Perceived stigma in functional somatic syndromes and comparable medical conditions

被引：125

作者：

Looper, KJ

Kirmayer, LJ

机构：

[1] Jewish Gen Hosp, Dept Psychiat, Montreal, PQ H3T 1E2, Canada

[2] McGill Univ, Dept Psychiat, Montreal, PQ H3T 1E2, Canada

来源：

JOURNAL OF PSYCHOSOMATIC RESEARCH | 2004年 / 57卷 / 04期

基金：

加拿大健康研究院;

关键词：

chronic fatigue syndrome; fatigue; fibromyalgia; functional somatic syndromes; irritable bowel syndrome; stigma;

D O I：

10.1016/j.jpsychores.2004.03.005

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Objective: To determine if patients with functional somatic syndromes (FSS) perceive greater levels of stigma than patients with comparable medical conditions that have a clear medical pathology. Methods: Patients with chronic fatigue syndrome (CFS), fibromyalgia (FM), or irritable bowel syndrome (IBS) were compared to multiple sclerosis (MS), rheumatoid arthritis (RA), and inflammatory bowel disease (IBS), respectively. Results: There were greater levels of perceived stigma in the combined group of FSS compared to the medical control group. When each FSS was compared to its matched control group, only CFS had a higher level of perceived stigma. These results remained when controlling for other variables relevant to stigma. Conclusions: The higher level of perceived stigma in CFS may be due to the ambiguity of its status as a medical condition. The absence of this effect in FM and IBS is consistent with a greater level of acceptance of these disorders as medical illnesses. (C) 2004 Elsevier Inc. All rights reserved.

引用

页码：373 / 378

页数：6

共 43 条

[11]

CROFT P, 1993, J RHEUMATOL, V20, P710

[12]

Derogatis LR, 1994, PSYCHOL TESTING TREA

[13] PSYCHOSOCIAL FACTORS IN THE IRRITABLE BOWEL SYNDROME - A MULTIVARIATE STUDY OF PATIENTS AND NONPATIENTS WITH IRRITABLE BOWEL SYNDROME [J].

DROSSMAN, DA ;

MCKEE, DC ;

SANDLER, RS ;

MITCHELL, CM ;

CRAMER, EM ;

LOWMAN, BC ;

BURGER, AL .

GASTROENTEROLOGY, 1988, 95 (03) :701-708

[14]

DROSSMAN DA, 1977, GASTROENTEROLOGY, V73, P811

[15] THE CHRONIC FATIGUE SYNDROME - A COMPREHENSIVE APPROACH TO ITS DEFINITION AND STUDY [J].

FUKUDA, K ;

STRAUS, SE ;

HICKIE, I ;

SHARPE, MC ;

DOBBINS, JG ;

KOMAROFF, A ;

SCHLUEDERBERG, A ;

JONES, JF ;

LLOYD, AR ;

WESSELY, S ;

GANTZ, NM ;

HOLMES, GP ;

BUCHWALD, D ;

ABBEY, S ;

REST, J ;

LEVY, JA ;

JOLSON, H ;

PETERSON, DL ;

VERCOULEN, JHMM ;

TIRELLI, U ;

EVENGARD, B ;

NATELSON, BH ;

STEELE, L ;

REYES, M ;

REEVES, WC .

ANNALS OF INTERNAL MEDICINE, 1994, 121 (12) :953-959

[16] CHRONIC FATIGUE - A PROSPECTIVE CLINICAL AND VIROLOGICAL STUDY [J].

GOLD, D ;

BOWDEN, R ;

SIXBEY, J ;

RIGGS, R ;

KATON, WJ ;

ASHLEY, R ;

OBRIGEWITCH, R ;

COREY, L .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1990, 264 (01) :48-53

[17] PSYCHOLOGIC STUDIES IN FIBROSITIS [J].

GOLDENBERG, DL .

AMERICAN JOURNAL OF MEDICINE, 1986, 81 (3A) :67-70

[18] Medically unexplained physical symptoms, anxiety, and depression: A meta-analytic review [J].

Henningsen, P ;

Zimmermann, T ;

Sattel, H .

PSYCHOSOMATIC MEDICINE, 2003, 65 (04) :528-533

[19] THE PSYCHIATRIC STATUS OF PATIENTS WITH THE CHRONIC FATIGUE SYNDROME [J].

HICKIE, I ;

LLOYD, A ;

WAKEFIELD, D ;

PARKER, G .

BRITISH JOURNAL OF PSYCHIATRY, 1990, 156 :534-540

[20] IRRITABLE-BOWEL-SYNDROME IN THE GENERAL-POPULATION [J].

JONES, R ;

LYDEARD, S .

BRITISH MEDICAL JOURNAL, 1992, 304 (6819) :87-90

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