Association between childhood trauma and loss of functionality in adult women with fibromyalgia

Abstract

Associação entre trauma na infância e perda de funcionalidade em mulheres adultas com fibromialgia Association between childhood trauma and loss of functionality in adult women with fibromyalgia Abstract Objective: To investigate whether history of childhood trauma is associated with loss of functionality in adult women with fibromyalgia (FM). A secondary objective was to assess the presence of differences between depressed and non-depressed adult women with FM in a regression model for functionality. Methods: A total of 114 adult women with FM according to the American College of Rheumatology diagnostic criteria answered the Childhood Trauma Questionnaire and the Fibromyalgia Impact Questionnaire. All subjects were interviewed by trained psychiatrists and evaluated for depression using the Mini International Neuropsychiatric Interview (MINI) -Brazilian version 5.0.0. Correlation and regression models were used to investigate associations between childhood trauma and loss of functionality among patients with FM. The sample was stratified by presence and absence of clinical depression. Results: Overall, childhood trauma was associated with of loss of functionality in adult women with FM. When stratified by depression, the regression model significantly increased the association among non-depressed patients, even after adjustment for age and use of psychotropic medications. Conclusions: Childhood trauma showed a clinically important association with loss of functionality among adult women with FM. The associations were more pronounced among subjects without comorbid depression. Keywords: Fibromyalgia, child abuse, depression, activities of daily living. ResumoObjetivo: Investigar se a presença de história de trauma na infância está associada com perda de funcionalidade em mulheres adultas com fibromialgia (FM). Um segundo objetivo foi avaliar a presença de diferenças entre mulheres adultas deprimidas e não deprimidas com FM utilizando um modelo de regressão para funcionalidade. Métodos: Um total de 114 mulheres adultas com FM de acordo com os critérios diagnósticos do American College of Rheumatology responderam o Childhood Trauma Questionnaire e o Questionário de Impacto da Fibromialgia. Todos os indivíduos foram entrevistados por psiquiatras treinados e avaliados para depressão utilizando o Mini International Neuropsychiatric Interview (MINI) -versão brasileira 5.0.0. Modelos de correlação e regressão foram utilizados para investigar associações entre trauma na infância e perda de funcionalidade em pacientes com FM. A amostra foi estratificada pela presença e ausência de depressão clínica. Resultados: Em geral, o trauma na infância esteve associado com perda de funcionalidade em mulheres adultas com FM. Quando estratificadas por depressão, o modelo de regressão aumentou significativamente a associação em pacientes não deprimidos, mesmo após ajuste para idade e uso de medicação psicotrópica. Conclusões: Trauma na infância esteve associado de forma clinicamente importante à perda de funcionalidade em mulheres adul...

Hypnosis is More Effective than Clinical Interviews

“…In the hypnotic state, the percentage of patients who expressed traumatic life events, was much higher, exceeding those obtained in other studies (Anderberg et al, 2000;Fernandes et al, 2011;Gonzalez et al, 2013;Haviland et al, 2010;Riberto et al, 2006), and reaching a similar level to HYPNOSIS, TRAUMA AND FIBROMYALGIA 15 15 that of Walen et al (Walen et al, 2001), and only below that obtained by Filippon et al (Filippon et al, 2013).…”

“…In general, therefore, it seems that traumatic experiences are a factor of vulnerability for fibromyalgia sufferers. Nevertheless, the studies made show very different percentages of the presence of traumatic events in the history of fibromyalgia patients: 23% in the study of Greenfield, Fitzcharles, & Esdaile (Greenfield, Fitzcharles, & Esdaile, 1992); 35% in that of Riberto, Pato, & Battistella (Riberto, Pato, & Battistella, 2006); 47% in that of Fernandes et al (Fernandes et al, 2011); 60% in that of Gonzalez, Baptista, Branco, & Ferreira (Gonzalez, Baptista, Branco, & Ferreira, 2013); 65% in that of Anderberg et al (Anderberg et al, 2000); 71% in that of Haviland et al (Haviland et al, 2010); 91% in that of Walen, Oliver, Groessl, Cronan, & Rodriguez (Walen, Oliver, Groessl, Cronan, & Rodriguez, 2001); and 96% in that of Filippon et al (Filippon et al, 2013).…”

“…For example, greater levels of child and adult victimization have been documented in patients with fibromyalgia than with rheumatoid arthritis (Walker et al, 1997). Likewise, greater levels of severity (Fernandes et al, 2011), disability (Filippon, Bassani, Aguiar, & Ceitlin, 2013) and self-harm (Sansone, Sinclair, & Wiederman, 2009) were documented in fibromyalgia patients with traumatic histories compared to fibromyalgia patients without traumatic histories.…”

Factors related to the painful conditions of patients with fibromyalgia in Maringá, Paraná state, Brazil

“…Although still speculative, there is a possibility that traumatic episodes are associated with FMS. However, to establish this association, additional studies are needed to obtain more data on the classification of the type of trauma; duration and intensity of the traumatic episode (single or repetitive event); the age of the patient when the traumatic incident occurred; time interval between emotional trauma and the onset of FMS symptoms; in order to evaluate whether the memory of the traumatic event, if in thought or in dialogue, could trigger or intensify the state of pain, Filippon et al (2013), Goulart et al (2016). Thus, it would be possible to identify the etiology or factors that, if controlled, can minimize the progression of FMS.…”

Terapia Farmacológica Da Esofagite Eosinofílica: Revisão De Literatura

“…Essa síndrome tem etiologia não totalmente esclarecida e a possível explicação para essa amplificação dolorosa é devido à alteração no processamento em nível de Sistema Nervoso Central gerando uma sensibilização exacerbada alterando a percepção da dor (BUENO, C. et al 2012;FILIPPO, N. M. et al 2013).…”