1. Guest, the 'News in Brief' for the week beginning 19th September 2022 is here.
    Dismiss Notice
  2. Welcome! To read the Core Purpose and Values of our forum, click here.
    Dismiss Notice

Post-Traumatic Stress Disorder and Chronic Pain Conditions in Men: A Twin Study, 2020, Gasperi et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Dec 19, 2020.

Tags:
  1. Andy

    Andy Committee Member

    Messages:
    17,457
    Location:
    Hampshire, UK
    Paywall, https://journals.lww.com/psychosoma...c_Stress_Disorder_and_Chronic_Pain.98475.aspx
    Sci hub, no access
     
  2. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    9,297
    Location:
    Canada
    The very obvious explanation is that chronic pain is routinely misrepresented and misdiagnosed as trauma. None of this is surprising given the way people carelessly throw these things around. Roughly the same reason people find "depression" in chronic illness.

    It's a creative take on turtles all the way down, building failure on top of failure because of other failures. It's failure all the way down.
     
    Lidia, Sean, alktipping and 4 others like this.
  3. shak8

    shak8 Senior Member (Voting Rights)

    Messages:
    1,476
    Location:
    California
    The abstract didn't say whether the men with PTSD had (combat) injuries that would explain chronic pain. Also, veterans with PTSD have a much higher rate of "accidents" (motor vehicle) than the base male population, as I remember, they have more suicides.

    Would have to read the whole report.

    Fibromyalgia encompasses many illnesses listed such as: chronic pain, chronic fatigue, IBS, migraine, headache, TMJ, chronic pelvic pain. These all fall under the fibromyalgia umbrella, despite each being given an ICD code in the medical record, assuming this study was retrospective.

    I do wonder at what their definition of CFS was, and when that diagnosis was made. Post Vietnam era studies could have ended before the Canadian consensus and IOM definitions.

    Were veterans with PTSD more likely to have frequent doctor appointments, and therefore have more diagnoses on their records? In a country that until recently had a huge population of the uninsured, the VA (Veteran's Administration) was probably the main and a frequent source of healthcare for veterans.

    Though twin studies always interest me, if you throw a lot of misleading data into the computer program, it's still garbage in, garbage out.
     
    Last edited: Dec 19, 2020
  4. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

    Messages:
    2,994
    Location:
    Belgium
    4,680 male twins that's a lot. If they looked for ME/CFS with a proper clinical examination this study could hold interesting information (I fear that they simply asked for chronic fatigue with some questionnaire).
     
  5. Ebb Tide

    Ebb Tide Senior Member (Voting Rights)

    Messages:
    209
    If it is the same person, one of the co-authors Dedra Buchwald, is mentioned quite a lot in Osler's Web.
    Visited Incline Village early on with Komaroff, and seems to have had an interest in looking at prevalence rates in health care settings.
     
    MEMarge and Peter Trewhitt like this.
  6. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

    Messages:
    2,994
    Location:
    Belgium
    Does anyone have access to this paper?
     
  7. Nightsong

    Nightsong Senior Member (Voting Rights)

    Messages:
    137
    Unfortunately, that's exactly what they did:
     
  8. Mithriel

    Mithriel Senior Member (Voting Rights)

    Messages:
    2,686
    The early CFS people, like her, did not know about, or did not consider, energy problems or any of the earlier work on ME.
     
    Peter Trewhitt likes this.
  9. ME/CFS Skeptic

    ME/CFS Skeptic Senior Member (Voting Rights)

    Messages:
    2,994
    Location:
    Belgium
    Thanks!

    Looks like CFS was not included in the modelling:
     
    shak8, Peter Trewhitt and MEMarge like this.

Share This Page