Rheumatology, Vol 38, 275-279, Copyright © 1999 by British Society for Rheumatology
IM Hunt, AJ Silman, S Benjamin, J McBeth and GJ Macfarlane
OBJECTIVE: We examine the descriptive epidemiology of chronic widespread
pain using the 'Manchester' definition [CWP(M)] and assess psychosocial and
other features which characterize subjects with such pain according to
these more stringent criteria. METHODS: A population postal survey of 3004
subjects was conducted in the Greater Manchester area of the UK. RESULTS:
The point prevalence of Manchester-defined chronic widespread pain was
4.7%. CWP(M) was associated with psychological disturbance [risk ratio (RR)
= 2.2, 95% confidence interval (CI) (1.4-3.5)], fatigue [RR = 3.8, 95% CI
(2.3-6.1)], low levels of self-care [RR = 2.2, 95% CI (1.4-3.6)] and with
the reporting of other somatic symptoms [RR = 2.0, 95% CI (1.3-3.1)].
Hypochondriacal beliefs and a preoccupation with bodily symptoms were also
associated with the presence of CWP(M). CONCLUSION: This definition of
chronic widespread pain is more precise in identifying subjects with truly
widespread pain and its associated adverse psychosocial factors. Clear
associations with other 'non-pain' somatic symptoms were identified, which
further supports the hypothesis that chronic widespread pain is one feature
of somatization.
ORIGINAL PAPERS
The prevalence and associated features of chronic widespread pain in the community using the 'Manchester' definition of chronic widespread pain
Arthritis Research Campaign, Epidemiology Unit, School of Epidemiology and Health Sciences, University of Manchester, UK.
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