Does physical trauma lead to an increase in the risk of new onset widespread pain?

G Wynne-Stones, G J Macfarlane, A J Silman, G T Jones

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Objective: To determine the rate of new onset of widespread pain after a traumatic event ( motor vehicle crash).

Methods: A prospective cohort study of persons registered with an insurance company who had or had not experienced a motor vehicle crash. All participants were sent a questionnaire to assess pre-crash (or for the non-crash group, prior) psychosocial factors and widespread pain. Participants reporting pre-crash ( prior) widespread pain were excluded. At six months, participants were sent a follow up questionnaire to ascertain new prevalent widespread pain.

Results: 597 (51%) of participants returned a baseline questionnaire (465 crash and 132 non-crash). Among the cohort who had experienced a crash, the new onset rate of widespread pain six months later was low (8%), though in comparison with the non-crash group there was an increased risk (RR = 1.9 (95% CI, 0.8 to 4.8, adjusted for age and sex)); this was attenuated after adjustment for pre- crash (prior) psychological distress and somatic symptoms (RR = 1.4 ( 95% CI, 0.5 to 3.2)).

Conclusions: The findings suggest that a motor vehicle crash ( as an example of a physically traumatic event) is unlikely to have a major impact on the new onset of widespread pain. Any observed relation may, in part, be explained by psychological distress.

Original languageEnglish
Pages (from-to)391-393
Number of pages3
JournalAnnals of the Rheumatic Diseases
Volume65
Issue number3
DOIs
Publication statusPublished - 2006

Keywords

  • fibromyalgia syndrome
  • population
  • prevalence
  • disorder
  • features

Cite this

Does physical trauma lead to an increase in the risk of new onset widespread pain? / Wynne-Stones, G ; Macfarlane, G J ; Silman, A J ; Jones, G T .

In: Annals of the Rheumatic Diseases, Vol. 65, No. 3, 2006, p. 391-393.

Research output: Contribution to journalArticle

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abstract = "Objective: To determine the rate of new onset of widespread pain after a traumatic event ( motor vehicle crash).Methods: A prospective cohort study of persons registered with an insurance company who had or had not experienced a motor vehicle crash. All participants were sent a questionnaire to assess pre-crash (or for the non-crash group, prior) psychosocial factors and widespread pain. Participants reporting pre-crash ( prior) widespread pain were excluded. At six months, participants were sent a follow up questionnaire to ascertain new prevalent widespread pain.Results: 597 (51{\%}) of participants returned a baseline questionnaire (465 crash and 132 non-crash). Among the cohort who had experienced a crash, the new onset rate of widespread pain six months later was low (8{\%}), though in comparison with the non-crash group there was an increased risk (RR = 1.9 (95{\%} CI, 0.8 to 4.8, adjusted for age and sex)); this was attenuated after adjustment for pre- crash (prior) psychological distress and somatic symptoms (RR = 1.4 ( 95{\%} CI, 0.5 to 3.2)).Conclusions: The findings suggest that a motor vehicle crash ( as an example of a physically traumatic event) is unlikely to have a major impact on the new onset of widespread pain. Any observed relation may, in part, be explained by psychological distress.",
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