Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study.

Autor: Gardoki-Souto I; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain.; Department of Psychiatry and Forensic Medicine, Autonomous Universtiy of Barcelona (UAB), Barcelona, Spain., Redolar-Ripoll D; Cognitive NeuroLab, Open University of Catalonia (UOC), Barcelona, Spain.; Neuromodulation Unit, Brain 360 Institute, Barcelona, Spain., Fontana M; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain., Hogg B; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain.; Department of Psychiatry and Forensic Medicine, Autonomous Universtiy of Barcelona (UAB), Barcelona, Spain.; Hospital Del Mar Medical Research Institute (IMIM), Barcelona, Spain.; Mental Health Networking Biomedical Research Centre (CIBERSAM), Institute of Health Carlos III, Madrid, Spain., Castro MJ; Rheumatology Service, Parc de Salut Mar (PSMAR), Barcelona, Spain., Blanch JM; Rheumatology Service, Parc de Salut Mar (PSMAR), Barcelona, Spain., Ojeda F; Rheumatology Service, Parc de Salut Mar (PSMAR), Barcelona, Spain., Solanes A; August Pi I Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain., Radua J; August Pi I Sunyer Biomedical Research Institute (IDIBAPS), Barcelona, Spain.; Karolinska Institute (KI), Stockholm, Sweden.; King's College London, London, UK., Valiente-Gómez A; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain.; Hospital Del Mar Medical Research Institute (IMIM), Barcelona, Spain.; Mental Health Networking Biomedical Research Centre (CIBERSAM), Institute of Health Carlos III, Madrid, Spain.; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain., Cirici R; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain., Pérez V; Hospital Del Mar Medical Research Institute (IMIM), Barcelona, Spain.; Mental Health Networking Biomedical Research Centre (CIBERSAM), Institute of Health Carlos III, Madrid, Spain.; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain., Amann BL; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain.; Hospital Del Mar Medical Research Institute (IMIM), Barcelona, Spain.; Mental Health Networking Biomedical Research Centre (CIBERSAM), Institute of Health Carlos III, Madrid, Spain.; Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar, Barcelona, Spain.; Pompeu Fabra University (UPF), Barcelona, Spain.; Department of Psychiatry and Psychotherapy, Ludwig Maximilian University Hospital, Munich, Germany., Moreno-Alcázar A; Forum Center Research Unit, Institute of Neuropsychiatry and Addictions (INAD), Parc de Salut Mar (PSMAR), Barcelona, Spain.; Hospital Del Mar Medical Research Institute (IMIM), Barcelona, Spain.; Mental Health Networking Biomedical Research Centre (CIBERSAM), Institute of Health Carlos III, Madrid, Spain.; ISOMAE Institute of Neurosciences and Psychosomatic Psychology, Sant Cugat Del Vallés, Barcelona, Spain.
Jazyk: angličtina
Zdroj: Pain research & management [Pain Res Manag] 2022 Nov 30; Vol. 2022, pp. 2114451. Date of Electronic Publication: 2022 Nov 30 (Print Publication: 2022).
DOI: 10.1155/2022/2114451
Abstrakt: Background: Preliminary evidence suggests that psychological trauma, especially childhood trauma, is a risk factor for the onset of fibromyalgia (FM).
Objective: The main objective of this study consisted of evaluating the prevalence and detailed characteristics of psychological trauma in a sample of patients with FM, the chronology of trauma across the lifespan, and its clinical symptoms. We also calculated whether childhood trauma could predict the relationship with different clinical variables.
Method: Eighty-eight females underwent an interview to assess sociodemographic data, psychiatric comorbidities, level of pain, FM impact, clinical symptoms of anxiety, depression, insomnia, quality of life, and psychological trauma.
Results: The majority of participants (71.5%) met the diagnostic criteria for current post-traumatic stress disorder (PTSD). Participants reported having suffered traumatic events throughout their lifespan, especially in childhood and early adolescence, in the form of emotional abuse, emotional neglect, sexual abuse, and physical abuse. Traumatic events predict both poor quality of life and a level of pain in adulthood. All patients showed clinically relevant levels of anxiety, depression, insomnia, suicidal thoughts, and pain, as well as somatic comorbidities and poor quality of life. Pain levels predicted anxiety, depression, dissociation, and insomnia symptoms. 84% of the sample suffered one or more traumatic events prior to the onset of pain.
Conclusions: Our data highlight the clinical complexity of patients with FM and the role of childhood trauma in the onset and maintenance of FM, as well as the high comorbidity between anxiety, depression, somatic symptoms, and FM. Our data also supports FM patients experiencing further retraumatization as they age, with an extremely high prevalence of current PTSD in our sample. These findings underscore the need for multidisciplinary programs for FM patients to address their physical pain and their psychiatric and somatic conditions, pay special attention to the assessment of psychological trauma, and provide trauma-focused interventions. Trial registration : ClinicalTrials.gov NCT04476316. Registered on July 20th, 2020.
Competing Interests: All authors declare that they have no conflicts of interest.
(Copyright © 2022 Itxaso Gardoki-Souto et al.)
Databáze: MEDLINE
Externí odkaz: