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The Effects of Anger and Sadness on Clinical Pain Reports and Experimentally-Induced Pain Thresholds in Women with and without Fibromyalgia – Arthritis Care and Research, Oct 2010

  [ 15 votes ]   [ 1 Comment ]
By H van Middendorp, et al. • www.ProHealth.com • September 27, 2010


Objective: Negative emotions are commonly experienced in fibromyalgia and may affect pain. This study examined the effects of anger and sadness on clinical pain reports and on pain threshold and tolerance in response to electrical stimulation in women with and without fibromyalgia.

Methods: In an experimental study, 62 women with fibromyalgia and 59 women without fibromyalgia recalled a neutral situation followed by recalling both an anger-inducing and a sadness-inducing situation, in counterbalanced order. The effect of these emotions on pain responses (non-induced clinical pain and experimentally-induced sensory threshold, pain threshold, and pain tolerance) was analyzed with repeated measures analysis of variance.

Results: Clinical pain reports increased (p < .001) in women with fibromyalgia and pain threshold (p < .001) and tolerance (p < .001) decreased in both groups in response to anger and sadness induction. Sadness reactivity predicted clinical pain responses. Anger reactivity predicted both clinical and electrically stimulated pain responses.

Conclusion: The experience of both anger and sadness amplifies pain in women with and without fibromyalgia. A stronger emotion-induced pain response was associated with more emotional reactivity.

No convincing evidence was found:

• For a larger sensitivity to anger and sadness in women with fibromyalgia than in women without fibromyalgia,

• Or for a larger sensitivity to anger than to sadness in fibromyalgia.

The occurrence of anger and sadness appears to be a general risk factor for pain amplification.

Emotion regulation techniques may attenuate emotional pain sensitization in patients with fibromyalgia.

Source: Arthritis Care and Research, Oct 2010. PMID: 20506177, by van Middendorp H, Lumley MA, Jacobs JW, Bijlsma JW, Geenen R. Department of Clinical and Health Psychology, Utrecht University, The Netherlands.





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Article Comments Post a Comment

Wow. Do i beg to differ. Yes i do.
Posted by: eljulia
Oct 6, 2010
I think the researchers must have missed an important piece of this study, as perhaps when the fibromyalgia is caused by one's emotional state. I am very aware of the event that brought on my fibro symptoms, and my body makes me extremely aware when my upset emotional state sends me into a 2 or 3 week flair. I've seen it happen over and over for myself, so this is based in my experience. Great. More people to convince of what my body goes through. DISlike.
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