Objective: The aim of the present study was to investigate the impact of lifetime potentially traumatic events, including losses, and of post-traumatic stress symptoms on the severity of illness and health-related quality of life (HRQoL) in patients with fibromyalgia (FM). Methods: Seventy patients with FM, diagnosed according to the American College of Rheumatology criteria, were consecutively enrolled at the Unit of Rheumatology, University of Pisa, Italy. Assessments included: the SCID-I/P; the Fibromyalgia Impact Questionnaire (FIQ); the Medical Outcomes Study Short Form-36 Health Survey (MOS SF-36), and the Trauma and Loss Spectrum Self-Report (TALS-SR) lifetime version. Results: The FIQ 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 TALS-SR. The "VAS fatigue " scores (FIQ) were significantly related to the TALS-SR symptoms of grief reactions (Domain II) and reexperiencing (Domain V). The Mental Component Summary and Bodily Pain scores of the MOS SF-36 were significantly related to all TALS-SR domains, the latter with the exception of the VIII (Arousal). Conclusion: Our results corroborate the presence of 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 HR-QoL 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, LILIANA;CARMASSI, CLAUDIA;Consoli G;RAMACCIOTTI, CARLA EMILIA;MUSETTI, LAURA;MASSIMETTI, ENRICO;PERGENTINI, IRENE;CORSI, MARTINA;CIAPPARELLI, ANTONIO;
2011-01-01
Abstract
Objective: The aim of the present study was to investigate the impact of lifetime potentially traumatic events, including losses, and of post-traumatic stress symptoms on the severity of illness and health-related quality of life (HRQoL) in patients with fibromyalgia (FM). Methods: Seventy patients with FM, diagnosed according to the American College of Rheumatology criteria, were consecutively enrolled at the Unit of Rheumatology, University of Pisa, Italy. Assessments included: the SCID-I/P; the Fibromyalgia Impact Questionnaire (FIQ); the Medical Outcomes Study Short Form-36 Health Survey (MOS SF-36), and the Trauma and Loss Spectrum Self-Report (TALS-SR) lifetime version. Results: The FIQ 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 TALS-SR. The "VAS fatigue " scores (FIQ) were significantly related to the TALS-SR symptoms of grief reactions (Domain II) and reexperiencing (Domain V). The Mental Component Summary and Bodily Pain scores of the MOS SF-36 were significantly related to all TALS-SR domains, the latter with the exception of the VIII (Arousal). Conclusion: Our results corroborate the presence of 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 HR-QoL in patients with FM.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
