Psychiatric comorbidity and childhood trauma in fibromyalgia syndrome
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Objectives: In this study, we aimed to compare patients with fibromyalgia syndrome (FMS) and those with myofascial pain syndrome (MPS)and healthy women and to investigate the prevalence of childhood traumatic experiences (CTEs) in relation to comorbid mood and anxietydisorders.Patients and methods: Between February 2014 and May 2014, a total of 136 women including 52 with FMS, 35 with MPS, and 49 healthycontrols were included in the study. The Sociodemographic Data Form, Mood and Anxiety Disorders Modules of Structured ClinicalInterview for Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV) Axis I Disorders (SCID-I), Fibromyalgia-related Symptom Scale (FSS), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), and Childhood TraumaQuestionnaire-28 (CTQ-28) were applied to participants.Results: As a result of the semi-structured clinical interview conducted by a psychiatrist experienced in psychological trauma, the prevalenceof any mood or anxiety disorder were found to be significantly more common in the FMS group. Childhood traumatic experiences, notonly in general, but also with all subtypes, were also reported to be significantly more in FMS patients. Besides, only in patients withFMS, a significant relationship was found between the psychiatric diagnoses and the presence of CTEs. Furthermore, the CTQ-28 scoreswere correlated positively with the FSS scores as well as HDRS and HARS. Among the symptoms screened by the FSS, only crying andover-reacting to incidents were significantly associated with CTEs in FMS group.Conclusion: Based on our study results, CTEs may play a critical role in the development of fibromyalgia and may be related with comorbidmood and anxiety disorders in FMS patients. Associating psychological symptoms such as crying or over-reacting to incidents in FMSpatients should be, therefore, alerting for psychiatric consultation.