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Posttraumatic stress disorder, tenderness, and Fibromyalgia Syndrome: Are they different entities?

  [ 221 votes ]   [ 1 Comment ]
By Daniella Amital, et al. • • November 22, 2006

Journal: Journal of Psychosomatic Research. Volume 61, Issue 5, November 2006, Pages 663-669. [Available online November 1] Authors and affiliations: Daniella Amital, Leah Fostick, Michael L. Polliack, Shlomo Segev, Joseph Zohar, Alan Rubinow, Howard Amital. Hadassah-Hebrew University School of Medicine, Jerusalem (D. Amital, Rubinow); Tel-Aviv University, Tel-Aviv (Fostick, Polliack, Segev, Zohar); Meir Medical Center - affiliated with Sackler Faculty of Medicine, Tel-Aviv University - Kfar-Saba (H. Amital), Israel. PMID: 17084145

Objectives: Many features of Fibromyalgia Syndrome (FMS) resemble those of posttraumatic stress disorder (PTSD). The goal of this study was to investigate the comorbidity of FMS and PTSD in a cohort of men following an intensive, initial, defined traumatic event.

Methods: 124 males (55 patients with PTSD, 20 patients with major depression, and 49 controls) were evaluated for the presence of FMS. The major traumatic events in all PTSD patients were combat-related. Each individual completed questionnaires characterizing his disease, disabilities, and quality of life.

Results: 49 percent of PTSD patients, compared to 5 percent of major depression patients and none of normal controls, fulfilled the American College of Rheumatology criteria for FMS (P<.0001). Significant correlations were detected between tender points and measured parameters in the PTSD group.

Conclusions: In male patients, PTSD is highly associated with FMS. The degree and impact of these disorders are also highly related.

Keywords: Fibromyalgia syndrome; Posttraumatic stress disorder; Pain; Depression; Gender; Tenderness

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Posttraumatic stress disorder, tenderness, and Fibromyalgia Syndrome: Are they different entities?
Posted by: auntypsychotic
Nov 22, 2006
i am a 43 disabled female veteran. among my diagnoses r ptsd and fibromyalgia. that there is a link btwn the two illnesses is not news to most of those that i know to have ptsd. the study will, hopefully, be the beginning of more in depth research about the ways that one agravates or affects the other. i also hope that the studies to come include women among the test subjects. there is a significant difference how both illnesses may affect members of both genders. also, i would also like to know if there is any correlation btwn fibromyalgia and any physical injuries that may occur while in the service. one of the major difficulties that i face every day is that the way that either the ptsd or fibromyalgia manifests is treated as one or the other. the problem of course is that the "brain fog" or confusion that i experience may not be due to the fibromyalgia but due to a sensory overload due to my ptsd. the treatment for one often does not work well for the other. so far, i have not found anyone or anything that allows me or my clinicians to determine the source of a symptom. as an aside, i have started to notice a definite correlation btwn ptsd and thryroid related conditions. most,if not all, of the women veterans that i know who suffer from ptsd also suffer from HYPOthyroidism. is this affected by the fibromyalgia or does the fibromyalgia affect the thryroid? the complexity of my coexisting conditions makes treatment very much a "hit or miss" proposition. it gets frustrating when one tries just to get some relief from the pain. it also becomes increasingly unlikely that i will seek treatment when i am treated as if everything is related to my mental illness. hopefully, there will be further research on the interrelation btwn ptsd, fibromyalgia and hypothyroidism. thanks auntypsychotic
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