Screening for adult ADHD in patients with Fibromyalgia syndrome

dc.contributor.authorVan Rensburg, Roland
dc.contributor.authorMeyer, Helgard Pieter
dc.contributor.authorHitchcock, Sonia Anne
dc.contributor.authorSchuler, Christian Edward
dc.date.accessioned2018-11-13T05:42:24Z
dc.date.issued2018-09
dc.description.abstractOBJECTIVE: Fibromyalgia syndrome (FMS) is a common chronic pain disorder associated with altered activity of neurotransmitters involved in pain sensitivity such as dopamine, serotonin, and noradrenaline. FMS may significantly impact an individual’s functioning due to the presence of chronic pain, fatigue, and cognitive impairment. Dyscognition may be more disabling than the chronic pain but is mostly under-recognized. This study aimed to assess the potential co-occurrence of FMS and adult attention deficit hyperactivity disorder (ADHD), a chronic neurodevelopmental disorder also associated with impaired cognition and dopaminergic function. METHODS : In a cross-sectional observational study, 123 previously confirmed FMS patients were screened for adult ADHD using the World Health Organization Adult ADHD Self Report scale v1.1. The Revised Fibromyalgia Impact Questionnaire (FIQ-R) was used to assess the impact of FMS. Cognitive assessment was based on self-report in accordance with the 2011 modified American College of Rheumatology criteria and the FIQ-R, respectively. RESULTS : Of the 123 participants, 44.72% (N = 55) screened positive for adult ADHD. Participants with both FMS and a positive adult ADHD screening test scored higher on the FIQ-R score (64.74, SD = 17.66, vs 54.10, SD = 17.10). Self-reported cognitive impairment was rated higher in the combined group (odds ratio = 10.61, 95% confidence interval; 3.77–29.86, P < 0.01). CONCLUSIONS : These results indicate that the co-occurrence of adult ADHD in FMS may be highly prevalent and may also significantly impact the morbidity of FMS. Patients with FMS should be assessed for the presence of adult ADHD.en_ZA
dc.description.departmentFamily Medicineen_ZA
dc.description.embargo2019-09-01
dc.description.librarianhj2018en_ZA
dc.description.urihttps://academic.oup.com/painmedicineen_ZA
dc.identifier.citationVan Rensburg, R., Meyer, H.P., Hitchcock, S.A. et al. 2018, 'Screening for adult ADHD in patients with Fibromyalgia syndrome', Pain Medicine, vol. 19, no. 9, pp. 1825–1831, https://doi.org/10.1093/pm/pnx275.en_ZA
dc.identifier.issn1526-2375 (print)
dc.identifier.issn1526-4637 (online)
dc.identifier.other10.1093/pm/pnx275
dc.identifier.urihttp://hdl.handle.net/2263/67205
dc.language.isoenen_ZA
dc.publisherOxford University Pressen_ZA
dc.rights© 2017 American Academy of Pain Medicine. All rights reserved. This is a pre-copy-editing, author-produced PDF of an article accepted for publication in Pain Medicine following peer review. The definitive publisher-authenticated version is : 'Screening for adult ADHD in patients with Fibromyalgia syndrome', Pain Medicine, vol. 19, no. 9, pp. 1825–1831, 2018. doi : 10.1093/pm/pnx275, is available online at : https://academic.oup.com/painmedicine.en_ZA
dc.subjectFibromyalgia syndrome (FMS)en_ZA
dc.subjectChronic pain disorderen_ZA
dc.subjectNeurotransmittersen_ZA
dc.subjectPain sensitivityen_ZA
dc.subjectAttention deficit hyperactivity disorder (ADHD)en_ZA
dc.subjectCognitive impairmenten_ZA
dc.subjectRestless legs syndromeen_ZA
dc.subjectPrevalenceen_ZA
dc.subjectDepressionen_ZA
dc.subjectAdult ADHDen_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.titleScreening for adult ADHD in patients with Fibromyalgia syndromeen_ZA
dc.typePostprint Articleen_ZA

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