We examine the descriptive epidemiology of chronic widespread pain using the Manchester'definition [CWP (M) ] and assess psychosocial and other features which characterize subjects with such pain according to these more stringent criteria.
A population postal survey of 3004 subjects was conducted in the Greater Manchester area of the UK.
The point prevalence of Manchester-defined chronic widespread pain was 4.7%. CWP (M) was associated with psychological disturbance [risk ratio (RR)=2.2,95% confidence interval (CI) (1.4-3.5) ], fatigue [RR=3.8,95% Cl (2.3-6.1) ], low levels of self-care [RR=2.2,95% CI (1.4-3.6) ] and with the reporting of other somatic symptoms [RR=2.0,95% CI (1.3-3.1) ]. Hypochondriacal beliefs and a preoccupation with bodily symptoms were also associated with the presence of CWP (M).
This definition of chronic widespread pain is more precise in identifying subjects with truly widespread pain and its associated adverse psychosocial factors.
Clear associations with other'non-pain'somatic symptoms were identified, which further supports the hypothesis that chronic widespread pain is one feature of somatization.
Mots-clés Pascal : Système ostéoarticulaire pathologie, Douleur, Chronique, Epidémiologie, Symptomatologie, Prévalence, Somatisation, Homme, Facteur psychologique
Mots-clés Pascal anglais : Diseases of the osteoarticular system, Pain, Chronic, Epidemiology, Symptomatology, Prevalence, Somatization, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0228774
Code Inist : 002B15I. Création : 16/11/1999.