Comorbidity of fibromyalgia and posttraumatic stress disorder symptoms in a community sample of women.
Comorbidity of fibromyalgia and posttraumatic stress disorder symptoms in a community sample of women.
复制标题
社区女性样本中纤维肌痛和创伤后应激障碍症状的合并症。
DOI：
10.1111/j.1526-4637.2004.04003.x
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Nayak,Sangeetha
中科院分区：
文献类型：
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作者：
Raphael,KarenG;Janal,MalvinN;Nayak,Sangeetha
Objective.To test alternative explanations for the comorbidity between fibromyalgia (FM), a medically unexplained syndrome involving widespread pain, and posttraumatic stress disorder (PTSD). In contrast to a default “risk factor” hypothesis, tested hypotheses were that: A) The association is due to a sampling bias introduced by the study of care-seeking individuals; B) FM is an additive burden that strains coping resources when confronting life stress; and C) Arousal symptoms of PTSD and FM are confounded.Design.Community-dwelling women in the New York/New Jersey metropolitan area (N=1,312) completed a telephone survey regarding FM-like symptoms prior to September 11, 2001. Approximately 6 months after the World Trade Center terrorist attacks, they again completed the survey, to which questions regarding PTSD symptoms were added.Results.The odds of probable PTSD were more than three times greater in women with FM-like symptoms, both assessed after 9/11. The odds ratio was not reduced by controlling for FM-like symptoms before 9/11 or for the potentially confounded symptoms of PTSD specifically related to arousal.Conclusions.These findings lead us to reject alternate explanations for the comorbidity between FM and PTSD. Speculations that FM and PTSD share psychobiological risk factors remain plausible.
