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Prevalence and characterization of psychological trauma in patients with fibromyalgia: A cross-sectional study

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dc.contributor.author Gardoki-Souto, Itxaso
dc.contributor.author Redolar-Ripoll, Diego
dc.contributor.author Fontana-McNally, Marta
dc.contributor.author Hogg, Bridget
dc.contributor.author Castro, María José
dc.contributor.author Blanch-Rubió, Josep
dc.contributor.author Ojeda Morillo, Fabiola Alejandra
dc.contributor.author Solanes, Aleix
dc.contributor.author Radua, Joaquim
dc.contributor.author Valiente Gómez, Alicia
dc.contributor.author Cirici, Roser
dc.contributor.author Pérez, Víctor
dc.contributor.author Amann, Benedikt Lorenz
dc.contributor.author Moreno Alcázar, Ana
dc.date.accessioned 2023-05-05T06:14:31Z
dc.date.available 2023-05-05T06:14:31Z
dc.date.issued 2022
dc.identifier.citation Gardoki-Souto I, Redolar-Ripoll D, Fontana M, Hogg B, Castro MJ, Blanch JM, Ojeda F, Solanes A, Radua J, Valiente-Gómez A, Cirici R, Pérez V, Amann BL, Moreno-Alcázar A. Prevalence and characterization of psychological trauma in patients with fibromyalgia: A cross-sectional study. Pain Res Manag. 2022 Nov 30;2022:2114451. DOI: 10.1155/2022/2114451
dc.identifier.issn 1203-6765
dc.identifier.uri http://hdl.handle.net/10230/56682
dc.description.abstract 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.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Hindawi
dc.relation.ispartof Pain Res Manag. 2022 Nov 30;2022:2114451
dc.rights Copyright © 2022 Itxaso Gardoki-Souto et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/4.0/
dc.title Prevalence and characterization of psychological trauma in patients with fibromyalgia: A cross-sectional study
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1155/2022/2114451
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion

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