Boisset-Pioro M H, Esdaile J M, Fitzcharles M A
McGill University, Montreal, Quebec, Canada.
Arthritis Rheum. 1995 Feb;38(2):235-41. doi: 10.1002/art.1780380212.
To determine the prevalence of sexual and physical abuse in female patients with fibromyalgia syndrome (FMS), as compared with rheumatic disease control patients.
Eighty-three female FMS patients and 161 consecutive female rheumatology (non-FMS) control patients answered a standardized confidential questionnaire recording previous sexual and physical abuse, drug and alcohol abuse, and eating disorders. Demographic information was collected on age, education, economic status, and cultural group.
Overall abuse was greater in FMS patients than in control patients (53% versus 42%; P not significant). Significant differences were observed for lifetime sexual abuse (17% versus 6%), physical abuse (18% versus 4%), combined physical and sexual abuse (17% versus 5%), and drug abuse (16% versus 3%). There was a trend toward a higher incidence of childhood sexual abuse (37% versus 22%) and of eating disorders (10% versus 3%) in the FMS patient group.
A high frequency of sexual abuse was identified both in control patients and in FMS patients. A statistical association was demonstrated between FMS and the frequency and severity of sexual abuse, and the frequency of physical abuse and drug abuse. These results raise the possibility that abuse may have an effect upon the expression and perpetuation of FMS in adult life.
与风湿性疾病对照患者相比，确定纤维肌痛综合征（FMS）女性患者中性虐待和身体虐待的患病率。
83名女性FMS患者和161名连续的女性风湿病（非FMS）对照患者回答了一份标准化的保密问卷，记录既往的性虐待和身体虐待、药物和酒精滥用以及饮食失调情况。收集了关于年龄、教育程度、经济状况和文化群体的人口统计学信息。
FMS患者的总体虐待情况比对照患者更为严重（53% 对42%；P无统计学意义）。在终身性虐待（17% 对6%）、身体虐待（18% 对4%）、身体和性联合虐待（17% 对5%）以及药物滥用（16% 对3%）方面观察到显著差异。FMS患者组在儿童期性虐待（37% 对22%）和饮食失调（10% 对3%）方面有发病率更高的趋势。
在对照患者和FMS患者中均发现性虐待的高发生率。FMS与性虐待的频率和严重程度、身体虐待和药物滥用的频率之间存在统计学关联。这些结果增加了虐待可能对成人期FMS的表现和持续存在产生影响的可能性。
