Psychophysiological responses in patients with fibromyalgia syndrome

Thieme, Kati; Rose, Ulrike; Pinkpank, Thomas; Spies, Claudia; Turk, Dennis C.; Flor, Herta

doi:10.1016/j.jpsychores.2006.07.004

Cited by 71 publications

(85 citation statements)

References 43 publications

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“…Concerning FM, Thieme et al [6] found that ANS reactivity in terms of diastolic blood pressure (DBPR) reactivity and HR reactivity corresponded to lower levels of pain arising from mental load. These findings concerning FM are consonant with a design by Reyes del Paso et al [7] who examined ANS responses to mental stress in FM patients and observed a blunted reactivity to the stressor of the cardiovascular system including a reduced resting baroreflex sensitivity and the lack of a baroreflex sensitivity to the mental load condition.…”

Section: Bpr Clinical Pain and Stress Induced Pain In Fmmentioning

confidence: 99%

Exercise Induced Autonomic Disengagement and Pain in Women Presenting FM and Healthy Women: Analgesia and Blood Pressure

Wentz¹,

Archer²

2017

Clin Exp Psychol

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Objective: The aim of the present analysis was to examine physiological adaptation to a sub-maximal test by measuring blood pressure (BPR) from the perspective of the fibromyalgia (FM) pain experience.Method: Twenty-four women presenting FM and twenty-six healthy women were education-and age-matched. In their homes, all women completed questionnaires regarding background and health related quality of life (SF-36).All the women performed a stepwise load increment submaximal exercise test on a cycle ergometer to the severe perceived exertion level. Blood pressure was recorded before, during and after the test.Result: Women presenting FM showed higher baseline resting systolic BPR (SBPR) and diastolic BPR (DBPR) with higher SBPR and DBPR during the recovery phase. In both groups SBPR and DBPR were correlated at base line. Women presenting FM contrasted to healthy women by BPR measures more frequently correlating during workload. In women with FM the correlative relationship between the SBPR and DBPR during recovery was pronouncedly higher. Clinical pain correlated four times more often with BPR measures in the FM study group as compared to the group of controls. In FM higher clinical pain was linked to lower BPR. Conclusion:In the context of the FM condition, the tests depict a physiologically perseverative pattern concerning SBPR and SBPR measurements. This pattern was pronounced during recovery. A higher level of clinical pain BP corresponded to lower SBPR and SBPR before and after the test confirming an inverse relationship between blood pressure and pain sensitivity in the condition of FM. Parallel, in FM the analgesic effect from BPR was insufficient due to lowered pain thresholds. Pain thresholds linked to dysregulated sympathetic and parasympathetic functions together with psychological functioning and higher levels of brain functioning need further examination.

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Section: Bpr Clinical Pain and Stress Induced Pain In Fmmentioning

confidence: 99%

Exercise Induced Autonomic Disengagement and Pain in Women Presenting FM and Healthy Women: Analgesia and Blood Pressure

Wentz¹,

Archer²

2017

Clin Exp Psychol

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“…Some studies have reported increased trapezius activity (Elert et al, 2001;Bansevicius et al, 2001;Donaldson et al, 2002), whereas others have shown a reduction (Thieme et al, 2006) or negligible differences in activity (Svebak et al, 1993;Nilsen et al, 2006;Gerdle et al, 2008) compared to healthy controls. This discrepancy is partly due to differences in the task examined.…”

Section: Introductionmentioning

confidence: 99%

Adaptations of upper trapezius muscle activity during sustained contractions in women with fibromyalgia

Falla

Andersen

Danneskiold‐Samsøe

et al. 2010

Journal of Electromyography and Kinesiology

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“…Our rationale for excluding studies on other pain syndromes such as fibromyalgia or headache was that these disorders show different symptom patterns, e.g., higher muscle tension in CLBP patients compared to fibromyalgia patients[59], and usually show different treatment effect sizes[60].…”

mentioning

confidence: 99%