What is the role of environmental and sociocultural variables in the etiology of fibromyalgia?

Updated: Apr 23, 2020
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Multiple experiences and forces in a person's environment and social culture influence the pain experience, either positively (eg, high job satisfaction in a person who strains his or her back at work) or negatively (eg, a physician who medicalizes a minor injury by diagnostic waffling and inappropriate diagnostic testing). [35] Environmental and sociocultural variables include the following:

  • Psychosocial experiences during childhood

  • Spousal and family support

  • Ethnologic factors

  • Focus on definable causes

  • Media hype

  • Primary and secondary gain

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