Department of Psychology, University of Turin.
School of Psychology, Universita Europea di Roma.
Psychol Trauma. 2022 Jan;14(1):116-123. doi: 10.1037/tra0000907. Epub 2021 Mar 1.
Psychological factors like traumatic life events seem to affect the etiopathogenesis and the exacerbation of fibromyalgia (FM), a chronic widespread musculoskeletal pain syndrome. This Study investigated the prevalence of traumatic events, with a particular attention to the whole life span, and both psychoform and somatoform dissociation in patients with FM, compared with healthy controls (HC). In addition, the possible effects of traumatic events and dissociative experiences on FM symptoms have been analyzed. Traumatic experiences, dissociative symptoms, and psychological distress were assessed in 99 consecutive patients with FM and 107 healthy women. Student t-tests for two independent samples were used to determine differences between the FM and HC groups. A hierarchical multiple regression analysis was used to explore the possible contribution of trauma and dissociation to FM symptoms. Results revealed that the levels of both somatoform and psychoform dissociation were higher among patients with FM than HC ( < .001). Moreover, patients with FM experienced significantly more negative life events than HC ( < .001). Finally, the data suggested that the severity of FM disabilities was significantly predicted by the presence of depressive symptoms, somatoform dissociation, cumulative trauma, and educational level. The final Model explained 40% of the variance. Results suggest that the construct of somatoform dissociation could serve as a useful framework to improve our understanding of FM symptoms, and stressed the importance of evaluating the effects of multiple traumas in cumulative form because this has substantial implications for the evaluation and treatment of patients. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
心理因素，如创伤性生活事件，似乎会影响纤维肌痛（FM）的病因和恶化，纤维肌痛是一种慢性广泛性肌肉骨骼疼痛综合征。本研究调查了创伤性事件的患病率，特别关注整个生命周期以及 FM 患者的心理和躯体分离，与健康对照组（HC）进行了比较。此外，还分析了创伤性事件和分离体验对 FM 症状的可能影响。 在 99 名连续的 FM 患者和 107 名健康女性中评估了创伤性经历、分离症状和心理困扰。使用两个独立样本的学生 t 检验来确定 FM 和 HC 组之间的差异。使用分层多元回归分析来探索创伤和分离对 FM 症状的可能贡献。 结果表明，FM 患者的躯体和心理分离水平均高于 HC（<0.001）。此外，FM 患者经历的负面生活事件明显多于 HC（<0.001）。最后，数据表明 FM 残疾的严重程度与抑郁症状、躯体分离、累积创伤和教育水平显著相关。最终模型解释了 40%的方差。 结果表明，躯体分离的结构可以作为一个有用的框架，以提高我们对 FM 症状的理解，并强调了评估累积形式的多种创伤的影响的重要性，因为这对患者的评估和治疗具有重要意义。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
