Stress and Resilience in Functional Somatic Syndromes – A Structural Equation Modeling Approach

Stress has been suggested to play a role in the development and perpetuation of functional somatic syndromes. The mechanisms of how this might occur are not clear. We propose a multi-dimensional stress model which posits that childhood trauma increases adult stress reactivity (i.e., an individual�...

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Veröffentlicht in:	PloS one Jg. 9; H. 11; S. e111214
Hauptverfasser:	Fischer, Susanne, Lemmer, Gunnar, Gollwitzer, Mario, Nater, Urs M.
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Public Library of Science 14.11.2014 Public Library of Science (PLoS)
Schlagworte:	Adult Adults Analysis Biology and Life Sciences Children Chronic Disease Chronic fatigue syndrome Disorders Female Fibromyalgia Humans Irritable bowel syndrome Laboratories Male Medicine and Health Sciences Methods Modelling Models, Psychological Neurosciences Pain Personality Personality traits Post traumatic stress disorder Psychobiology Resilience Resilience, Psychological Self esteem Sex crimes Social psychology Stress Stress (Psychology) Stress response Stress, Psychological - psychology Stresses Structural equation modeling Surveys Syndrome Trauma Young adults Germany
ISSN:	1932-6203, 1932-6203
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Zusammenfassung:	Stress has been suggested to play a role in the development and perpetuation of functional somatic syndromes. The mechanisms of how this might occur are not clear. We propose a multi-dimensional stress model which posits that childhood trauma increases adult stress reactivity (i.e., an individual's tendency to respond strongly to stressors) and reduces resilience (e.g., the belief in one's competence). This in turn facilitates the manifestation of functional somatic syndromes via chronic stress. We tested this model cross-sectionally and prospectively. Young adults participated in a web survey at two time points. Structural equation modeling was used to test our model. The final sample consisted of 3'054 participants, and 429 of these participated in the follow-up survey. Our proposed model fit the data in the cross-sectional (χ2(21) = 48.808, p<.001, CFI = .995, TLI = .992, RMSEA = .021, 90% CI [.013.029]) and prospective analyses (χ2(21) = 32.675, p<.05, CFI = .982, TLI = .969, RMSEA = .036, 90% CI [.001.059]). Our findings have several clinical implications, suggesting a role for stress management training in the prevention and treatment of functional somatic syndromes.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 Conceived and designed the experiments: SF UMN. Performed the experiments: SF. Analyzed the data: SF GL MG. Contributed reagents/materials/analysis tools: SF GL MG UMN. Wrote the paper: SF GL MG UMN. Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0111214