Cursing the darkness: reactions to fibromyalgia.

摘要: Correspondence: Dr Manfred Harth, AIM Clinic, 458 Central Avenue, London, Ontario N6B 2E5. Telephone 519-432-1521, fax 519-679-9658, e-mail mharthc593@rogers.com Patients with fibromyalgia suffer from widespread pain and fatigue; their sleep is nonrefreshing (1-3); most experience headaches; 48% may have migraine (4). Cognitive disturbances are common; other distressing painful symptoms occur frequently include irritable bladder, bowel vulvodynia (1-3). In one study of community cases (5), approximately one-half the individuals examined were found to high state trait anxiety scores, scores for depression. Many patients unable engage in gainful employment; United States, 26% received disability payments, as did same percentage a conducted Canada (6). Kleinman et al (7) reported data obtained 700,000 employees various large self-insured employers States; incurred significantly higher total health benefit costs, had much number days absent work than without fibromyalgia; also “significantly lower per-employee annual objective productivity” fibromyalgia. addition, shoulder burden seldom borne by medical conditions. Fibromyalgia sufferers not perceived having condition. Their families, friends coworkers often skeptical or functional impairment. Kool (8) used term ‘invalidation’, which includes social rejection; they pointed out that invalidation only lack understanding denial, but “lecturing over protecting”. A recent on embitterment 64 who employed; was apparent result combination helplessness (9). Rodero (10) studied 250 using Injustice Experience Questionnaire (IEQ), measure injustice. They 47.2% IEQ (>30), translated clinically relevant level associated global function catastrophizing (10). Briones-Vozmediano (11) further explored relationships between professional care providers qualitative research approach; report published January/February 2013 issue Pain Research Management. Interviews 12 nine professionals, whom seven physicians, physiotherapist psychologist. There female three male patients, ranging age 29 61 years; five inactive, unfit sick leave. feeling expressed, instance, patient 7, stated: