Fibromyalgia & musculoskeletal pain

Predictors of Pain Reduction Among Fibromyalgia Patients Using Medical Cannabis: A Long‐Term Prospective Cohort Study

Arthritis Care Res (Hoboken)Published Prospective cohort study

Authors' conclusion

Our findings provide preliminary insight into the potential mechanisms of action underlying pain reductions among patients with FM who are using medical cannabis.

Study context

Population
Patients with fibromyalgia (FM) initiating medical cannabis under the care of physicians
Participants
323 patients
Outcome
Whether changes in pain intensity after initiation of medical cannabis could be attributed to concurrent reductions in negative affect and sleep problems
Follow-up
12 months
Methodological details12-month follow-up, multilevel mediation analyses, Attrition rate 75% at 12 months
  • 12-month follow-up
  • Multilevel mediation analyses
  • Attrition rate 75% at 12 months

Main finding

As reported in the abstract

Mediation of pain intensity reduction
Reductions in pain intensity partly explained by concurrent reductions in sleep problems
P < 0.001
Reductions in pain intensity partly explained by concurrent reductions in negative affect
P < 0.001

Observational data: associations, not effects.

Original publication

Predictors of Pain Reduction Among Fibromyalgia Patients Using Medical Cannabis: A Long‐Term Prospective Cohort Study. Arthritis Care Res (Hoboken). Published 3 February 2023. doi:10.1002/acr.24985

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