Article

Many patients with chronic fatigue syndrome(CFS) and/or fibromyalgia(FM) have
little understanding of their condition, leading to maladaptive pain cognitions
and coping strategies. These should be tackled during therapy, for instance by
pain neurophysiology education (PNE). Although positive effects of PNE are
well-established, it remains unclear why some patients benefit more than others.
This paper aims at exploring characteristics of patients responding poor to PNE
to further improve its effectiveness. Data from two RCT's were pooled to search
for baseline predictors. Subjects (n = 39) suffering from CFS/FM, as defined by
the American College of Rheumatology, underwent PNE treatment. The Pain
Catastrophizing Scale (PCS); Pain Coping Inventory (PCI); and Tampa Scale of
Kinesiophobia (TSK) were defined as outcome measures. There was a significant
negative relationship between baseline TSK and the change in both PCS total score
(r = -0.584; p < 0.001) and PCS rumination (r = -0.346; p < 0.05). There was a
significant negative relationship between the change in PCS total score and
baseline PCI worrying (r = -0.795; p < 0.001) and retreating (r = -0.356; p <
0.05). FM/CFS patients who tend to worry allot about their pain and with high
levels of kinesiophobia are likely to experience less reductions in
catastrophizing following PNE. It seems that PNE alone is insufficient to reduce
catastrophic thinking regarding pain, and supplementary treatment is needed.

Langue : ANGLAIS