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C F S  - Information International     
 

Post Traumatic Stress Disorder & FM /CFS    

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Post-traumatic Stress Disorder

PTS, PTSD (Post-Traumatic Stress Disorder) or just SD (Stress Disorder), is a well-recognized diagnosis within the psychiatric diagnostic system.   Infant pain (stress) brings about permanent changes in the nerve system (animal model) and can thus help explain PST,  news, NIDCR, 2000.   A meta-analysis of 300 studies on the immune system and acute and chronic stress, segerstrom.miller04.pdf.

 

A new concept has evolved: The psychophysiological responses, thieme.etal06.txt.

 

On chronic fatigue and abuse-related traumas,  Taylor & Jason, 2002.  Early Adverse Experience and risk for CFS, heim.etal06.txt, heim.etal06.pdf.  Elevated premorbid stress is a significant risk factor for chronic fatiguelike illness, the effect of which may be buffered by genetic influences, kato.etal06.txt, kato.etal06.pdf.  A comment on these studies: comment.heim.etal06.txt.

PTSD is studied in relation to the cortisol-response in stress situations,  Heim et al., 2000, and in relation to the serotonin response,  Maes et al., 1999.  Posttraumatic stress disorder and physical illness: results from clinical and epidemiologic studies, boscarino04.txt, boscarino04.pdf.

In an Australian article, CFS is classified as a subgroup of PST - and thus a psychiatric disease,  Pearn, 2000.
Screening techniques for psychological distress can now be performed on the internet, mccue.etal06.txt, mccue.etal06.pdf

PTSD and FM

Whether trauma and stress are associated with the onset of FM/CFS has been the object of several studies.  Review papers found indications connecting neck trauma and FM, but no conclusive answers,  White et al., 2000,  and  Gardner, 2000.  One study found a correlation of FM with negative life events,  Anderberg et al., 2000.  Physical trauma may be involved in the onset of FM,  Al-Allaf et al., 2002.

FM patients have high prevalence of PTSD-like symptoms,  Sherman et al., 2000,  and   Cohen et al., 2002.  Co-morbidity of PTSD and FM is high, raphael.etal.04.txt. In male patients, PTSD is highly associated with FM, amital.etal06.txt.
 

PTSD and Chronic Pain

A review paper concluded that PTSD does not have as strong associations to chronic pain or CFS as thought previously, roy-byrne.etal04.txt (short), roy-byrne.etal.04.txt,  roy-byrne.etal04.pdf  and sharp04.txt,  sharp.04.pdf.  Whether childhood abuse is a significant risk factor in relation to chronic pain in adulthood is reviewed, raphael.etal04.txt, raphael.etal04.pdf.

 

Psychological explanations in FM

Along with the “re-birth” of the somatization concept in 1999 and 2000, both CFS and FM are being discussed under psychological/psychiatric headings. Two papers illustrate this:  Rau & Russell, 2000,  and  Winfield, 2000.

An Israeli study demonstrates that the coping style of FM patients is no different from other patient groups studied,  Amir et al., 2000.  This and other studies are discussed in an excellent manner:  editorial, Russell, 2000.
 


 
 

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Mette Marie Andersen, MD