Associations Between Posttraumatic Stress Symptoms, Anxiety Sensitivity, Socially Prescribed Perfectionism, and Severity of Somatic Symptoms Among Individuals with Fibromyalgia

Pain Medicine ◽  
2020 ◽  
Author(s):  
Hila Avishai Cohen ◽  
Gadi Zerach
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
Symptom Severity ◽  
Somatic Symptom ◽  
Somatic Symptoms ◽  
Posttraumatic Stress Symptoms ◽  
Psychological Risk Factors ◽  
Stress Symptoms ◽  
Socially Prescribed Perfectionism ◽  
Psychological Risk

Abstract Objectives The contribution of psychological risk factors to the intensification of pain experienced among individuals with fibromyalgia syndrome (FMS) is relatively under-studied. The present study aims to explore associations between FMS-related somatic symptom severity and two personality tendencies: anxiety sensitivity (AS) and socially prescribed perfectionism (SPP). Furthermore, the relative contributions of these personality tendencies are examined vis-à-vis the experience of potentially traumatic events (PTEs) and the psychopathology of posttraumatic stress symptoms (PTSS). Methods A volunteer sample of 117 Israeli adults with FMS responded to online validated self-report questionnaires regarding their PTEs, PTSS, somatic symptom severity, FMS, AS, and SPP in a cross-sectional study. Results Participants’ self-reported PTSS rates (61.5%) were high. AS and SPP were positively related to somatic symptom severity. Interestingly, we found that PTSS positively predicted the severity of somatic symptoms above and beyond the contributions of AS and SPP. Conclusions The present study supports the assumption that psychological risk factors may affect the expression of somatic symptoms and the interpretation of pain stimulus arising in the body that might eventually be experienced as excessively painful. The study also suggests that above and beyond psychological risk factors, PTSS may express a high predominance and affect pain perception among participants with FMS.

scholarly journals Psychological Risk Factors for Posttraumatic Stress Disorder in Workers After Toxic Chemical Spill in Gumi, South Korea

2018 ◽  
Vol 66 (8) ◽  
pp. 393-402 ◽  
Author(s):  
Ji Young Song ◽  
Kyoung-Sook Jeong ◽  
Kyeong-sook Choi ◽  
Min-gi Kim ◽  
Yeon-Soon Ahn
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress Disorder ◽  
South Korea ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Psychiatric Symptoms ◽  
Industrial Complex ◽  
Event Scale ◽  
Psychological Risk Factors ◽  
Psychological Risk

The extent and severity of the psychological effects following chemical release disasters have not been widely reported. The aim of this study was to examine the prevalence of hydrogen fluoride (HF)–related posttraumatic stress disorder (PTSD) and to identify associated psychological risk factors. On September 2012, an estimated 8 to 12 tons of HF gas, which dissolves in air moisture to form droplets of corrosive hydrofluoric acid, escaped from an industrial complex in Gumi, South Korea. Ten months later, structured questionnaires that included items from the Impacts of Event Scale (revised Korean version) as well as questions about demographic and psychological risk factors related to PTSD were distributed to workers in the affected area. The prevalence rate of PTSD was 5.7%. The odds of PTSD in non-alcohol-dependent workers (odds ratio [OR] = 3.10, 95% confidence interval [CI] = [1.27, 7.60]) was significantly higher than in alcohol-independent workers. The OR for PTSD in workers with anxiety (OR = 7.63, 95% CI = [2.10, 27.71) was significantly higher than the OR workers without anxiety. The odds of PTSD in workers with high perceived stress scale (PSS) scores (OR = 8.72, 95 % CI = [2.29, 33.16]) was significantly higher than for workers with low PSS. Alcohol dependence, psychiatric symptoms at the time of the event, anxiety, and high PSS were associated with HF-related PTSD. Long-term employee assistance programs are needed to assist occupational health nurses and clinicians to reduce PTSD after industrial disasters.

scholarly journals Predicting Posttraumatic Stress Symptoms From Pretraumatic Risk Factors: A 2-Year Prospective Follow-Up Study in Firefighters

2005 ◽  
Vol 162 (12) ◽  
pp. 2276-2286 ◽  
Author(s):  
Markus Heinrichs ◽  
Dieter Wagner ◽  
Walter Schoch ◽  
Leila M. Soravia ◽  
Dirk H. Hellhammer ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
Posttraumatic Stress Symptoms ◽  
Follow Up Study ◽  
Stress Symptoms

Posttraumatic stress symptoms, PTSD, and risk factors among lower Manhattan residents 2–3 years after the September 11, 2001 terrorist attacks

2008 ◽  
Vol 21 (3) ◽  
pp. 264-273 ◽  
Author(s):  
Laura DiGrande ◽  
Megan A. Perrin ◽  
Lorna E. Thorpe ◽  
Lisa Thalji ◽  
Joseph Murphy ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
September 11 ◽  
Posttraumatic Stress Symptoms ◽  
Terrorist Attacks ◽  
Stress Symptoms ◽  
Lower Manhattan

Risk Factors for Posttraumatic Stress Symptoms Among Avalanche Survivors

2016 ◽  
Vol 204 (4) ◽  
pp. 298-305 ◽  
Author(s):  
Edda Bjork Thordardottir ◽  
Ingunn Hansdottir ◽  
Jillian C. Shipherd ◽  
Unnur Anna Valdimarsdottir ◽  
Heidi Resnick ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms

Endocannabinoid Activity and Socioenvironmental Deprivation as Risk Factors for Posttraumatic Stress Symptoms Among Patients From a Level I Trauma Center

2020 ◽  
Vol 87 (9) ◽  
pp. S122-S123
Author(s):  
Andrew Schramm ◽  
Claire Bird ◽  
Lucas Torres ◽  
Cecilia Hillard ◽  
Joshua Hunt ◽  
...  
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
Trauma Center ◽  
Posttraumatic Stress Symptoms ◽  
Stress Symptoms ◽  
Level I

scholarly journals Early posttraumatic stress symptoms and levels of distress in trauma patients treated in the resuscitation room: an exploratory study

2021 ◽  
Vol 29 (1) ◽  
Author(s):  
Iris Reiner ◽  
Manfred E. Beutel ◽  
Philipp Winter ◽  
Pol M. Rommens ◽  
Sebastian Kuhn
Keyword(s):  
Risk Factors ◽  
Posttraumatic Stress ◽  
Injury Severity ◽  
Posttraumatic Stress Symptoms ◽  
Trauma Patients ◽  
Resuscitation Room ◽  
Stress Symptoms ◽  
High Distress ◽  
Car Accident ◽  
The Impact

Abstract Background The aim of the present study was to investigate the incidence of psychological distress and posttraumatic stress symptoms in trauma patients who have been recruited from the resuscitation room. Further, we wanted to explore risk factors for posttraumatic stress symptoms, taking different accident types into account. Methods Our sample consisted of 45 patients who have been treated in the resuscitation room and were interviewed within the first ten days after treatment. Type of accident, third party fault, previous mental health problems and pretraumatic stress were examined. Patients were interviewed with respect to their currently felt distress regarding the accident. Posttraumatic stress symptoms were measured with the German version of the Impact of Event Scale. Injury severity was assessed by means of the Injury Severity Score. Results Our exploratory and cross-sectional project reveals that more severe injuries were associated with higher distress. However, posttraumatic stress symptoms were predicted by high distress and being involved in a car accident, but not by injury severity. Conclusions We identified two potential risk factors for the development of posttraumatic stress in trauma patients recruited from the resuscitation room: Being involved in a car accident and high distress. Trial registration The project has been registered at the Study Center of Mental Disorders (SPE) at the University Medical Center Mainz (No: 92072014).

Exposure to Potentially Traumatic Events, Posttraumatic Stress Symptoms, Pain Catastrophizing, and Functional Somatic Symptoms Among Individuals With Varied Somatic Symptoms: A Moderated Mediation Model

2020 ◽  
pp. 088626052091258
Author(s):  
Hila Avishai-Cohen ◽  
Gadi Zerach
Keyword(s):  
Chronic Pain ◽  
Posttraumatic Stress ◽  
Pain Catastrophizing ◽  
Somatic Symptoms ◽  
Moderated Mediation ◽  
Posttraumatic Stress Symptoms ◽  
Mediation Model ◽  
Potentially Traumatic Events ◽  
Moderated Mediation Model ◽  
Stress Symptoms

The relationships between exposure to potentially traumatic events (PTEs), as well as posttraumatic stress symptoms (PTSS) and somatic syndromes, have recently been exemplified. Exposure to PTEs can also set in motion complex psychological processes such as pain catastrophizing that is associated with PTSS and somatic syndromes. However, the specific moderating role of pain catastrophizing in these links remains relatively unexamined. The present study aims to assess a moderated mediation model in which catastrophizing will moderate the indirect effect of exposure to PTEs on the number of somatic symptoms and chronic pain severity via PTSS, among individuals with somatic syndromes. A volunteers’ sample of 175 Israeli adults with varied somatic symptoms responded to online validated self-report questionnaires in a cross-sectional designed study. Participants’ self-reported PTSS rates (57.1%) were high. PTSS and pain catastrophizing, but not exposure to PTEs, were related to chronic pain severity. Interestingly, a moderated mediation analysis indicated that the indirect effect of catastrophizing in the relation between exposure to PTEs and the number of somatic symptoms via PTSS existed only among those with high levels of catastrophizing. The present study highlights the assumption that functional somatic syndromes (FSS) have much in common. Our findings support a moderated mediation model that begins with exposure to PTEs that leads to PTSS, which in turn increase the number of somatic symptoms. Higher levels of pain catastrophizing might attenuate this indirect link by affecting the interpretation of PTSS and create a vulnerability to more somatic symptoms. Thus, changes in cognitive-sensory processing in the form of catastrophic thinking can affect psychobiological processes and heighten sensitivity to stimuli arising in the body and should be considered as possible target for future research and psychological interventions.

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