Sexual and Non-sexual Abuse Risk Factors in Fibromyalgia

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Author’s theory of the reason why sexual and non-sexual abuse especially, physical abuse are risk factors for fibromyalgia[edit]

[Author’s comment: The reason why sexual abuse is more harmful is probably related to the psychology of good and evil. It is hard to imagine that there could be a plausible purely physiological explanation. I suspect that it relates to beliefs, negative thoughts, resentments and other negative feelings after injured.]

Studies by Dell'Osso et al. found that:

  • “The Fibromyalgia Impact Questionnaire total score was related to the number of loss events (Domain I) and to symptoms of grief reactions (Domain II) and re-experiencing (Domain V) of the Trauma and Loss Spectrum Self-Report.”
  • “The 'VAS fatigue' scores (FIQ) were significantly related to the Trauma and Loss Spectrum Self-Report symptoms of grief reactions (Domain II) and re-experiencing (Domain V).”
  • “The Mental Component Summary and Bodily Pain scores of the Medical Outcomes Study Short Form-36 were significantly related to all Trauma and Loss Spectrum Self-Report domains, the latter with the exception of the VIII (Arousal).”

Dell'Osso et al. summarized their findings by saying that they corroborate a “relationship between the lifetime exposure to potentially traumatic events, in particular loss events, and lifetime post-traumatic stress symptoms and the severity of illness and Health-Related Quality of Life in patients with FM.” (Lifetime post-traumatic stress symptoms are related to the health-related quality of life and severity of pain/fatigue in patients with fibromyalgia. Dell'Osso L, et al. Clin Exp Rheumatol. 2011 Nov-Dec;29(6 Suppl 69):S73-8.)

Further information[edit]

See the entry Post-traumatic Fibromyalgia.

See the entry Use of the Adverse Childhood Experiences (ACE) Questionnaire to Assess Childhood Abuse

Childhood risk factors for developing fibromyalgia, Patrick Olivieri,1 Bruce Solitar,2,* and Michel Dubois3,* Copyright © 2012 Olivieri et al, publisher and licensee Dove Medical Press Ltd Open Access Rheumatol. 2012; 4: 109–114, doi: 10.2147/OARRR.S36086 , available in full online at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5045103/. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.

The relationship between childhood adversities and fibromyalgia in the general population. Varinen A, Kosunen E, Mattila K, Koskela T, Sumanen M. J Psychosom Res. 2017 Aug;99:137-142. doi: 10.1016/j.jpsychores.2017.06.011. Epub 2017 Jun 16.

The association between tender points, psychological distress, and adverse childhood experiences: a community-based study. McBeth J, Macfarlane GJ, Benjamin S, Morris S, Silman AJ. Arthritis Rheum. 1999 Jul;42(7):1397-404. doi: 10.1002/1529-0131(199907)42:7<1397::AID-ANR13>3.0.CO;2-7.