A tale of two cities - the effect of low intensity conflict on prevalence and characteristics of musculoskeletal pain and somatic symptoms associated with chronic stress

Although both acute and chronic stress leads to pain, the precise characteristics of this association have not been well defined. Sderot is an Israeli town exposed to repeated missile attacks. Ofakim, a town of similar demographic and socioeconomic characteristics, had not been targeted, as of the p...

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Published in:Clinical and experimental rheumatology 2010-11, Vol.28 (6 Suppl 63), p.S15-S21
Main Authors: Ablin, J N, Cohen, H, Clauw, D J, Shalev, R, Ablin, E, Neumann, L, Sarzi-Puttini, P, Buskila, D
Format: Article
Language:English
Subjects:
Adult
Conflict (Psychology)
Female
Humans
Interviews as Topic
Israel
Male
Musculoskeletal System - physiopathology
Pain - epidemiology
Pain - physiopathology
Prevalence
Severity of Illness Index
Stress, Psychological - complications
Surveys and Questionnaires
Weapons
Wounds and Injuries - complications
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container_end_page S21
container_issue 6 Suppl 63
container_start_page S15
container_title Clinical and experimental rheumatology
container_volume 28
creator Ablin, J N
Cohen, H
Clauw, D J
Shalev, R
Ablin, E
Neumann, L
Sarzi-Puttini, P
Buskila, D
description Although both acute and chronic stress leads to pain, the precise characteristics of this association have not been well defined. Sderot is an Israeli town exposed to repeated missile attacks. Ofakim, a town of similar demographic and socioeconomic characteristics, had not been targeted, as of the period of our study. We examined the occurrence and characteristics of pain and related somatic symptoms in Sderot and Ofakim. One thousand and twenty-four individuals in Sderot and 1006 in Ofakim were interviewed regarding pain, somatic symptoms, mood, trauma-exposure, and general health status. Significantly higher levels of trauma-related symptoms and somatic symptoms were noted in Sderot compared with Ofakim (p
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Sderot is an Israeli town exposed to repeated missile attacks. Ofakim, a town of similar demographic and socioeconomic characteristics, had not been targeted, as of the period of our study. We examined the occurrence and characteristics of pain and related somatic symptoms in Sderot and Ofakim. One thousand and twenty-four individuals in Sderot and 1006 in Ofakim were interviewed regarding pain, somatic symptoms, mood, trauma-exposure, and general health status. Significantly higher levels of trauma-related symptoms and somatic symptoms were noted in Sderot compared with Ofakim (p&lt;0.001). Chronic widespread pain (CWP) was more common in Sderot (11.1%) than Ofakim (8.3%; OR 1.37, p=0.038). Women were more likely (13.9% vs. 9.3%; OR 1.45, p=0.06) than men (8.9% vs. 7.3%, OR 1.24, p=0.37) to experience CWP in Sderot vs. Ofakim. Amongst males, chronic regional pain (CRP) was more common in Sderot (19.2%) than in Ofakim (14.2%; p=0.036). Pain severity in Sderot was significantly higher than in Ofakim (p&lt;0.001). Similar to previous studies that have suggested that chronic stress is associated with chronic pain, this study demonstrates significantly increased rates of somatic complaints, including pain, fatigue and IBS-like symptoms, among individuals in Sderot compared with Ofakim, as well as significantly higher rates of trauma-related symptoms. Thus, a fibromyalgia-like symptoms cluster was more likely to be found in Sderot compared with Ofakim. Widespread pain was reported as being significantly more frequent by inhabitants of Sderot compared with Ofakim. 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source Freely Accessible Science Journals - check A-Z of ejournals
subjects Adult
Conflict (Psychology)
Female
Humans
Interviews as Topic
Israel
Male
Musculoskeletal System - physiopathology
Pain - epidemiology
Pain - physiopathology
Prevalence
Severity of Illness Index
Stress, Psychological - complications
Surveys and Questionnaires
Weapons
Wounds and Injuries - complications
title A tale of two cities - the effect of low intensity conflict on prevalence and characteristics of musculoskeletal pain and somatic symptoms associated with chronic stress
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