Skip to main content

Advertisement

Log in

La sphère cognitivo-émotionnelle de la fibromyalgie

The cognitive-affective realm of fibromyalgia

  • Dossier Thématique
  • Published:
La Lettre de médecine physique et de réadaptation

Résumé

Les patients fibromyalgiques souffrent souvent, en plus de la fatigue et de la douleur chronique, de troubles de la cognition, de la mémoire et d’une altération de leur affect. Les études psychophysiques et objectives, dont de neuro-imagerie, confirment ces observations tant dans le domaine de la cognition que de l’émotion, et décrivent chez les patients fibromyalgiques des anomalies de la fonction cérébrale lors de stimuli cognitifs, douloureux et émotionnels, avec une augmentation d’activation au cours de tâches cognitives ou de stimuli douloureux, sur un fond émotionnel perturbé et globalement négatif. Le développement d’études pluridisciplinaires peut aider à mieux comprendre ce dysfonctionnement cognitivo-émotionnel dans le contexte si particulier de la douleur chronique du patient fibromyalgique.

Abstract

Patients suffering from fibromyalgia syndrome frequently report not only fatigue and chronic pain, but also cognitive and memory impairments, as well as affective changes. Psychophysical and objective studies, some employing neuroimaging, confirm these observations and show changes in cerebral activation in response to cognitive, pain and emotional stimuli in patients with fibromyalgia. Future multidisciplinary studies may help to better understand this cognitive-affective dysfunction in the specific context of chronic pain in these patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Références

  1. Thieme K, Turk DC (2006) Heterogeneity of psychophysiological stress responses in fibromyalgia syndrome patients. Arthritis Res Ther 8(1): R9

    Article  PubMed  Google Scholar 

  2. Julien N, Goffaux P, Arsenault P, Marchand S (2005) Widespread pain in fibromyalgia is related to a deficit of endogenous pain inhibition Pain. Mar 114(1–2): 295–302

    Google Scholar 

  3. Glass JM, Park DC (2001) Cognitive dysfunction in fibromyalgia. Curr Rheumatol Rep 3: 123–127

    Article  PubMed  CAS  Google Scholar 

  4. Bradley LA, McKendree-Smith NL, Alberts KR (2000) Use of neuroimaging to understand abnormal ain sensitivity in FM. Curr Rheumatol Rep 2: 141–148

    Article  PubMed  CAS  Google Scholar 

  5. Kwiatek R, Barnden L, Tedman R (2000) Regional cerebral blood flow in FM. Arthritis Rheum 43: 2823–2833

    Article  PubMed  CAS  Google Scholar 

  6. Yunus MB, Young CS, Saeed SA (2004) Positron emission tomography in patients with FM syndrome and healthy controls. Arthritis Rheum 51: 513–518

    Article  PubMed  Google Scholar 

  7. Gracely RH, Petzke F, Wolf JM, Clauw DJ (2002) Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthritis Rheum. 46(5): 1333–1343

    Article  PubMed  Google Scholar 

  8. Cook DB, Lange G, Ciccone DS (2004) Functional imaging of pain in fibromyalgia. J Rheumatol 31: 364–378

    PubMed  Google Scholar 

  9. Alanoglu E, Ulas UH, Ozdag F, et al. (2005) Auditory event-related brain potentials in fibromyalgia syndrome Rheumatol Int Jun 25(5): 345–349

    Article  Google Scholar 

  10. Glass JM (2006) Cognitive dysfunction in fibromyalgia and chronic fatigue syndrome: new trends and future directions. Curr Rheumatol Rep 8(6): 425–429

    Article  PubMed  Google Scholar 

  11. Leavitt F, Katz RS (1989) Is the MMPI invalid for assessing psychological disturbance in pain related organic conditions. J Rheumatol 16(4): 521–526

    PubMed  CAS  Google Scholar 

  12. McCracken LM, Iverson GL (2001) Predicting complaints of impaired cognitive functioning in patients with chronic pain. J Pain Symptom Manage 21(5): 392–396

    Article  PubMed  CAS  Google Scholar 

  13. Mick G, Labeye C (2005) Chronic pain and cognitive changes, a little-known association Presse Med 34(10): 738–744

    Google Scholar 

  14. Grace GM, Nielson WR, Hopkins M, Berg MA (1999) Concentration and memory deficits in patients with fibromyalgia syndrome. J Clin Exp Neuropsychol 21(4): 477–487

    Article  PubMed  CAS  Google Scholar 

  15. Roelofs J, Peters ML, Zeegers MP, Vlaeyen JW (2002) The modified Stroop paradigm as a measure of selective attention towards pain-related stimuli among chronic pain patients: a meta-analysis Eur J Pain 6(4): 273–278

    Article  PubMed  Google Scholar 

  16. Henriksson CM (1995) Living with continuous muscular pain-patient perspectives Scandinavian. J Caring Sciences 9: 67–76

    CAS  Google Scholar 

  17. Leventhal H, Leventhal EA (2001) Representations, procedures and affect in illness self-regulation: a perceptual cognitive model. In: Baum A, Revenson TA, Singer JE (Eds) Handbook of Health Psychology. Mahwah NJ. Lawrence Erlbaum Associates

    Google Scholar 

  18. Stuifbergen AK, Phillips L, Voelmek W, Browder R (2006) Illness perceptions and related outcomes among women with fibromyalgia syndrome. Women’s Health Issues 16: 353–360

    Article  PubMed  Google Scholar 

  19. Brosschot JF, Aarse HR (2001) Restricted emotional processing and somatic attribution in fibromyalgia. Int J Psychiatry 31: 127–146

    Article  CAS  Google Scholar 

  20. Montoya P, Pauli C, Batra A, Wiedemannn G (2005) Altered processing of pain-related information in patients with fibromyalgia. Eur J Pain 9: 293–303

    Article  PubMed  Google Scholar 

  21. Montoya P, Sitges C, Garcia-Herrera M, et al. (2005) Abnormal affective modulation of somatosensory brain processing among patients with fibromyalgia. Psychosom Med 67(6): 957–956

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to G. Pickering.

About this article

Cite this article

Pickering, G. La sphère cognitivo-émotionnelle de la fibromyalgie. Lett Med Phys Readapt 23, 93–96 (2007). https://doi.org/10.1007/s11659-007-0062-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11659-007-0062-y

Mots clés

Keywords

Navigation