ABSTRACT
Disrupted pain regulation has been proposed as a component in functional somatic disorders (FSD). The objective of this study was to examine a general population sample, encompassing three delimitations of FSD while assessing pain sensitivity and conditioning pain modulation (CPM).
Pressure pain thresholds (PPTs) at the tibialis and trapezius muscles were recorded at baseline. During cold pressor stimulation of the hand, the tibialis PPTs were re-assessed and the difference from baseline measures defined the CPM effect. Participants (n=2,198, 53% females) were randomly selected from the adult Danish population. FSD was established by self-reported symptom questionnaires.
With a few exceptions, only weak associations were seen between PPTs and CPM in cases with FSD (p>0.1). A high PPT was associated with lower odds of having multi-organ bodily distress syndrome (ORPPT trapezius: 0.66, 95% CI: 0.49-0.88, p=0.005), with the symptom profile characterized by all symptoms (ORPPT trapezius: 0.72, 95% CI: 0.58-0.90, p=0.003 and ORPPT tibialis: 0.75, 95% CI: 0.62-0.91, p=0.004), and with multiple chemical sensitivity (ORPPT trapezius: 0.81, 95% CI: 0.67-0.97, p=0.022). High CPM was associated with high odds of having irritable bowel (ORCPM relative: 1.22, 95% CI: 1.04-1.43, p=0.013 and ORCPM absolute=2.66, 95% CI: 1.07-6.45, p=0.033). However, only PPT measured over the trapezius muscle were still significant after correction for multiple testing for the symptom profile characterized by all symptoms.
Findings from this study do not support altered pain regulation in questionnaire-based FSD which is in contrast with the existing presumption. Further epidemiological studies in this field are needed.
from Wiley: European Journal of Pain: Table of Contents https://ift.tt/3eZOnXl
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