The role of psychosocial factors in predicting the onset of chronic widespread pain: results from a prospective population-based study

A. Gupta, A. J. Silman, D. Ray, R. Morriss, C. Dickens, , Y. H. Chiu, B. Nicholl and J. McBeth

Chronic widespread pain (CWP) is strongly associated with psychosocial distress both in a clinical setting and in the community. The aim of this study was to determine the contribution of measures of psychosocial distress, health-seeking behaviour, sleep problems and traumatic life events to the development of new cases of CWP in the community.  In a population-based prospective study, 3171 adults aged 25–65 yrs free of CWP were followed-up 15 months later to identify those with new CWP. 324 subjects [10%, 95% confidence interval developed new CWP at follow-up.  The authors concluded that subjects are at substantial increased odds of developing CWP if they display features of somatization, health-seeking behaviour and poor sleep. Psychosocial distress has a strong aetiological influence on CWP.

Rheumatology 2007 46(4):666-671

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Sensorimotor Impairment in Neck Pain

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