[MUS] and experiences with healthcare among emerging adults exposed to multiple types of potentially traumatic events 2024 Owens et al

Discussion in 'Psychosomatic research - ME/CFS and Long Covid' started by Andy, Sep 10, 2024.

  1. Andy

    Andy Committee Member

    Messages:
    22,737
    Location:
    Hampshire, UK
    Full title: Medically unexplained symptoms and experiences with healthcare among emerging adults exposed to multiple types of potentially traumatic events

    Abstract

    Experiencing multiple types of traumatic events can increase the risk of developing somatic and posttraumatic stress symptoms (PTSS). Medically unexplained symptoms (MUS), or somatic symptoms that lack a distinct medical explanation, often coexist with PTSS in emerging adults and may be due to common underlying mechanisms. Coping strategies have been associated with PTSS, but have not been studied in trauma-exposed individuals with MUS.

    The current study examined the relationship between the number of types of potentially traumatic events experienced and MUS among emerging adults, considering the influence of PTSS and engagement and disengagement coping. A sample of 363 emerging adults (Mean = 18.91) completed self-report measures of trauma history, PTSS, MUS, experiences with healthcare providers, and coping strategies. Dissatisfaction with healthcare providers was reported by 11.3% of participants reporting MUS, with over half (52.8%) feeling their concerns were dismissed. Hierarchical linear regression showed that the number of types of traumatic events experienced did not predict MUS after accounting for PTSS. Moderation hypotheses linking traumatic events and coping strategies were not supported.

    Results suggest that PTSS explains the relationship between exposure to different traumatic events and MUS. Findings may have diagnostic and treatment implications for healthcare providers working with emerging adults who have experienced trauma.

    Open access, https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0310335
     
    duncan and Hutan like this.
  2. Andy

    Andy Committee Member

    Messages:
    22,737
    Location:
    Hampshire, UK
    Introduction

    1]. MUS are often attributed to functional somatic syndromes like fibromyalgia, chronic widespread pain, chronic fatigue syndrome, temporomandibular disorder, and irritable bowel syndrome, which are all characterized by symptoms without discernible biological or physical causes and lacking consensus on diagnostic criteria [2]. These syndromes share both somatic (e.g., pain, fatigue) and psychological symptoms (e.g., anxiety, depression, posttraumatic stress) [3,4]. Given the increased risk of psychiatric disorders during emerging adulthood, exploring the interplay between psychopathology and somatic concerns which are prevalent in college students is imperative [5,6].
     
    MEMarge likes this.
  3. bobbler

    bobbler Senior Member (Voting Rights)

    Messages:
    3,428
    If you break your leg then how it was broken normally isn’t the main lead to how to fix the leg ie treatment

    same for any other illness. Treating ptsd doesn’t negate the infection needing antibiotics

    and that’s IF the correlation is the way they inferred - it’s pretty likely ending up with terrible illness that then gets refused to be investigated and bunged under MUS is going to cause more trauma the worse it is - cos you are too ill to work have no help with forms but can’t speak or travel and are being psychologised. A living nightmare in itself.

    so you have to be really deep in the belief MUS isn’t an injury or disease and over confident that PYSD therapy (which is supposed to start with making the situation safe and less precarious as per psychology not just do therapy in the war zone going out as a soldier still ) is super effective to the extent it now fixes physical injury. that you refuse to investigate so don’t really know what it is to measure it.

    my question to any positive results on these is were they checking physical function long term ie the illness or coercing subjective replies short term from people already traumatised and not in a position to displease lest perceived threats?
     
    Sean, Joan Crawford, Hutan and 4 others like this.
  4. rvallee

    rvallee Senior Member (Voting Rights)

    Messages:
    13,297
    Location:
    Canada
    This is very circular and generic. Also lacking in any kind of validity whatsoever.

    For all the concerns about the potential of AI flooding academia with BS, there's a blatant lack of focus on the fact that some disciplines are already nothing but a flood of human-generated nonsense. It seems that there is a type of research that has been perfected to be both fully optimized for academic success while at the same time being so thoroughly useless and meandering that probably no more than a dozen people will ever read it, and so pass completely unnoticed aside from padding a publication résumé.
    And the above is frankly ridiculously suspicious.
     
  5. Hutan

    Hutan Moderator Staff Member

    Messages:
    28,662
    Location:
    Aotearoa New Zealand
    PTE = Potentially traumatic experience

     
    Sean, Joan Crawford, MEMarge and 5 others like this.
  6. Trish

    Trish Moderator Staff Member

    Messages:
    54,644
    Location:
    UK
    That sounds like an extremely skewed sample.
     
    Sean, bobbler, Joan Crawford and 4 others like this.
  7. NelliePledge

    NelliePledge Moderator Staff Member

    Messages:
    14,351
    Location:
    UK West Midlands
    Were these participants self reporting as having a psychosomatic condition? Were they aware or unaware of the researchers definition of Medically Unexplained
     
  8. Hutan

    Hutan Moderator Staff Member

    Messages:
    28,662
    Location:
    Aotearoa New Zealand
    The selection criteria is quite unclear. I think the sample is of people who reported having experienced at least one 'potentially traumatic experience'. But I haven't looked closely enough. I intended to, and then thought that maybe the study wasn't worth spending time on. It just all sounds really messy - did they advertise the survey as providing research participation credit, but saying that it was only open to people who reported having experienced a potentially traumatic experience? Or was it open to all students, in which case, what percentage of students didn't report having had a potentially traumatic experience? If most students reported a potentially traumatic experience, then having had one doesn't provide much distinguishing power.

    It looks like the hypotheses that they set out to study didn't turn out to be true, so then they poked around in the data for other stories that suited them. Yeah, it just looks really messy and questionable.
     
    Sean, Trish, Lou B Lou and 3 others like this.
  9. bobbler

    bobbler Senior Member (Voting Rights)

    Messages:
    3,428
    :bawling:

    So this is research done on people who are well and definitely not ill with any of the things this is supposed to inform

    how insulting

    but how stupid - is this about their ‘preventative medicine’ crud saying … well in well people they found if they were traumatised less they had less almost symptoms of something as a larger category we dump all of you that have something into to avoid actually even investigating so we don’t treat

    and based on what they say they’ll what? Actually think they can extrapolate that to people who are not only ill but barred from having it looked at so not just no treatment but abuse and stresss lumped in them to make it worse

    and so weird to be able to give credit for a course for participation, so yes extra incentive for a bit of imagining of fibbing to please.
     
    Last edited: Sep 12, 2024
    Sean, Trish, Lou B Lou and 1 other person like this.

Share This Page