Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact

IF 2.6 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Frontiers in Psychology Pub Date : 2024-09-12 DOI:10.3389/fpsyg.2024.1418644

Andrea Doreste, Jesus Pujol, Eva Penelo, Víctor Pérez, Laura Blanco-Hinojo, Gerard Martínez-Vilavella, Helena Pardina-Torner, Fabiola Ojeda, Jordi Monfort, Joan Deus

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Abstract

BackgroundFibromyalgia (FM) is a complex rheumatic disorder characterized by chronic nociplastic pain and central sensitization. Psychopathological conditions can influence FM symptoms, which worsen their condition. However, not all patients with FM have psychopathological disorders, indicating a heterogeneous population.ObjectiveTo investigate the psychopathological profile and personality disorders in patients with FM and its relationship impact on this disease.MethodsAn observational and cross-sectional comparative study was conducted with a sample of 90 women, mean age 48.7 years (SD = 8.12), from Hospital del Mar, Barcelona. The Personality Assessment Inventory (PAI) and the Fibromyalgia Impact Questionnaire (FIQ) were used for assessment.ResultsFM patients predominantly exhibited psychopathological profiles resembling affective disorders (37.7%) and Cluster C personality disorders (58.8%). The severity of FM’s impact was related to affective disorder symptoms, hypervigilance, derealization, somatization, and Cluster B personality disorder (emotional instability). Different rheumatic symptoms correlated with specific psychopathological patterns. Increased somatic symptoms on the FIQ were related to an unstable and dependent personality, while heightened emotional symptoms on the FIQ were associated with avoidance, borderline traits, and passive-aggressive reactions.ConclusionRecognizing psychopathological aspects is crucial for managing FM. The PAI is a valuable tool for establishing its psychopathological multidimensional profile, which predominantly shows an affective spectrum conditions and comorbid Cluster C personality disorder, exacerbating the disease’s impact.

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探索纤维肌痛的心理病理特征：从人格评估清单及其与疾病影响的关联中获得的启示

背景纤维肌痛（FM）是一种复杂的风湿性疾病，以慢性非痉挛性疼痛和中枢敏感性为特征。精神病理情况会影响 FM 症状，使其病情恶化。方法对巴塞罗那德尔马医院（Hospital del Mar, Barcelona）的 90 名女性样本进行了观察性横断面比较研究，这些样本的平均年龄为 48.7 岁（SD = 8.12）。结果FM患者主要表现出类似情感障碍（37.7%）和C群人格障碍（58.8%）的精神病理学特征。FM 影响的严重程度与情感障碍症状、过度警觉、去理想化、躯体化和 B 群人格障碍（情绪不稳定）有关。不同的风湿症状与特定的精神病理模式相关。FIQ 中躯体症状的增加与不稳定和依赖型人格有关，而 FIQ 中情绪症状的增加与回避、边缘特质和被动攻击性反应有关。PAI 是确定其精神病理学多维特征的重要工具，主要表现为情感谱系条件和合并 C 群人格障碍，从而加剧了疾病的影响。

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来源期刊

Frontiers in Psychology PSYCHOLOGY, MULTIDISCIPLINARY-

CiteScore

5.30

自引率

13.20%

发文量

7396

审稿时长

14 weeks

期刊介绍： Frontiers in Psychology is the largest journal in its field, publishing rigorously peer-reviewed research across the psychological sciences, from clinical research to cognitive science, from perception to consciousness, from imaging studies to human factors, and from animal cognition to social psychology. Field Chief Editor Axel Cleeremans at the Free University of Brussels is supported by an outstanding Editorial Board of international researchers. This multidisciplinary open-access journal is at the forefront of disseminating and communicating scientific knowledge and impactful discoveries to researchers, academics, clinicians and the public worldwide. The journal publishes the best research across the entire field of psychology. Today, psychological science is becoming increasingly important at all levels of society, from the treatment of clinical disorders to our basic understanding of how the mind works. It is highly interdisciplinary, borrowing questions from philosophy, methods from neuroscience and insights from clinical practice - all in the goal of furthering our grasp of human nature and society, as well as our ability to develop new intervention methods.