Abuse in Many Fibromyalgia Patients039 Past

ATLANTA -- Most aspects of fibromyalgia were substantially worse in patients reporting a history of physical/sexual abuse, a researcher reported here.

Among nearly 600 patients seen at the Cleveland Clinic for fibromyalgia, 38% said they had been beaten, abused sexually, or both, said Carmen Gota, MD, at the American College of Rheumatology annual meeting.

Moreover, out of 30 measures of symptoms, 22 were significantly more severe in those reporting such abuse compared with the others.

These ranged from presence of tender points (56.5% vs 44.3%) and generalized weakness (84.0% vs 76.8%) to numbers of doctor visits in the past 6 months (mean 11.6 vs 8.0).

Substantially more patients with abuse histories also were currently seeing psychiatrists (41.3% vs 26.8%) or had done so previously (73.5% vs 56.8%), and past or present alcohol abuse (17.0% vs 9.7%) was markedly more common as well.

Pain disability index scores averaged 6.0 (SD 2.3) for those with abuse histories versus 5.1 (SD 2.3) for patients without.

Gota explained that abuse had previously been cited as among the factors often associated with fibromyalgia, along with genetic and psychological/psychiatric factors. These, of course, are interrelated, but abuse has stood out as a risk factor for poor outcomes. However, it has not been explored in great detail.

For the current study, Gota and colleagues asked consecutive patients, "Do you have a history of abuse?" as well as numerous other questions related to sociodemographics, comorbidities, and fibromyalgia signs and symptoms. (Four patients who said "no" to the primary screening question about abuse nevertheless said they had been molested or sexually abused, when later asked about it specifically; they were still classed with the "no-abuse" group.)

Those with a history of abuse were more likely to have public versus private insurance and tended to have lower educational attainment. They were also far less likely to identify their childhoods as happy. About 46% of those with abuse histories said they felt loved by both parents, versus 76% of no-abuse patients.

Linear regression analysis indicated that history of abuse was as strongly predictive of overall fibromyalgia severity as was a pattern of unrefreshing sleep, and more so than lack of aerobic exercises. The same was true for analysis of factors predicting scores on a "fibromyalgianess" and symptomatic distress scale.

Gota told MedPage Today that the findings suggest that clinicians should make a point of asking fibromyalgia patients about abuse history, and refer those who report it for counseling. She said she does so personally, although it remains to be confirmed whether it actually improves their fibromyalgia outcomes.

Gota disclosed no relevant relationships with industry.

Abuse Is A Leading Cause of Fibromyalgia

Trauma and sexual abuse unequivocally predicts the development of chronic pain later in life. And thats just a fact, said. Trying to heal some of the emotional pain can help ease some of the physical pain as well since there is a strong link from mental health to physical health. If your fibromyalgia was triggered by a psychological or emotional trauma, along with any treatments you may cheapest cialis prices video be trying to help relieve the physical pain, seeing a mental health professional could prove to be very beneficial as well. It changes our biochemistry and it even has the ability to turn on cialis company zippered certain genes cialis strength 1 5 that would have negative consequences. Treatment for...

Likewise, a frightening experience will create and exercise pathways that respond in fear. This can also trigger emotional pain responses that can manifest in physical pain experiences that do not have tissue injury pathology. A 1995 study conducted by McGill University in Canada found that in a group of 83 women with fibromyalgia and 161 women in the control group, 37 percent of women in the fibromyalgia group had experienced childhood sexual abuse. Infections, people who are predisposed genetically to fibromyalgia may develop symptoms of fibromyalgia following infections such as hepatitis, HIV infections, certain strains of the flu or other respiratory infections. The doctor le silagra said that I wouldnt have to go to the doctor so much if I addressed my psychological issues.