Self-reported childhood maltreatment, lifelong traumatic events and mental disorders in fibromyalgia syndrome: a comparison of US and German outpatients.

MedStar author(s):
Citation: Clinical & Experimental Rheumatology. 33(1 Suppl 88):S86-92, 2015 Jan-Feb.PMID: 25786049Institution: MedStar Washington Hospital CenterDepartment: Medicine/RheumatologyForm of publication: Journal ArticleSubject headings: *Child Abuse/px [Psychology] | *Cross-Cultural Comparison | *Fibromyalgia/px [Psychology] | *Life Change Events | *Mental Disorders/px [Psychology] | *Outpatients/px [Psychology] | *Self Report | *Stress, Psychological/px [Psychology] | Adult | Anxiety/di [Diagnosis] | Anxiety/eh [Ethnology] | Anxiety/px [Psychology] | Child | Child Abuse/eh [Ethnology] | Cultural Characteristics | Depression/di [Diagnosis] | Depression/eh [Ethnology] | Depression/px [Psychology] | Disability Evaluation | Emotions | Female | Fibromyalgia/di [Diagnosis] | Fibromyalgia/eh [Ethnology] | Germany/ep [Epidemiology] | Humans | Male | Mental Disorders/di [Diagnosis] | Mental Disorders/eh [Ethnology] | Middle Aged | Pain Measurement | Predictive Value of Tests | Risk Factors | Stress Disorders, Post-Traumatic/di [Diagnosis] | Stress Disorders, Post-Traumatic/eh [Ethnology] | Stress Disorders, Post-Traumatic/px [Psychology] | Stress, Psychological/di [Diagnosis] | Stress, Psychological/eh [Ethnology] | Syndrome | United States/ep [Epidemiology]Year: 2015ISSN:
  • 0392-856X
Name of journal: Clinical and experimental rheumatologyAbstract: CONCLUSIONS: The study demonstrated the transcultural robustness of findings on the association of adult FMS with self-reports of childhood maltreatment and lifelong traumatic experiences. These associations are mainly explained by current psychological distress.METHODS: 71 age-and sex-matched US and German FMS outpatients were compared. Childhood maltreatment were assessed by the Childhood Trauma Questionnaire and potential, traumatic experiences by the trauma list of the Munich Composite International Diagnostic Interview. Potential posttraumatic stress disorder (PTSD) was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders IV-TR symptom criteria by the Posttraumatic Diagnostic Scale. Potential depressive and anxiety disorder were assessed by the Patient Health Questionnaire PHQ 4.OBJECTIVES: The robustness of findings on retrospective self-reports of childhood maltreatment and lifetime traumatic experiences of adults with fibromyalgia syndrome (FMS) has not been demonstrated by transcultural studies. This is the first transcultural study to focus on the associations between FMS, childhood maltreatment, lifetime psychological traumas, and potential differences between countries adjusting for psychological distress.RESULTS: US and German patients did not significantly differ in the amount of self-reported childhood maltreatment (emotional, physical and sexual abuse or neglect) or in the frequency of lifetime traumatic experiences. No differences in the frequency of potential anxiety, depression, and PTSD were seen. Psychological distress fully accounted for group differences in emotional and sexual abuse and emotional and physical neglect.All authors: Hauser W, Hoffmann EM, Rothenberg R, Stahl N, Walitt B, Wolfe F, Worthing ABFiscal year: FY2016Date added to catalog: 2015-06-03
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Journal Article MedStar Authors Catalog Article 25786049 Available 25786049

CONCLUSIONS: The study demonstrated the transcultural robustness of findings on the association of adult FMS with self-reports of childhood maltreatment and lifelong traumatic experiences. These associations are mainly explained by current psychological distress.

METHODS: 71 age-and sex-matched US and German FMS outpatients were compared. Childhood maltreatment were assessed by the Childhood Trauma Questionnaire and potential, traumatic experiences by the trauma list of the Munich Composite International Diagnostic Interview. Potential posttraumatic stress disorder (PTSD) was diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders IV-TR symptom criteria by the Posttraumatic Diagnostic Scale. Potential depressive and anxiety disorder were assessed by the Patient Health Questionnaire PHQ 4.

OBJECTIVES: The robustness of findings on retrospective self-reports of childhood maltreatment and lifetime traumatic experiences of adults with fibromyalgia syndrome (FMS) has not been demonstrated by transcultural studies. This is the first transcultural study to focus on the associations between FMS, childhood maltreatment, lifetime psychological traumas, and potential differences between countries adjusting for psychological distress.

RESULTS: US and German patients did not significantly differ in the amount of self-reported childhood maltreatment (emotional, physical and sexual abuse or neglect) or in the frequency of lifetime traumatic experiences. No differences in the frequency of potential anxiety, depression, and PTSD were seen. Psychological distress fully accounted for group differences in emotional and sexual abuse and emotional and physical neglect.

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