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