Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study
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 o...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-01-01
|
| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2022/2114451 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552911719104512 |
|---|---|
| author | Itxaso Gardoki-Souto Diego Redolar-Ripoll Marta Fontana Bridget Hogg María José Castro Josep M. Blanch Fabiola Ojeda Aleix Solanes Joaquim Radua Alicia Valiente-Gómez Roser Cirici Víctor Pérez Benedikt L. Amann Ana Moreno-Alcázar |
| author_facet | Itxaso Gardoki-Souto Diego Redolar-Ripoll Marta Fontana Bridget Hogg María José Castro Josep M. Blanch Fabiola Ojeda Aleix Solanes Joaquim Radua Alicia Valiente-Gómez Roser Cirici Víctor Pérez Benedikt L. Amann Ana Moreno-Alcázar |
| author_sort | Itxaso Gardoki-Souto |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-53202242e5df40df8dd127fa7bcada58 |
| institution | Kabale University |
| issn | 1918-1523 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-53202242e5df40df8dd127fa7bcada582025-02-03T05:57:25ZengWileyPain Research and Management1918-15232022-01-01202210.1155/2022/2114451Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional StudyItxaso Gardoki-Souto0Diego Redolar-Ripoll1Marta Fontana2Bridget Hogg3María José Castro4Josep M. Blanch5Fabiola Ojeda6Aleix Solanes7Joaquim Radua8Alicia Valiente-Gómez9Roser Cirici10Víctor Pérez11Benedikt L. Amann12Ana Moreno-Alcázar13Forum Center Research UnitCognitive NeuroLabForum Center Research UnitForum Center Research UnitRheumatology ServiceRheumatology ServiceRheumatology ServiceAugust Pi I Sunyer Biomedical Research Institute (IDIBAPS)King’s College LondonForum Center Research UnitInstitute of Neuropsychiatry and Addictions (INAD)Institute of Neuropsychiatry and Addictions (INAD)Forum Center Research UnitForum Center Research UnitBackground. 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.http://dx.doi.org/10.1155/2022/2114451 |
| spellingShingle | Itxaso Gardoki-Souto Diego Redolar-Ripoll Marta Fontana Bridget Hogg María José Castro Josep M. Blanch Fabiola Ojeda Aleix Solanes Joaquim Radua Alicia Valiente-Gómez Roser Cirici Víctor Pérez Benedikt L. Amann Ana Moreno-Alcázar Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study Pain Research and Management |
| title | Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study |
| title_full | Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study |
| title_fullStr | Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study |
| title_full_unstemmed | Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study |
| title_short | Prevalence and Characterization of Psychological Trauma in Patients with Fibromyalgia: A Cross-Sectional Study |
| title_sort | prevalence and characterization of psychological trauma in patients with fibromyalgia a cross sectional study |
| url | http://dx.doi.org/10.1155/2022/2114451 |
| work_keys_str_mv | AT itxasogardokisouto prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT diegoredolarripoll prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT martafontana prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT bridgethogg prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT mariajosecastro prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT josepmblanch prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT fabiolaojeda prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT aleixsolanes prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT joaquimradua prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT aliciavalientegomez prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT rosercirici prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT victorperez prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT benediktlamann prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy AT anamorenoalcazar prevalenceandcharacterizationofpsychologicaltraumainpatientswithfibromyalgiaacrosssectionalstudy |