Medically Unexplained Illness: Gender and Biopsychosocial by Susan K Johnson
By Susan K Johnson
Medically unexplained health problems are one of the most typical issues in basic therapy at the present time. as a result, there was a contemporary surge of curiosity within the body structure of such health problems as fibromyalgia, continual fatigue syndrome, irritable bowel syndrome, and a number of chemical sensitivity. yet biomedical versions can simply pass up to now towards figuring out a gaggle of painful and sometimes problematical signs. those versions are not able to completely solution such questions as: How are those vulnerabilities irritated by means of psychosocial rigidity components reminiscent of youth abuse, paintings, and interpersonal pressure? What cognitive elements give a contribution to a rise in signs? And, maybe extra importantly, why do medically unexplained health problems strike ladies in overwhelmingly disproportionate numbers? writer Susan ok. Johnson surveys the latest learn on how mental, social, and physiological components may perhaps have interaction and give a contribution to the advance of indicators. This quantity will entice either psychologists and future health care pros attracted to extra totally realizing the interplay among brain and physique in medically unexplained disorder.
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According to Crombez, Van Damme, and Eccleston (2005), attentional hypervigilance to pain has been found to be automatic and unintentional in 44 MEDICALLY UNEXPLAINED ILLNESS experimental tasks. This does not mean that it is uncontrollable; Crombez et al. noted that participants can switch attention back to tasks and complete them. Individuals who catastrophize, however, have difficulty performing distracting tasks and experience less analgesia from distraction. Crombez et al. proposed that amplification of pain is due to repeated failure to distract oneself from pain.
Male patients showed lower disability and depression scores than women and had higher levels of physical functioning before and after treatment. The authors suggested that men came into the program with less fear avoidance-induced inhibition of physical activity. Women showed higher levels of depression, pain, and disability self-report and a higher rate of searching out new health care providers. In rehabilitation samples, women showed differences in pain perception, pain report, and coping skills.
Individuals who catastrophize, however, have difficulty performing distracting tasks and experience less analgesia from distraction. Crombez et al. proposed that amplification of pain is due to repeated failure to distract oneself from pain. Thus, pain may evoke a more intense and defensive fear response in those who are hypervigilant. I. Jensen, Nygren, Gamberale, Goldie, and Westerholm (1994) compared men and women with long-term intractable musculoskeletal pain in a large rehabilitation sample.