Presentation: Coping Styles in Fibromyalgia: Effect of Co-Morbid Posttraumatic Stress Disorder (PTSD) (2007)

1529 Coping Styles in Fibromyalgia: Effect of Co-Morbid Posttraumatic Stress Disorder (PTSD)

Objectives:
To analyze coping styles of fibromyalgia (FM) patients with specific emphasis on differences in coping styles between fibromyalgia patients with and without Post Traumatic Stress Disorder (PTSD).
Methods: Seventy-seven consecutive patients (40 women and 37 men) who
fulfilled ACR criteria for FM completed questionnaires measuring
prevalence and severity of symptoms of PTSD, anxiety, and depression.
Subjects were divided into 2 groups based on the presence or absence of
PTSD symptoms.
Results:
Fibromyalgia patients exhibit significantly higher levels of suppression (p<0.00001), help-seeking (p<0.007), replacement (p<0.003), substitution ( p<0.002), and reversal (p<0.004) compared with healthy controls. Fibromyalgia patients with PTSD and without PTSD
differed significantly only on the suppression subscale (p<0.02). Fibromyalgia patients that have PTSD presented higher suppression scores compared to fibromyalgia patients without PTSD. No significant difference was noted on scales of minimization, help-seeking,
replacement, blame, substitution, mapping, and reversal.
Conclusions:
Our results have delineated coping patterns of fibromyalgia patients, identifying suppression, help-seeking, replacement, substitution and replacement as strategies more common among these patients. We further identified suppression as the only coping style significantly more common among fibromyalgia patients with PTSD then among fibromyalgia patients without such a diagnosis.
Our results may serve to further characterize cognitive and behavioral aspects of fibromyalgia patients and subsequently guide therapeutic interventions.

 J.N. Ablin, None; H. Cohen, None; L. Neumann, None; Z. Kaplan, None; D. Buskila, None.