Question:
I'd like to ask Belleruth about the seeming correlation between trauma and fibromyalgia in women.  Has there been any research into this?

Answer:
Mary, I write about this in Invisible Heroes.  At the time of publication there were only 2 studies published, showing the link between fibromyalgia and traumatic stress – for men or women, although either condition hits more women than men.  Now there are too many studies to count, but you can start with a recent article by some Italian researchers, Stisi et al, titled Etiopathogenetic mechanisms of fibromyalgia syndrome. Robert Scaer was on to this years ago, and wrote about it in The Body Bears the Burden.  But the short answer is YES, there is a big, fat correlation.

Here is an explanatory (or at least I hope so) excerpt of the relevant material from my book (and for those of you who have the book, it’s in Chapter 5, The Physical Effects of Trauma, pages 78-80.

Researchers from the University of Louisville in Kentucky looked at whether Mindfulness-based Stress Reduction (MBSR) can reduce stress arousal in patients suffering from fibromyalgia.

An earlier study by this principal investigator showed that MBSR reduced depressive symptoms in patients with fibromyalgia with gains maintained at two months follow-up (Sephton et al., Arthritis & Rheumatism, 57:77-85, 2007).

This second study explored the effects of MBSR on basal sympathetic (SNS) activation among women with fibromyalgia. Twenty-four participants were tested before and after MBSR for anxiety, depressive symptoms, and SNS activation.

Researchers from the Unidad de Investigació Médica in Merida, Mexico, explored the efficacy of Ericksonian Hypnosis for managing the symptoms of fibromyalgia.
 
Forty-three female fibromyalgia patients were randomly assigned to receive either six months of Ericksonian hypnosis (n = 20) or a sham-hypnosis protocol (n = 23).  Each month, measures were taken using the Patient and Physician Global Disease Assessment, a count of tender points,  and the Fibromyalgia Impact Questionnaire (FIQ).

Researchers from the University of Sheffield in the UK evaluated the effectiveness of homeopathic treatment for reducing the symptoms of Chronic Fatigue Syndrome. 

Using a triple-blind design, 103 patients were randomly assigned to homeopathic medicine or an identical placebo condition. Patients had monthly consultations with a professional homeopath for 6 months. Outcomes were measured on the MFI - Multidimensional Fatigue Inventory.  Secondary outcome measures were the Fatigue Impact Scale (FIS) and the Functional Limitations Profile (FLP).

Ninety-two patients completed treatment in the trial (47 homeopathic treatment, 45 placebo). Eighty-six patients returned fully or partially completed posttreatment outcome measures (41 homeopathic treatment group who completed treatment, 2 homeopathic treatment group who did not complete treatment, 38 placebo group who completed treatment, and 5 placebo group who did not complete treatment). Seventeen of 103 patients withdrew from treatment or were lost to follow-up.
 

Investigators from the Department of Medicine at the University of Washington in Seattle looked at patterns of alternative medicine use among twins where one twin of the pair had CFS and the other did not.  They also looked at the perceived helpfulness of these methods, and how often these therapies were discussed with physicians.

Just as the person who wrote in, I have been a chronic fatigue sufferer for eight long and lonely years.  This is not only distressing due to the chronic pain, exhaustion and interference with the ability to function normally on a daily basis.  It is also distressing because people don’t believe there is anything wrong with you and get impatient and angry. For years I had judgmental doctors who hated seeing me in the waiting room because they knew they could not help me and therefore blamed me for being sick, just like you wrote. I was told I was stressed and depressed.  That was definitely true, but this was because of my CFS, not what started it!!!!!!!!!!!! 

Researchers from the School of Nursing,Virginia Commonwealth University in Richmond, VA investigated the effects of a 10-week mind-body intervention (guided imagery with relaxation) on symptom management for Hispanics suffering from Fibromyalgia, a chronic pain disorder of unknown origin which affects 2% of the population in the United States. Another 16 million Hispanics suffer from generically identified rheumatic diseases that likely include FM. The pilot study used a repeated-measures pretest-posttest design.