LEADER 04183nam 2200685 450 001 9910823609303321 005 20230803220641.0 010 $a3-11-031380-4 024 7 $a10.1515/9783110313802 035 $a(CKB)2550000001169829 035 $a(EBL)1249988 035 $a(OCoLC)865329855 035 $a(SSID)ssj0001061743 035 $a(PQKBManifestationID)11573507 035 $a(PQKBTitleCode)TC0001061743 035 $a(PQKBWorkID)11111477 035 $a(PQKB)10456787 035 $a(MiAaPQ)EBC1249988 035 $a(DE-B1597)208466 035 $a(OCoLC)1013937532 035 $a(OCoLC)885389310 035 $a(DE-B1597)9783110313802 035 $a(Au-PeEL)EBL1249988 035 $a(CaPaEBR)ebr10820010 035 $a(CaONFJC)MIL551814 035 $a(EXLCZ)992550000001169829 100 $a20130723h20142014 uy| 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aSymptom fluctuation in fibromyalgia $eenvironmental, psychological and psychobiological influences /$fKerstin Wentz 210 1$aBerlin :$cWalter de Gruyter GmbH & Co. KG,$d[2014] 210 4$dİ2014 215 $a1 online resource (196 p.) 225 0 $aHealth, Medicine and Human Development 225 0$aHealth, medicine, and human development 300 $aDescription based upon print version of record. 311 $a3-11-031373-1 311 $a1-306-20563-8 320 $aIncludes bibliographical references and index. 327 $aFibromyalgia seen through the life histories of the afflicted women -- Dissociative and self-loading patterns in adult life -- Psychological, psychobiological and environmental patterns during the developmental phase -- Increase in mental load : life events as triggers of generalized pain -- The phase of living with fibromyalgia -- Variation in the level of pain -- Dissociation interferes with gaps in pain -- Women's narrations on the process of recovery from fibromyalgia -- Factors influencing onset, level of symptoms, gaps in pain, recovery and maintenance. 330 $aFibromyalgia is a syndrome of wide spread pain that is known from all parts of the world. An aspect of the syndrome of fibromyalgia is fluctuation as in onset of pain, variation in the level of symptoms, time off from pain and recovery from pain and other symptoms. The analysis of these fluctuations might create a basis for solid suggestions regarding the nature of the syn-drome itself. E.g. the pain level is well known to vary with mental and physical load including exposure to cold. Simultaneously, fibromyalgia has been found to mean an altered balance in the autonomic nervous system. In the first section of the book a developmental stage or life before fibromyalgia is covered. Intra- and interpersonal patterns based on narrations of the afflicted are pictured. Identified patterns are psychometrically examined and environmental as well as psychobiological patterns are accounted for. In the mid-section of the book life with fibromyalgia is scrutinized including biomarkers. Patterns regarding variation in the level of pain, gaps in fibromyalgia pain and environmental factors influencing these gaps are related. The effect on life, symptoms and defense measures is elucidated from the angle of mental load. The last sections portrait psychological and environmental influences concerning recovery, but especially the striking phenomenon of recovery being scarce. Special attention is paid to cognitive-emotional functioning, the need to target dissociation and environmental influences on maintenance. 410 0$aHealth, Medicine and Human Development 606 $aFibromyalgia 606 $aMyofascial pain syndromes 610 $aFibromyalgia, Dissociation, Psychobiology, Fluctuation. 615 0$aFibromyalgia. 615 0$aMyofascial pain syndromes. 676 $a616.7/42 686 $aYG 6926$2rvk 700 $aWentz$b Kerstin$01654957 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910823609303321 996 $aSymptom fluctuation in fibromyalgia$94007103 997 $aUNINA