Brazilian Journal of Anesthesiology
Brazilian Journal of Anesthesiology
Clinical Research

Pain catastrophizing in daughters of women with fibromyalgia: a case-control study

Catastrofização da dor em filhas de mulheres com fibromialgia: estudo caso-controle

Régis Junior Muniz, Mariane Schäffer Castro, Jairo Alberto Dussan-Sarria, Wolnei Caumo, Andressa de Souza

Downloads: 1
Views: 685


Fibromyalgia is a syndrome characterized by chronic pain related to the musculoskeletal system. Patients feel incapable and show catastrophic thoughts (exaggeration of the sensations) related to painful events. This study aimed to compare catastrophic thoughts of pain between daughters of women with fibromyalgia and daughters of women without fibromyalgia, no daughter having the syndrome. It was a case-control study in which 76-women were included: 38-daughters of women diagnosed with fibromyalgia (case group), and 38-daughters of women without fibromyalgia (control group). The Brazilian versions of the Profile of Chronic Pain: Screen, the Pittsburgh Sleep Quality Index, the Pain Catastrophizing Scale, Resilience Scale, Beck Depression Inventory-II, and the State-Trait Anxiety Inventory were used. Data were tabulated and analyzed using SPSS 20.0. Continuous variables were compared between the groups using the Mann-Whitney U test or Student’s t-test for independent samples. A significant difference was considered at p < 0.05. Regarding catastrophism, the case group had higher total catastrophism compared to the control group (p = 0.025). Daughters of patients with fibromyalgia showed higher rumination and magnification levels related to pain (p = 0.028 and p = 0.007, respectively) but did not show hopelessness. This study concludes that daughters of women with fibromyalgia are more likely to have symptoms of fibromyalgia due to their visualization of the syndrome. This indicates that emotional aspects may induce changes, and additional research on an individual basis is necessary.


Fibromyalgia;  Catastrophizing;  Anxiety;  Depression


1 M. Barbero, C. Fernández-de-las-Peñas, M. Palacios-Ceña, et al. Pain extent is associated with pain intensity but not with widespread pressure or thermal pain sensitivity in women with fibromyalgia syndrome Clin Rheumatol, 36 (2017), pp. 1427-1432

2 M.C. Bushnell, M. Čeko, L.A. Low Cognitive and emotional control of pain and its disruption in chronic pain Nat Rev Neurosci, 14 (2013), pp. 502-511

3 ÓA. Steingrímsdóttir, T. Landmark, G.J. Macfarlane, et al. Defining chronic pain in epidemiological studies: A systematic review and meta-analysis Pain, 158 (2017), pp. 2092-2107

4 E.H.S. Choy The role of sleep-in pain and fibromyalgia Nat Rev Rheumatol, 11 (2015), pp. 513-520

5 C. Boomershine Fibromyalgia: The Prototypical Central Sensitivity Syndrome Curr Rheumatol Rev, 11 (2015), pp. 131-145

6 L.M. Arnold, J. Fan, I.J. Russell, et al. The fibromyalgia family study: A genome-wide linkage scan study Arthritis Rheum, 65 (2013), pp. 1122-1128

7 S.M. Góes, J.M.F. Stefanello, D. Homann, et al. Torque and muscle activation impairment along with insulin resistance are associated with falls in women with fibromyalgia J Strength Cond Res, 30 (2016), pp. 3155-3164

8 A. Soriano-Maldonado, K. Amris, F.B. Ortega, et al. Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia Qual Life Res, 24 (2015), pp. 2951-2957

9 S. Efrati, H. Golan, Y. Bechor, et al. Hyperbaric oxygen therapy can diminish fibromyalgia syndrome - Prospective clinical trial PLoS One, 10 (2015), Article e0127012

10 P.R. Block, B.E. Thorn, S. Kapoor, et al. Pain catastrophizing, rather than vital signs, associated with pain intensity in patients presenting to the emergency department for pain Pain Manag Nurs, 18 (2017), pp. 102-109

11 S. Reiter, I. Eli, M. Mahameed, et al. Pain Catastrophizing and pain persistence in temporomandibular disorder patients J Oral Facial Pain Headache, 32 (2018), pp. 309-320

12 L.A. Henderson, R. Akhter, A.M. Youssef, et al. The effects of catastrophizing on central motor activity Eur J Pain (United Kingdom), 20 (2016), pp. 639-651

13 L.K. Dunn, M.E. Durieux, L.G. Fernández, et al. Influence of catastrophizing, anxiety, and depression on in-hospital opioid consumption, pain, and quality of recovery after adult spine surgery J Neurosurg Spine, 28 (2018), pp. 119-126

14 J.R. Craner, J.A. Sperry, A.M. Koball, et al. Unique contributions of acceptance and catastrophizing on chronic pain adaptation Int J Behav Med, 24 (2017), pp. 542-551

15 J.E. Lee, S.H. Kim, S.K. Shin, et al. Attentional Engagement for Pain-Related Information among Individuals with Chronic Pain: The Role of Pain Catastrophizing Pain Res Manag, 2018 (2018), Article 6038406

16 M.L. Loggia, C. Berna, J. Kim, et al. The Lateral Prefrontal Cortex Mediates the Hyperalgesic Effects of Negative Cognitions in Chronic Pain Patients J Pain, 16 (2015), pp. 692-699

17 J.W. Burns, J.I. Gerhart, K.M. Post, et al. The Communal Coping Model of Pain Catastrophizing in Daily Life: A Within-Couples Daily Diary Study J Pain, 16 (2015), pp. 1163-1175

18 W. Caumo, L.S. Ruehlman, P. Karoly, et al. Cross-Cultural Adaptation and Validation of the Profile of Chronic Pain: Screen for a Brazilian Population Pain Med (United States), 14 (2013), pp. 52-61

19 A.N. Bertolazi, S.C. Fagondes, L.S. Hoff, et al. Validation of the Brazilian Portuguese version of the Pittsburgh Sleep Quality Index Sleep Med, 12 (2011), pp. 70-75

20 F. Sehn, E. Chachamovich, L.P. Vidor, et al. Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of the Pain Catastrophizing Scale Pain Med (United States), 13 (2012), pp. 1425-1435

21 G.M. Wagnild, H.M. Young Development and psychometric evaluation of the Resilience Scale J Nurs Meas, 1 (1993), pp. 165-178

22 F. Warmenhoven, E. Van Rijswijk, Y. Engels, et al. The Beck Depression Inventory (BDI-II) and a single screening question as screening tools for depressive disorder in Dutch advanced cancer patients Support Care Cancer, 20 (2012), pp. 319-324

23 M.B. Kaipper, E. Chachamovich, M.P.L. Hidalgo, et al. Evaluation of the structure of Brazilian State-Trait Anxiety Inventory using a Rasch psychometric approach J Psychosom Res, 68 (2010), pp. 223-233

24 P. Montoya, P. Pauli, A. Batra, et al. Altered processing of pain-related information in patients with fibromyalgia Eur J Pain, 9 (2005), pp. 293-303

25 L. Andreoli, A. Tincani Undifferentiated connective tissue disease, fibromyalgia, and the environmental factors Current Opinion in Rheumatology, 29 (2017), pp. 355-360

26 M.A. Fitzcharles, E. Rampakakis, P.A. Ste-Marie, et al. The association of socioeconomic status and symptom severity in persons with fibromyalgia J Rheumatol, 41 (2014), pp. 1398-1404

27 S.J. McAllister, A. Vincent, A.L. Hassett, et al. Psychological resilience, affective mechanisms, and symptom burden in a tertiary-care sample of patients with fibromyalgia Stress Heal, 31 (2015), pp. 299-305

28 J.A. Sturgeon, A.J. Zautra, A. Arewasikporn A multilevel structural equation modeling analysis of vulnerabilities and resilience resources influencing affective adaptation to chronic pain Pain, 155 (2014), pp. 292-298

29 B. Gerdle, B. Ghafouri, M. Ernberg, et al. Chronic musculoskeletal pain: Review of mechanisms and biochemical biomarkers as assessed by the microdialysis technique J Pain Res, 7 (2014), pp. 313-326

30 B. Nugraha, M. Karst, S. Engeli, et al. Brain-derived neurotrophic factor, and exercise in fibromyalgia syndrome patients: A mini review Rheumatol Int, 32 (2012), pp. 2593-2599

60268a2b0e882555644de1cf rba Articles
Links & Downloads

Braz J Anesthesiol

Share this page
Page Sections