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- Title:
Is the association of self-reported childhood maltreatments and adult fibromyalgia syndrome attributable to depression? A case control study.
- Document type:
- Journal Article; Multicenter Study
- Author(s):
- Häuser, W; Bohn, D; Kühn-Becker, H; Erdkönig, R; Brähler, E; Glaesmer, H
- Abstract:
- Systematic reviews of case-control studies demonstrated an association between self-reported childhood sexual and physical abuse and fibromyalgia syndrome (FMS). We tested in a case-control study if the association of self-reported childhood maltreatments in childhood and in adult FMS-patients is attributable to depression.All consecutive patients diagnosed with FMS of two clinical centres were included into the study from January to June 2011. Randomly selected age- and sex-matched controls from a representative survey of the general German population were used as controls. Childhood maltreatments were assessed by the German version of the Childhood Trauma Questionnaire CTQ and depression by the two-item depression scale of the German version of the Patient Health Questionnaire PHQ-4. The scores of the five CTQ-subscales were compared between FMS-patients and controls using analysis of covariance adjusting for depressed mood.153 FMS-patients (87.6% women; mean age 50.3 years) and 153 age- and sex matched participants of the general population were included. The comparison between FMS-patients and population controls, adjusted for depressed mood, demonstrated a significant group difference for emotional (p<0.001), and sexual abuse (p=0.01). Depressed mood fully accounted for group difference in physical abuse (p=0.01) and in emotional neglect (p<0.001). Depressed mood partially accounted for group difference in emotional abuse (p<0.001), but did not account for group difference in sexual abuse (p=0.10).Reports of FMS-patients some on childhood maltreatments were biased by depressed mood. However, the difference in self-reported childhood sexual abuse between adult FMS-patients and population controls was not attributable to depression.
- Journal title abbreviation:
- Clin Exp Rheumatol
- Year:
- 2012
- Journal volume:
- 30
- Journal issue:
- 6 Suppl 74
- Pages contribution:
- 59-64
- Language:
- eng
- Pubmed ID:
- http://view.ncbi.nlm.nih.gov/pubmed/23137722
- Print-ISSN:
- 0392-856X
- TUM Institution:
- Klinik und Poliklinik für Psychosomatische Medizin und Psychotherapie
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