Exposure to Potentially Traumatic Events, Posttraumatic Stress Symptoms, Pain Catastrophizing, and Functional Somatic Symptoms.., 2020, Zerach et al

Andy

Andy

Retired committee member
Full title: Exposure to Potentially Traumatic Events, Posttraumatic Stress Symptoms, Pain Catastrophizing, and Functional Somatic Symptoms Among Individuals With Varied Somatic Symptoms: A Moderated Mediation Model

The relationships between exposure to potentially traumatic events (PTEs), as well as posttraumatic stress symptoms (PTSS) and somatic syndromes, have recently been exemplified. Exposure to PTEs can also set in motion complex psychological processes such as pain catastrophizing that is associated with PTSS and somatic syndromes. However, the specific moderating role of pain catastrophizing in these links remains relatively unexamined. The present study aims to assess a moderated mediation model in which catastrophizing will moderate the indirect effect of exposure to PTEs on the number of somatic symptoms and chronic pain severity via PTSS, among individuals with somatic syndromes.

A volunteers’ sample of 175 Israeli adults with varied somatic symptoms responded to online validated self-report questionnaires in a cross-sectional designed study. Participants’ self-reported PTSS rates (57.1%) were high. PTSS and pain catastrophizing, but not exposure to PTEs, were related to chronic pain severity. Interestingly, a moderated mediation analysis indicated that the indirect effect of catastrophizing in the relation between exposure to PTEs and the number of somatic symptoms via PTSS existed only among those with high levels of catastrophizing.

The present study highlights the assumption that functional somatic syndromes (FSS) have much in common. Our findings support a moderated mediation model that begins with exposure to PTEs that leads to PTSS, which in turn increase the number of somatic symptoms. Higher levels of pain catastrophizing might attenuate this indirect link by affecting the interpretation of PTSS and create a vulnerability to more somatic symptoms. Thus, changes in cognitive-sensory processing in the form of catastrophic thinking can affect psychobiological processes and heighten sensitivity to stimuli arising in the body and should be considered as possible target for future research and psychological interventions.
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Paywall, https://journals.sagepub.com/doi/10.1177/0886260520912587
Not available via Sci hub at time of posting.
 
:mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad::mad:

Translation...

Pain isn't real.
People who say they are in pain are mentally ill, attention-seeking hypochondriacs.
The mentally well who develop pain will grin and bear it and pretend it doesn't exist rather than disturb healthy people.
Doctors don't really believe patients who say they are in pain and don't want to treat it.
They don't like treating people they consider to be mad for any form of physical symptom.

My response...

Many members of the medical profession, with a particular emphasis on those in psychology, psychotherapy, and psychiatry, are apparently sadists.
They dodge and weave their way through their careers, avoiding actually believing the patient, and often make little or no attempt to cure the patient, instead they just fob them off endlessly.
When these doctors can't fix the patient they assume the patient's symptoms are not real and the patient is making it all up.
Because patients are so rarely believed, pain isn't treated often enough or ruthlessly enough.
 
It seems reasonable to assume that people who never learned the art of punctuation, as indicated by their first sentence, are unlikely to be able to describe complex ideas. Where should that comma go?

EDIT This may be thought to be nit-picking. It is not. The authors describe "relationships", but fail to make clear what the relationships are between.
 
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chrisb said:
It seems reasonable to assume that people who never learned the art of punctuation, as indicated by their first sentence, are unlikely to be able to describe complex ideas. Where should that comma go?

EDIT This may be thought to be nit-picking. It is not. The authors describe "relationships", but fail to make clear what the relationships are between.
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You gave me PEM from laughing! :)
 
A question that has crossed my mind frequently when I've read abstracts/papers like the one this thread is about is when do the authors believe that people saying "I'm in pain" is "acceptable", "normal" and "healthy" and not the sign of someone displaying a symptom of mental illness?
 
Potentially traumatizing events? Is this homeopathic psychology? There is no trauma but maybe there is still a trace of it? This is some seriously advanced woo. So even if you never actually experienced anything remotely close to a traumatic event, you probably had potential exposure so let's just assume anyway and don't bother because heads they win and tails you lose.
The relationships between exposure to potentially traumatic events (PTEs), as well as posttraumatic stress symptoms (PTSS) and somatic syndromes, have recently been exemplified
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Oh, they have been "recently exemplified", have they? Very Orwellian way of saying "we cherry-picked potential anecdotes". Still means the same thing, though.
Exposure to PTEs can also set
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Can be. May be. Would explain. Might. Could. When you use that standard, literally anything can also be anything. That's why we use this thing called science. Try it some day.
A volunteers’ sample of 175 Israeli adults with varied somatic symptoms responded to online validated self-report questionnaires in a cross-sectional designed study. Participants’ self-reported PTSS rates (57.1%) were high.
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And that did not give pause? It clearly shows their questionnaires are completely useless at scoring the thing they think they are evaluating.
The present study highlights the assumption that functional somatic syndromes (FSS) have much in common
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Oh, it "highlights", does it? Well isn't that marvelous. That's one remarkably devious way of saying "we have cherry-picked". It literally suggests the absurd reality of taking a text, using a yellow highlighter to emphasize something and arguing that it must mean something that it's been highlighted. Stuff in the labeled box is indeed labeled, confirming that the label is correct. QED.

I can't wrap my head around the process of going into one of the hardest academic disciplines, studying and working hard for years, then toiling hard for more years to do an actual piece of work and this turd is what comes out. These people are nuts and have lost all connection to reality. Actually strike that, it's whoever gives credibility and support to this that has lost all connection to reality. This is no different than publishing astrology in a physics journal.

Get your shit together people because it's all over the damn place.
 
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