The role of cannabis in treatment-resistant fibromyalgia women

被引:5
作者
Hershkovich, Oded [1 ]
Hayun, Yemima [2 ]
Oscar, Nataly [2 ]
Shtein, Arnold [2 ]
Lotan, Raphael [1 ]
机构
[1] Wolfson Med Ctr, Dept Orthoped Surg, Affiliated Sackler Sch Med, Ha Lokhamim St 62, IL-5822012 Holon, Israel
[2] Wolfson Med Ctr, Pain Serv Unit, Affiliated Sackler Sch Med, Holon, Israel
关键词
cannabis; fibromyalgia; pain; quality of life; treatment; woman; PHARMACOLOGICAL-TREATMENT; MANAGEMENT; QUALITY; ADULTS; THERAPIES;
D O I
10.1111/papr.13179
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background Fibromyalgia is a complex pain-focused syndrome. Previous studies showed that Cannabis is efficacious in promoting sleep, deepening and lengthening the sleep cycle, and good pain relief (compared with the SSRIs and SNRIs). Purpose This study aimed to use the World Health Organization Quality of Life Bref questionnaire (WhoQoL-bref) to characterize the impact of Cannabis Treatment initiation on the quality of life in women suffering from treatment-resistant fibromyalgia. Methods A prospective cohort study involving 30 women aged 18-70 years old diagnosed with fibromyalgia, exhausted pharmacological fibromyalgia treatment, and started Cannabis treatment. Pregnant women were excluded. WhoQoL-bref was filled before Cannabis treatment initiation and 1 month following treatment. Results Women's average age was 46 years (+/- 5), with a poor general quality of life (1.47 +/- 0.63), poor general health (1.47 +/- 0.78), pain and discomfort, and dependence on medication (3.77 +/- 1.3 and 3.07 +/- 1.74, respectively) prior to Cannabis intervention. Cannabis treatment for 30 days showed a marked improvement in general quality of life (1.97 scores, p < 0.01), general health (1.83, p < 0.01), physical health (1.5, p < 0.01), and psychological domain (1.3, p < 0.01). Financial resources and home environment were not influenced by cannabis treatment (p = 0.07, p = 0.31, respectively). Conclusion Results suggest a potentially significant role of Cannabis in treatment-resistant Fibromyalgia women. Early Cannabis treatment may result in a beneficial short-term effect on the quality of life through its influence on pain, sleep, and physical and psychological domains. Further studies are still indicated to understand this potential and its long-term beneficial impact.
引用
收藏
页码:180 / 184
页数:5
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