University of Twente Student Theses


Neuropathische pijnbeleving bij patiënten met fibromyalgie, reumatoïde artritis en artrose

Schulte, P. (2015) Neuropathische pijnbeleving bij patiënten met fibromyalgie, reumatoïde artritis en artrose.

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Abstract:Objective: Rheumatism includes different kinds of disorders, such as fibromyalgia, osteoarthritis and rheumatoid arthritis. The current research is concerned with the neuropathic and nociceptive pain experienced by patients with these three diseases. The aim was to evaluate if the people with predominantly neuropathic pain are perceiving the pain more intense than those with predominantly nociceptive pain (1). Furthermore, it is examined how the ratio differs between the patients with predominantly neuropathic pain and the patients without neuropathic pain within the three different diseases: fibromyalgia, rheumatoid arthritis and osteoarthritis (2) and if the pain intensity differs between those three diseases (3). Methods: This study used previously collected data from the DREAM register with patients treated at the Medisch Spectrum Twente. To assess the pain perception, 217 patients suffering from rheumatoid arthritis, 53 patients with osteoarthritis and 36 patients suffering from fibromyalgia completed the Dutch version of the painDETECT questionnaire. The purpose of this questionnaire is to measure the pain intensity and the neuropathic pain symptoms of the participants. Results: This study showed that people with neuropathic pain are perceiving the pain more intense than those without neuropathic pain. Further analyses showed that people with fibromyalgia (n=94, 40%) and osteoarthritis (n=71, 70%) have a significantly higher proportion of patients with neuropathic pain than rheumatoid arthritis patients (n=40, 10%). It became clear that the pain intensity differs significantly between the three diseases; rheumatoid arthritis patients are perceiving a significantly lower pain intensity than those with osteoarthritis and fibromyalgia. Furthermore, this study showed that the intake of painkillers rises if the pain intensity is rising. Conclusion: The current study showed that the type of pain (whether or not neuropathic pain) is related to the kind of disease and also to the pain intensity. The pain intensity is further related to the intake of painkillers. Patients with fibromyalgia and osteoarthritis show the largest proportion of people with neuropathic pain and also show the highest pain intensity. The patients with rheumatoid arthritis have a significantly lower pain intensity, and also show in general less neuropathic pain.
Item Type:Essay (Bachelor)
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology BSc (56604)
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