The Relationship of Intimate Partner Violence With Psychiatric Disorders and Severity of Pain Among Female Patients With Fibromyalgia

Abstract

Objectives: This study aims to compare the prevalence of intimate partner violence and comorbid psychiatric disorders among patients with fibromyalgia syndrome (FMS) and healthy controls and also to investigate the relationship of intimate partner violence with psychiatric disorders and severity of pain in FMS patients. Patients and methods: The study group consisted of 136 females including 68 patients with FMS (mean age 43±10.4 years; range, 25 to 70 years) and 68 FMS-free healthy females (mean age 38.5±11.3 years; range, 22 to 70 years). Following a Structured Clinical Interview for Diagnostic and Statistical Manual-IV Axis I Disorders by a psychiatrist experienced in psychological trauma, Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), visual analog scale (VAS) for the severity of pain and Domestic Violence Against Women Scale (DVAWS) were applied. Results: In FMS group, 85% of the patients were diagnosed with mood or anxiety disorder. Almost half of these patients had major depressive disorder. The total scores of DVAWS and all subscales were significantly higher in the FMS group than in the control group (p<0.01). The severity of domestic violence were related to the presence of any psychiatric disorder only in FMS patients (p<0.01). Almost half of the FMS patients with high DVAWS score had comorbid mood and anxiety disorders. There was a significant positive correlation between the total scores of DVAWS, HDRS, HARS, and VAS (p<0.01). Conclusion: Although the etiology of FMS is still uncertain, psychosocial factors may play role as risk factors. Therefore, a multidisciplinary approach to the treatment should be considered.

Effect of COVID-19 Pandemic Lockdown on Fibromyalgia Symptoms

“…In-house confinement could theoretically worsen domestic violence. 10 Nevertheless, in-house confinement alone appeared not to be the major determinant for symptom deterioration; patients who remained working outside their homes had similar illness worsening.…”

Etiological factors related to the nursing diagnosis “post‐trauma syndrome” in women victims of violence: A systematic review and meta‐analysis

“…After the selection process detailed above, the systematic review of 11 articles resulted in nine factors related to post‐trauma syndrome (00141) in women victims of violence. Physical assault, sexual assault, psychological violence, childhood trauma, and lack of employment were analyzed in more than one study (Chandan et al., 2019; Corrigan et al., 2003; Cort et al., 2012; Dennis et al., 2009; Juan et al., 2019; Ersoy & Yildiz, 2011; Gunduz et al., 2019; Ludermir et al., 2014; Rahme et al., 2020a, 2020b; Segebladh et al., 2011). Low socioeconomic status, depression severity, age under 40 years, and low educational level were examined in only one study each (Cort et al., 2012; Dennis et al., 2009; Ludermir et al., 2014) (Table 1).…”

“…The results of the meta‐analysis carried out with five studies are presented below (Chandan et al., 2019; Dennis et al., 2009; Gunduz et al., 2019; Rahme et al., 2020b; Segebladh et al., 2011).…”

The association between violence against women and chronic pain: a systematic review and meta-analysis

“…The prevalence of chronic pain is 8.78% in Europe [15], 6% in Canada [16], and 8% in the United States of America [17]. Most studies focus on pelvic/vaginal pain [18], fibromyalgia [19], irritable bowel syndrome/bowel symptoms [20], abdominal pain [21], temporomandibular pain [22], breast pain [23], migraine/headache [24], back pain [25], and neck pain [26], which tend to become chronic as well as the pain derived from them.…”