Sexual and physical abuse in women with fibromyalgia: Association with outpatient health care utilization and pain medication usage

Rw, Alexander; La, Bradley; Gs, Alarcón; Triana‐Alexander, Mireya; La, Aaron; Kr, Alberts; My, Martin; Ke, Stewart

doi:10.1002/art.1790110206

Cited by 155 publications

(100 citation statements)

References 60 publications

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“…Most authors describe a higher trauma prevalence in patients with FM compared with patients with other chronic pain conditions, although this finding is not universal (11)(12)(13)(14)(15). Childhood sexual and lifetime sexual and physical abuse as well as lifetime emotional abuse and neglect have been shown to be more prevalent in FM patients (12)(13)(14)16). However, a relationship between trauma history and symptom severity may exist (17).…”

Section: Introductionmentioning

confidence: 99%

“…However, a relationship between trauma history and symptom severity may exist (17). Studies suggest that patients reporting childhood abuse experience greater psychological distress; have more severe physical symptoms, greater functional disability, and poorer psychological adjustment; and utilize more health care services (15)(16)(17)(18). The high level of stress during and after a trauma may give rise to incomplete or maladaptive processing of the event, which may result in the information-processing deficit known as "dissociation," which is understood as a "disruption of the usually integrated functions of consciousness, memory, identity, or perceptions of the environment" (19).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Post-Traumatic Stress Disorder, Alexithymia and Somatoform Dissociation in Patients with Fibromyalgia

Sönmezer¹,

Kavakçı²,

Peksen³

et al. 2014

Turk J Phys Med Rehab

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Post-Traumatic Stress Disorder, Alexithymia and Somatoform Dissociation in Patients with Fibromyalgia

Sönmezer¹,

Kavakçı²,

Peksen³

et al. 2014

Turk J Phys Med Rehab

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“…Sexual abuse, violence, the threat or the witnessing of either, which have been mentioned in some of our respondents have also been described as causes of psychological trauma. Other authors found a high prevalence (> 30%) of sexual and physical abuse in women with FM and reported higher rates of abuse in these patients as compared with a group of women without FM [45][46][47]. However, still other authors questioned the association between sexual abuse and FM onset [48][49][50].…”

Section: Discussionmentioning

confidence: 99%

Primary attributions in women suffering fibromyalgia emphasize the perception of a disruptive onset for a long-lasting pain problem

Cedraschi¹,

Girard²,

Luthy³

et al. 2013

Journal of Psychosomatic Research

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Objective: Fibromyalgia (FM) is a chronic musculoskeletal pain disorder characterized by widespread pain. This study focuses on patients' attributions of illness and of symptom onset. Methods: Semi-structured interviews were conducted with 56 women to elicit patients' views on what triggered their FM. The transcripts of the interviews were analyzed using a classical indexing technique to identify key themes. Content analysis was performed by two independent coders. Results: Primary causal attributions fell into five categories: psychological problems (28 respondents); somatic concerns (N=12); violence/abuse during childhood (N=7), gynaecological/obstetrical problems (N=6), and fatigue (N=3). Patients' attributions were internal and external in the same proportions, more frequently unstable than stable, and more often described uncontrollable than controllable. Participants expressed decrements in self-esteem and feelings such as self-blame or despair; global perceptions of persistent pain and long-lasting problems, evoking chronicity and hopelessness; and low perceived control over their lives as well as beliefs that nothing can be done, thus increasing a feeling of guilt and vulnerability. Patients' narratives emphasized disruptive circumstances surrounding symptom onset. Conclusion: Attributions often referred to the psychological dimension of the events surrounding FM onset, even though some of them also had a clear somatic dimension. Many narratives mentioned successive disruptive events and suggested an increasing loss of control. Addressing these illness representations may contribute to tailor the treatment and to help patients gain self-coherency by providing means to understand pain onset but also to guide future behaviours, particularly in terms of adjustment and help-seeking.

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“…It is possible that antecedent traumatic psychological experiences may play an etiologic role in the persistence of symptoms after the infection has been adequately treated (20). This relationship has been demonstrated in other MUS conditions, including multiple chemical sensitivity (21), chronic fatigue syndrome, (22), irritable bowel syndrome (23)(24)(25)(26), chronic pelvic pain (27), and fibromyalgia (28)(29)(30).…”

Section: Lyme Disease Medically Unexplained Syndromes and The Anxiomentioning

confidence: 96%

Contributions of societal and geographical environments to "chronic Lyme disease": the psychopathogenesis and aporology of a new "medically unexplained symptoms" syndrome.

Sigal¹,

Hassett²

2002

Environ Health Perspect

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Lyme disease is a relatively well-described infectious disease with multisystem manifestations. Because of confusion over conflicting reports, anxiety related to vulnerability to disease, and sensationalized and inaccurate lay media coverage, a new syndrome, "chronic Lyme disease," has become established. Chronic Lyme disease is the most recent in a continuing series of "medically unexplained symptoms" syndromes. These syndromes, such as fibromyalgia, chronic fatigue syndrome, and multiple chemical sensitivity, meet the need for a societally and morally acceptable explanation for ill-defined symptoms in the absence of objective physical and laboratory findings. We describe factors involved in the psychopathogenesis of chronic Lyme disease and focus on the confusion and insecurity these patients feel, which gives rise to an inability to adequately formulate and articulate their health concerns and to deal adequately with their medical needs, a state of disorganization termed aporia. Key words: aporology, chronic Lyme disease, Lyme disease, medically unexplained symptoms, misdiagnosis, psychological, psychopathogenesis.

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Sexual and physical abuse in women with fibromyalgia: Association with outpatient health care utilization and pain medication usage

Abstract: Objective. To

Cited by 155 publications

References 60 publications

Post-Traumatic Stress Disorder, Alexithymia and Somatoform Dissociation in Patients with Fibromyalgia

Post-Traumatic Stress Disorder, Alexithymia and Somatoform Dissociation in Patients with Fibromyalgia

Primary attributions in women suffering fibromyalgia emphasize the perception of a disruptive onset for a long-lasting pain problem

Contributions of societal and geographical environments to "chronic Lyme disease": the psychopathogenesis and aporology of a new "medically unexplained symptoms" syndrome.

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