title: Normalizing attributions may contribute to non-help-seeking behavior in people with fibromyalgia syndrome.
abstract: BACKGROUND
  Causal attributions of bodily perceptions indicate the possibility of some degree of control over events. Therefore, attributions are important to support the social significance of experience and confer meaning.
  
  
  OBJECTIVE
  The aim of this study is to investigate whether non-patients with fibromyalgia (FMS) use more normalizing attributions than healthy control subjects and help-seeking patients.
  
  
  METHODS
  Thirty-seven FMS patients attending tertiary care were compared with 38 non-patients and 34 healthy controls on mean anxiety, depression, attribution style, and alexithymia scores.
  
  
  RESULTS
  Mean normalizing scores were greatest in the non-patient group, followed by the healthy-control group, and smallest in the tertiary-care attending group. Non-patients are using more normalizing explanations than the FMS patients and the healthy-control subjects.
  
  
  CONCLUSIONS
  Thus, normalization may negatively influence help-seeking behavior and contribute to non-help-seeking behavior.
authors.affiliation: Erenkoy Psychiatry Hospital, Kazasker, Istanbul, Turkey 090. huseyingulec@yahoo.com
authors.forename: Huseyin
authors.initials: H
authors.lastname: Gulec
mesh_terms: D000328:Adult; D000342:Affective Symptoms / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D000368:Aged; D001008:Anxiety Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology*; D015438:Health Behavior; D006801:Humans; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D010349:Patient Compliance / Q000706:statistics & numerical data*; D015995:Prevalence; D011594:Psychometrics; D012944:Social Support; D013001:Somatoform Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology; D011795:Surveys and Questionnaires