The relationship between childhood adversities and fibromyalgia in the general population

Varinen, Aleksi; Kosunen, Elise; Mattila, Kari; Koskela, Tuomas; Sumanen, Markku

doi:10.1016/j.jpsychores.2017.06.011

Cited by 44 publications

(40 citation statements)

References 35 publications

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“…other study but contradicted by another (9,15). General medical disorders, a feature neglected in some studies, is another feature (5,6,9,11,41) as are health anxiety and frequent consultation (14). Numerous other somatic symptoms or syndromes, mood disorder, health anxiety, neuroticism, adverse life events, impaired quality of life and increased health care seeking emerged from a study of patients with irritable bowel syndrome and another somatic syndrome (42 ).…”

Section: Accepted Manuscriptmentioning

confidence: 98%

“…The risk factors for these syndromes include: female gender, childhood adversity, prior infections, few years of education, low socio-economic status, recent threatening life events, anxiety and depressive disorders, health anxiety, neuroticism, general medical disorders and numerous somatic symptoms [1][2][3][4][5][6][7]. One of the most replicated risk markers, however, is the presence of another syndrome, i.e.…”

Section: Introductionmentioning

confidence: 99%

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The associated features of multiple somatic symptom complexes

Creed

Tomenson

Chew‐Graham

et al. 2018

Journal of Psychosomatic Research

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Section: Accepted Manuscriptmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

The associated features of multiple somatic symptom complexes

Creed

Tomenson

Chew‐Graham

et al. 2018

Journal of Psychosomatic Research

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“…Rates of lifetime psychosocial adversities, traumas interpersonal difficulties, and emotional conflicts are substantially elevated in FM [28,29,31,57,58,61]. Although exact mechanisms linking adverse experiences and emotions to FM are still being investigated, the sensitization and augmentation of CNS circuits that modulate both emotions and pain are likely prominently involved [40].…”

Section: Introductionmentioning

confidence: 99%

Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial

Lumley

Schubiner

Lockhart

et al. 2017

Pain

165

102

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Patients with FM experience increased lifetime levels of psychosocial adversity, trauma, and emotional conflict. To address these risk factors, we developed Emotion Awareness and Expression Therapy (EAET) and tested its benefits against an active control condition, FM Education, and against the field's gold standard intervention for FM, cognitive-behavioral therapy (CBT) for symptom management. Adults with FM (n = 230) formed 40 treatment groups, which were randomized to EAET, CBT, or Education and given eight, 90-min sessions. Patient-reported outcomes were assessed at baseline, post-treatment, and 6-month follow-up (primary endpoint). Retention of patients to follow-up was excellent (90.4%). Intent-to-treat analyses indicated that, although EAET did not differ from FM Education on pain severity (primary outcome), EAET had significantly better outcomes than FM Education on overall symptoms, widespread pain, physical functioning, cognitive dysfunction, anxiety, depression, positive affect, and life satisfaction (between-condition d's ranging from 0.29 to 0.45 SD), and the percentage of patients improving “much/very much” (34.8% vs. 15.4%). EAET did not differ from CBT on the primary or most secondary outcomes, but compared to CBT, EAET led to significantly lower FM symptoms (d = 0.35) and widespread pain (d = 0.37), and a higher percentage of patients achieving 50% pain reduction (22.5% vs. 8.3%). In summary, an intervention targeting emotional awareness and expression related to psychosocial adversity and conflict was well-received, more effective than a basic educational intervention, and had some advantages over CBT on pain. We conclude that EAET should be considered as an additional treatment option for FM.

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“…This is an important strength of our study, as our large and non-selected population increases the generalizability of the results. Low response rate could have influenced prevalence estimates, but should not have had considerable effect on our analyses of association (14,29).…”

Section: Discussionmentioning

confidence: 99%

The association between bullying victimization in childhood and fibromyalgia. Data from the nationwide Finnish health and social support (HeSSup) study based on a sample of 64,797 individuals

Varinen

Kosunen

Mattila

et al. 2019

Journal of Psychosomatic Research

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Background: Fibromyalgia is a functional pain syndrome presenting with various psychological symptoms. Several studies have shown that adverse life events are associated with fibromyalgia. The aim of the current study is to explore the association between self-reported bullying victimization in childhood and self-reported fibromyalgia in adulthood. Methods: The basic study setting is cross-sectional-with focused use of retrospective dataderived from a large ongoing postal follow up survey (sample N = 64,797) initiated in Finland in 1998. Only respondents having answered the questions on fibromyalgia in both follow ups in 2003 and 2012 were included (N = 11,924). Severity of bullying was divided into three groups starting from no bullying followed by minor and severe bullying. Covariates having shown statistically significant associations with fibromyalgia in cross tabulation using Pearson's chi-squared test were included in the final multiple logistic regression analyses. Results: In our study, 50.6% of the respondents reported victimization of minor and 19.6% of severe bullying in childhood. Participants reporting fibromyalgia in adulthood reported more bullying, and in females alone this association was statistically significant (p = .027). In multiple logistic regression analysis statistically significant associations between bullying victimization in childhood (reference: no bullying) and fibromyalgia were found: adjusted odds ratio (OR) for minor bullying was 1.35 (95% CI 1.09-1.67) and for severe bullying 1.58 (95% CI 1.21-2.06). However, in log-linear and logistic regression interaction models the association between bullying and fibromyalgia was not statistically significant when depression was included in the models. Conclusions: Our results suggest that peer bullying victimization might be associated with fibromyalgia. However, in logistic log linear and logistic interaction models there was no statistically significant association when depression was included. As a result, there is need for further, preferably prospective cohort studies. The findings also emphasize the importance of actions to prevent childhood bullying.

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The relationship between childhood adversities and fibromyalgia in the general population

Cited by 44 publications

References 35 publications

The associated features of multiple somatic symptom complexes

The associated features of multiple somatic symptom complexes

Emotional awareness and expression therapy, cognitive behavioral therapy, and education for fibromyalgia: a cluster-randomized controlled trial

The association between bullying victimization in childhood and fibromyalgia. Data from the nationwide Finnish health and social support (HeSSup) study based on a sample of 64,797 individuals

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