Psychosocial Factors in Fibromyalgia Compared With Rheumatoid Arthritis

Walker, Edward A.; Keegan, David L.; Gardner, Gregory; Sullivan, Mark D.; Bernstein, David P.; Katon, Wayne

doi:10.1097/00006842-199711000-00003

Cited by 271 publications

(78 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CFS/FM patients’ preoccupations may, notably, reflect deep disappointment and frustration about their failed strivings for physical or mental achievement, as well as approval from others. Such strivings – which have been described as a central theme in the illness narratives of CFS/FM patients [37]– may be psychodynamically linked to personality factors, such as a vulnerable self-esteem [38, 39, 40], narcissistic or perfectionistic tendencies [41, 42]and, not uncommonly, early victimisation experiences [14, 15]. …”

Section: Discussionmentioning

confidence: 99%

“…This hypothesis is, on the one hand, based on the fact that negative life events (often combined with a viral infection or a physical trauma) [10, 11, 12, 13], victimisation experiences [14, 15]and the mental or physical stress of an overactive lifestyle [16, 17]have been found to be frequently associated with the development of CFS/FM. On the other hand, there is ample evidence that CFS and FM patients are confronted with severe psychosocial stress related to coping and adaptation problems, a lack of comprehension by the environment and uncertainties surrounding the nature and prognosis of their condition [18, 19, 20, 21].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Daily Hassles Reported by Chronic Fatigue Syndrome and Fibromyalgia Patients in Tertiary Care: A Controlled Quantitative and Qualitative Study

Houdenhove

Neerinckx²,

Onghena

et al. 2002

Psychother Psychosom

View full text Add to dashboard Cite

Background: This study aimed at providing insight in the frequency, emotional impact and nature of daily hassles, experienced by patients suffering from chronic fatigue syndrome (CFS) and/or fibromyalgia (FM), compared with patients with a chronic organic disease. Methods: One hundred and seventy-seven CFS/FM patients, 26 multiple sclerosis (MS) and 26 rheumatoid arthritis (RA) patients were investigated within 2–6 months after diagnosis. All patients completed a self-report questionnaire assessing daily hassles and associated distress, a visual analogue scale assessing fatigue and pain and a depression and anxiety questionnaire. Results: CFS/FM patients show a higher frequency of hassles, higher emotional impact and higher fatigue, pain, depression and anxiety levels compared with MS/RA patients. Three hassle themes dominate in the CFS/FM group: dissatisfaction with oneself, insecurity and a lack of social recognition. In contrast, hassles reported by MS/RA patients show a much larger diversity and are not focused on person-dependent problems. Conclusions: Patients recently diagnosed as suffering from CFS and/or FM are highly preoccupied and distressed by daily hassles that have a severe impact on their self-image, as well as their personal, social and professional functioning. An optimal therapeutic approach of CFS and FM should take account of this heavy psychosocial burden, which might refer to core themes of these patients’ illness experience.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Daily Hassles Reported by Chronic Fatigue Syndrome and Fibromyalgia Patients in Tertiary Care: A Controlled Quantitative and Qualitative Study

Houdenhove

Neerinckx²,

Onghena

et al. 2002

Psychother Psychosom

View full text Add to dashboard Cite

show abstract

“…Third, the sample was comprised of individuals with FM, a pain condition associated with a high prevalence of childhood maltreatment and comorbid depression and anxiety (7, 27). Thus, the findings may not generalize to healthy individuals or to those with other chronic pain conditions.…”

Section: Discussionmentioning

confidence: 99%

“…FM is a condition characterized by widespread musculoskeletal pain of unknown etiology (21). Of relevance for the current study, the prevalence of depression and anxiety symptoms are elevated among patients with FM even relative to those with other chronic pain conditions (7, 22). In fact, some investigators have suggested that FM be considered an affective spectrum disorder (23).…”

mentioning

confidence: 92%

Cortisol Profile Mediates the Relation Between Childhood Neglect and Pain and Emotional Symptoms among Patients with Fibromyalgia

2015

View full text Add to dashboard Cite

Background The relation between childhood trauma and chronic pain and emotional symptoms in adulthood has been well-documented, although physiological mechanisms mediating this link have not been elaborated. Purpose This study examined the mediating role of cortisol profile in the linkage between childhood maltreatment and pain and emotional symptoms in individuals with fibromyalgia (FM). Methods 179 adults with FM first provided retrospective self-reports of childhood maltreatment; then attended a standardized session during which cortisol was sampled across 1.5 hours; and subsequently, completed assessments of daily pain, depressive symptoms, and anxiety. Latent growth curve modeling estimated the hypothesized mediation models. Results Childhood neglect predicted a flattened cortisol profile, which, in turn, predicted elevated daily pain and emotional symptoms. The cortisol profile partially mediated the neglect-symptom relation. Conclusions Early maltreatment may exert enduring effects on endocrine regulation that contributes to pain and emotional symptoms in adults with chronic pain.

show abstract

“…In particular, victims of child abuse are at greater risk of developing stress-related immune disorders, including allergies, asthma, and autoimmune diseases (Dube et al 2009), as well as metabolic and vascular diseases, including Type 2 diabetes, hypertension, and heart disease (Dong et al 2004; Fuller-Thomson et al 2009; Lee et al 2014c; Rich-Edwards et al 2010; Riley et al 2010). Adult survivors of childhood abuse are over-represented in many clinical patient groups, including irritable bowel syndrome, fibromyalgia, and extreme obesity (Drossman et al 1990; Walker et al 1997). Diverse health risks likely arise from the cumulative impact of biological dysregulation beginning during early development and continuing into adulthood (Danese and McEwen 2012).…”

Section: Introductionmentioning

confidence: 99%

Social Disadvantage, Severe Child Abuse, and Biological Profiles in Adulthood

2017

View full text Add to dashboard Cite

Guided by the stress process model and the life course perspective, we hypothesize: (a) that childhood abuse is concentrated, in terms of type and intensity, among socially disadvantaged individuals, and (b) that experiencing serious abuse contributes to poor biological profiles in multiple body systems in adulthood. Data come from the Biomarker Subsample of Midlife in the US. We used latent class analysis to identify distinct profiles of childhood abuse, each reflecting a combination of type and severity. Results indicate that disadvantaged groups, women and those from disadvantaged families, are at greater risk of experiencing more severe and multiple types of abuse. Those with more severe and multifaceted childhood abuse show greater physiological dysregulation. Childhood abuse experiences partially accounted for the social status differences in physiological profiles. Our findings underscore that differential exposure to serious childhood stressors play a significant role in gender and class inequalities in adult health.

show abstract

Psychosocial Factors in Fibromyalgia Compared With Rheumatoid Arthritis

Abstract: Fibromyalgia seems to be associated with increased risk of victimization, particularly adult physical abuse. Sexual, physical, and emotional trauma may be important factors in the development and maintenance of this disorder and its associated disability in many patients.

Cited by 271 publications

References 26 publications

Daily Hassles Reported by Chronic Fatigue Syndrome and Fibromyalgia Patients in Tertiary Care: A Controlled Quantitative and Qualitative Study

Daily Hassles Reported by Chronic Fatigue Syndrome and Fibromyalgia Patients in Tertiary Care: A Controlled Quantitative and Qualitative Study

Cortisol Profile Mediates the Relation Between Childhood Neglect and Pain and Emotional Symptoms among Patients with Fibromyalgia

Social Disadvantage, Severe Child Abuse, and Biological Profiles in Adulthood

Contact Info

Product

Resources

About