controls. Visual, but not auditory, attention improved significantly (P < 0.008). EEG-BF treated subjects also showed improvement in tenderness, pain and fatigue. Somatic symptoms did not change significantly in controls. Visual attention parameters and certain somatic features of FMS appear to improve with an EEG-BF SMR protocol. EEG-BF training in FMS deserves further study.

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Section: Discussionmentioning

confidence: 98%

EEG Biofeedback Treatment Improves Certain Attention and Somatic Symptoms in Fibromyalgia: A Pilot Study

Xavier

Winter

2011

Appl Psychophysiol Biofeedback

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“…Dans des hypothèses impliquant le dysfonctionnement dopaminergique chez les patients FM, une plus grande fréquence d'antécédents de trouble déficitaire de l'attention avec hyperactivité (TADHA) a été montrée en comparant plus de 200 patientes FM à environ 200 sujets contrôles [40]. On trouve aussi des troubles du sommeil montrant une diminution du temps passé en sommeil paradoxal et sommeil long profond, ainsi que de nombreux réveils nocturnes qui pourraient donc être associés à l'asthénie ressentie chez ces patients [41].…”

Section: Autres Troubles Psychiatriques Associésunclassified

Fibromyalgie et psychiatrie : 35 ans plus tard… Quoi de neuf ?

et al. 2012

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“…However, there are only a few previous reports on rates of patients with FM [8] [9] or CFS [13] who are also diagnosed with ADHD. Similarly, the limited studies performed to date have reported varied results with regard to the effects of central nervous stimulant treatments for ADHD on pain symptoms [5] [6] [7].…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, ADHD should be included as a potential differential diagnosis during assessment for these disorders if patients complain of widespread muscle pain, tiredness, and sleep problems without significant physical abnormalities. A high rate of concurrent ADHD (25% -80%) has been reported in individuals with FM [7] [8], and it has also been reported that 32.3% of patients with FM suffered from ADHD during early childhood, compared with 2.5% in a control group [9]. Moreover, patients with FM exhibit significant memory problems more often than healthy controls, and this is reportedly due to heightened distractibility among patients with FM [10].…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder in Patients with Chronic Pain

Kasahara¹,

Okamura²,

Matsudaira³

et al. 2017

OJPsych

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Aims: To investigate rates of attention-deficit hyperactivity disorder (ADHD) in patients with chronic pain attending a pain clinic, the effects of a screening measure for ADHD in patients with chronic pain, and the effects of ADHD drugs on both pain and ADHD symptoms. Methods: We retrospectively surveyed 110 patients with chronic pain visiting the Anesthesiology and Pain Relief Center at the University of Tokyo in Japan, who had also consulted a psychiatrist, between April 2012 and July 2015. Results: Of the total of 110 patients with chronic pain, 35 (31.8%) were also diagnosed with ADHD, and the average Wender Utah Rating Scale (WURS) score among the ADHD patients was 39.0 ± 22.1 (n = 25). Only 36.0% of these patients exceeded the cutoff value, suggesting that 64.0% of the patients with ADHD were not identified by screening with the WURS. Twenty-six patients initiated treatment with ADHD medication, with dosage adjustment completed in 21. Of these 21 patients 20 (95.0%) had improved ADHD symptoms. Improved pain symptoms were observed in 14 patients (66.6%), with a reduction in the pain numerical rating scale of 64.7% ± 30.1%. Conclusions: This is the first study investigating the comorbidity of ADHD and chronic pain at pain clinics showing a high level of comorbidity and amelioration of pain and ADHD symptoms with treatment. Careful interpretation is required when the WURS is used to screen patients with chronic pain.

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High frequency of childhood ADHD history in women with fibromyalgia

Cited by 65 publications

References 9 publications

EEG Biofeedback Treatment Improves Certain Attention and Somatic Symptoms in Fibromyalgia: A Pilot Study

EEG Biofeedback Treatment Improves Certain Attention and Somatic Symptoms in Fibromyalgia: A Pilot Study

Fibromyalgie et psychiatrie : 35 ans plus tard… Quoi de neuf ?

Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder in Patients with Chronic Pain

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