Sexual and physical abuse in women with fibromyalgia: Association with outpatient health care utilization and pain medication usage

摘要: Objective. To evaluate the relationship between sexual and/or physical abuse and health care usage in patients with fibromyalgia (FM) identify variables that may influence this relationship. Methods. We assessed history of sexuall abuse, utilization, medication usage, as well related 75 women FM using standardized questionnaires, structured interviews, laboratory pain perception tasks. Results. Fifty-seven percent reported a abuse. Compared to non-abused patients, abused significantly greater utilization outpatient services for problems other than use medications (P ≤ 0.025). Consistent our expectations, also were characterized by pain, fatigue, functional disability, stress, tendency label dolorimeter stimuli painful regardless their intensities 0.05). Additional analyses suggested high frequency was associated primarily seeking chronic rather syndrome itself or genetic factors. Conclusion. There is an association increased pain. This be influenced clinical symptoms, psychiatric disorders, abnormal perception. The relationships among these should further tested prospective, population-based studies.