This study had two aims, first, to determine the expectancies of control over pain experience ('pain locus of control') of patients with primary fibromyalgia syndrome (PFS) and to compare them with other chronic rheumatic diseases. Second, to analyse the relationships between health status and locus of control. We applied the Multidimensional Health Locus of Control-Pain and the Arthritis Impact Measurement Scales (AIMS), by interviewing 137 out patients (32 PFS, 32 RA, 20 SLE, 22 AS and 31 OA). Data were analysed by ANOVA and partial correlation tests. PFS patients believed that their symptoms depended on uncontrollable events and that they could not influence their disease by themselves. PFS patients were the most disabled on the 'Affect' (P < or = 0.001) and 'Symptom' factors (P < or = 0.01). In the PFS group, patients who showed a 'Fate' locus of control orientation reported more disability on 'Affect' and 'Social Interaction' AIMS factors.
Background Prior research has indicated that posttraumatic growth (PTG) often co-occurs with symptoms of posttraumatic stress disorder (PTSD). However, it is yet unclear what longitudinal patterns of posttraumatic symptom levels may predict the development of PTG. Methods World Trade Center (WTC) rescue and recovery workers (2038 police and 2103 non-traditional responders) were assessed an average of 3, 6, 8, and 12 years post-9/11/2001. Responders’ WTC-related PTSD symptoms were characterized by No/Low Symptom, Worsening/Subtly Worsening, Steeply Worsening (only for non-traditional responders), Improving, and Chronic trajectories. PTSD symptom trajectories were examined as predictors of PTG, which was assessed using total scores on the Posttraumatic Growth Inventory-Short Form. Results Across both occupational groups, being female, older, Hispanic, and experiencing more post-9/11 traumatic events were independently associated with self-reported PTG. Among police responders, a greater number of WTC exposures and supportive family members while working at the WTC site were linked to higher PTG. Among non-traditional responders, Black race/ethnicity, less education, fewer pre-9/11 traumatic events, and the presence of support while working at the WTC site were additionally linked to higher PTG. Only the moderate PTSD symptom trajectories (ie, worsening and improving) for police responders and all symptomatic trajectories for non-traditional responders were associated with higher levels of PTG. Conclusions Symptomatic 12-year trajectories of PTSD symptoms and certain sociodemographic characteristics, stressor exposures, and supportive resources were associated with PTG in traditional and non-traditional WTC responders. Results provide insight into subgroups of WTC responders who may benefit from PTG-promoting interventions, as well as potentially modifiable targets to help foster PTG in this population.
We set up a study to analyze quality of life and social adaptation in a group of women suffering from fibromyalgia.Patient inclusion from 1st March to 30th June 2010. An especially designed questionnaire was used for the study, together with Short-Form-36 Health Survey (SF36), Family Apgar questionnaire, Duke-UNC Functional Social Support (Duke-UNC 11) questionnaire, and Social Adaptation Self-evaluation Scale (SASS). SPSS was used for statistical analysis.Following explanation of purpose of our study and confidentiality agreement, 35 women voluntarily joined our study. Mean age was 52.2 years standard deviation (SD) 7.17. 82,9% had children (mean 2.03 and SD 0.94); 85.7% of patients acknowledged coping with fibromyalgia “badly” or “very badly”; 60% acknowledged that their illness affected their families “severely” or “critically”; 94.3% acknowledged their quality of life affected “much” or “very much”; and 85.7% of patients had their social relationships “much” or “very much” affected. 82.9% of our group of patients was under psychiatric treatment. SF36 scored an average of 27.85 on the physical functioning subscale (SD 19.93); physical role 6.42 (SD 18.53); pain 16.64 (SD 13.7); social functioning 32.14 (SD 21.92); mental health 33.14 (SD 19.0); emotional role 15.23 (SD 30.61); vitality 16.28 (SD 18.60) and general health perception 16.71 (SD 14.54). Family Apgar scored 7.34 (SD 2.53). Duke-UNC 11 scored 35.17 (SD 11.34). Finally, SASS scored 31.32 (SD 7.59).In view of the results, women suffering from fibromyalgia showed severe changes in all parameters analyzed, social adaptation being very much impaired.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.