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DSM-5 PTSD and Post-Traumatic Stress Disorder Spectrum in Patients with Fibromyalgia: Possible Correlations with Subthreshold Autism Spectrum?

Published online by Cambridge University Press:  23 March 2020

C. Carmassi ,
C. Manni ,
G. Cipollone ,
C. Tagliarini ,
M.T. Avella ,
C. Portulano ,
G. Massimetti ,
C. Conversano ,
L. Bazzichi  and
C. Gesi
...Show all authors
C. Manni
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
G. Cipollone
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
C. Tagliarini
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
M.T. Avella
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
C. Portulano
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
G. Massimetti
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
C. Conversano
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
L. Bazzichi
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
C. Gesi
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy
L. Dell’Osso
Affiliation:
Azienda Ospedaliero-Universitaria Pisana, Department of Clinical and Experimental Medicine, Pisa, Italy

Abstract

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Introduction

PTSD is extremely common in patients with fibromyalgia (FM) with rates up to 57%, and it often correlates with increased severity of the disease.

Objectives

The aim of this study was to investigate the presence of PTSD, diagnosed according to DSM-5 criteria, and of Post-Traumatic Stress Spectrum symptoms in a sample of patients with FM.

Methods

Sixty-one patients, 7 males and 54 females, with FM, diagnosed according to American College of Rheumatology (ACR) at the Unit of Rheumatology of A.O.U.P clinics, were assessed by: SCID-5; Trauma and Loss Spectrum Self-Report (TALS-SR); Adult Autism Subthreshold Spectrum (AdAS Spectrum).

Results

Patients with FM with full and partial PTSD reported a significantly higher number of losses and potentially traumatic events in the TALS-SR than patients without PTSD. Significantly, higher AdAS Spectrum scores in almost all domains were reported in patients with PTSD with respect to those with partial or without PTSD. Moderate to good correlations were highlighted amongst most of the TALS-SR and ADAS-Spectrum domains.

Conclusions

Significant DSM-5 PTSD rates emerged in our sample of patients with FM. Significant correlations were found between Adult Subthreshold Autism Spectrum and Post-Traumatic Stress Spectrum, corroborating recent hypotheses that indicate autism spectrum symptoms as vulnerability factors for PTSD.

Disclosure of interest

The authors have not supplied their declaration of competing interest.

Type
e-Poster Viewing: Post-traumatic stress disorder
Information
European Psychiatry , Volume 41 , Issue S1: Abstract of the 25th European Congress of Psychiatry , April 2017 , pp. S722
Copyright
Copyright © European Psychiatric Association 2017
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