CoChat
Sign Up
Cited by 371Fibromyalgia and Chronic Fatigue Syndrome ResearchPain Mechanisms and TreatmentsPsychosomatic Disorders and Their Treatments

Generalized hypervigilance in fibromyalgia: evidence of perceptual amplification

McDermid, Ann J, Rollman, Gary B, McCain, Glenn A·1996·Pain
DOI 10.1016/0304-3959(96)03059-x
Open this paper in CoChat — free account

Abstract

The hypervigilance model of pain perception states that chronic pain patients have a heightened sensitivity to pain (e.g. low threshold and tolerance) because of increased attention to external stimulation and a preoccupation with pain sensations. This study tested the hypothesis that individuals with fibromyalgia, a chronic pain disorder of undetermined origin, have a generalized hypervigilant pattern of responding that extends beyond the pain domain. Twenty fibromyalgia out-patients, 20 rheumatoid arthritis (RA) patients, and 20 normal controls served as subjects. The RA and normal control subjects were age and sex matched to the fibromyalgia patients. Subjects were tested for pain tolerance, pain threshold, and noise tolerance and were asked to complete a number of questionnaires that assessed hypervigilance. As predicted, the responses of the fibromyalgia patients to both the pain and auditory stimuli were consistent with the generalized hypervigilance hypothesis. These patients had significantly lower threshold and tolerance values than the RA patients, who in turn, had lower values than the normal control subjects. The results of the psychological questionnaires revealed that the fibromyalgia and RA patients preferred lower levels of external stimulation than the control subjects. The outcome of this study supports the generalized hypervigilance hypothesis, suggesting that fibromyalgia patients have a perceptual style of amplification. The implications of these findings…

Integrity signals

Registry

Crossref · 10.1016/0304-3959(96)03059-x

Cites

2 of 2 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • This higher incidence of orthostatic intolerance may be related to perceptual amplification and hypervigilance, which have been well-described in pain conditions.

    “This higher incidence of orthostatic intolerance may be related to perceptual amplification and hypervigilance, which have been well-described in pain conditions (77).”

    From Postural Orthostatic Tachycardia Syndrome (2019) · cites this paper as [77]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
McDermid, A. J., Rollman, G. B., & McCain, G. A.
Affiliations
  • Western University (CA)
  • University Hospital (CA)
Corresponding author
McDermid, Ann J
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
1996-08
Volume
66
Issue
2
Pages
133-144
ISSN
0304-3959 (ISSN-L)
DOI
10.1016/0304-3959(96)03059-x
OpenAlex
W2056014583
Cited by
371
References
2
Citations by year
2026: 6 · 2025: 5 · 2024: 11 · 2023: 9 · 2022: 5 · 2021: 19 · 2020: 13 · 2019: 10 · 2018: 17 · 2017: 10 · 2016: 17 · 2015: 17 · 2014: 9 · 2013: 9 · 2012: 9
FWCI
9.30
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
fibromyalgia, hypervigilance, chronic pain, pain tolerance, pain threshold, noise immunity, rheumatoid arthritis
MeSH terms
Adult, Arousal, Arthritis, Rheumatoid, Chronic Disease, Female, Fibromyalgia, Humans, Limbic System, Male, Middle Aged, Noise, Pain, Pain Measurement, Perception, Physical Stimulation, Pain Threshold

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review