Abstract:
OBJECTIVE:Fibromyalgia (FM) is a chronic musculoskeletal pain disorder characterized by widespread pain. This study focuses on patients' attributions of illness and of symptom onset. METHODS:Semi-structured interviews were conducted with 56 women to elicit patients' views on what triggered their FM. The transcripts of the interviews were analyzed using a classical indexing technique to identify key themes. Content analysis was performed by two independent coders. RESULTS:Primary causal attributions fell into five categories: psychological problems (28 respondents); somatic concerns (N=12); violence/abuse during childhood (N=7), gynaecological/obstetrical problems (N=6), and fatigue (N=3). Patients' attributions were internal and external in the same proportions, more frequently unstable than stable, and more often described uncontrollable than controllable. Participants expressed decrements in self-esteem and feelings such as self-blame or despair; global perceptions of persistent pain and long-lasting problems, evoking chronicity and hopelessness; and low perceived control over their lives as well as beliefs that nothing can be done, thus increasing a feeling of guilt and vulnerability. Patients' narratives emphasized disruptive circumstances surrounding symptom onset. CONCLUSION:Attributions often referred to the psychological dimension of the events surrounding FM onset, even though some of them also had a clear somatic dimension. Many narratives mentioned successive disruptive events and suggested an increasing loss of control. Addressing these illness representations may contribute to tailor the treatment and to help patients gain self-coherency by providing means to understand pain onset but also to guide future behaviours, particularly in terms of adjustment and help-seeking.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Cedraschi C,Girard E,Luthy C,Kossovsky M,Desmeules J,Allaz AFdoi
10.1016/j.jpsychores.2012.12.014subject
Has Abstractpub_date
2013-03-01 00:00:00pages
265-9issue
3eissn
0022-3999issn
1879-1360pii
S0022-3999(12)00348-0journal_volume
74pub_type
杂志文章abstract:OBJECTIVE:We explored the extent to which changes in emotional states following exposure to images of idealized bodies predict unhealthy body change attitudes and behaviors in women and men, and whether particular psychological traits mediate these effects. METHOD:One hundred thirty-three women and 93 men were assesse...
journal_title:Journal of psychosomatic research
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更新日期:2007-06-01 00:00:00
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更新日期:2018-03-01 00:00:00
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pub_type: 杂志文章,meta分析
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更新日期:2010-07-01 00:00:00
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更新日期:2015-09-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-09-01 00:00:00
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更新日期:2000-11-01 00:00:00
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更新日期:2019-01-01 00:00:00
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更新日期:2019-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:1993-05-01 00:00:00
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更新日期:1988-01-01 00:00:00
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更新日期:2019-08-01 00:00:00
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更新日期:1999-11-01 00:00:00
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更新日期:2012-07-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2014-11-01 00:00:00
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pub_type: 杂志文章
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更新日期:2007-01-01 00:00:00
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pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章,随机对照试验
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更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2003-05-01 00:00:00