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| 5. AUTHOR | Bennett-R-M. |
|---|---|
| INSTITUTION | Department of Medicine, Oregon Health Sciences University, Portland. |
| TITLE | Fibromyalgia and the facts. Sense or nonsense. |
| SOURCE | Rheum-Dis-Clin-North-Am 1993 Feb, VOL: 19 (1), P: 45-59, ISSN: 0889-857X 91 Refs. |
ABSTRACT
A recent flurry of important studies has provided critical new information that is relevant to the contemporary understanding of the fibromyalgia syndrome. The concept that these patients represent solely a form of masked depression or a distinctive syndrome of somatization is not supported by the current facts. Rather it would appear that a characteristic peripheral nociceptive component is modulated by an interplay of complex central factors. A disruption of the neuroendocrine axis controlling growth hormone production may be the link between disturbed sleep and muscle pain, as growth hormone is produced predominantly during stage four sleep. A paradigm to link some of these newer findings is presented. Author.
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