Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study

Background, data is lacking on comorbid personality disorders (PD) and fibromyalgia syndrome (FMS) in terms of prevalence, and associated healthcare and societal costs. The main aim of this study was to assess the prevalence of PD in FMS patients and to analyse whether the presence of comorbid PD is...

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Authors: Gumà Uriel, Laura, Peñarrubia-María, M. Teresa, Cerdà Lafont, Marta, Cunillera Puertolas, Oriol, Almeda Ortega, Jesús, Fernandez Vergel, Rita, Garcia-Campayo, Javier, Luciano, Juan Vicente
Format: article
Status:Published version
Publication Date:2016
Country:España
Institution:Universitat Oberta de Catalunya (UOC)
Repository:O2, repositorio institucional de la UOC
OAI Identifier:oai:openaccess.uoc.edu:10609/92926
Online Access:https://hdl.handle.net/10609/92926
Access Level:Open access
Keyword:indirect costs
fibromyalgia syndrome
personality disorders
direct costs
fibromialgia
trastornos de personalidad
costes directos
costes indirectos
fibromiàlgia
trastorns de personalitat
costos directes
costos indirects
Fibromyalgia
Fibromiàlgia
Fibromialgia
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oai_identifier_str oai:openaccess.uoc.edu:10609/92926
network_acronym_str ES
network_name_str España
repository_id_str
spelling Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional studyGumà Uriel, LauraPeñarrubia-María, M. TeresaCerdà Lafont, MartaCunillera Puertolas, OriolAlmeda Ortega, JesúsFernandez Vergel, RitaGarcia-Campayo, JavierLuciano, Juan Vicenteindirect costsfibromyalgia syndromepersonality disordersdirect costsfibromialgiatrastornos de personalidadcostes directoscostes indirectosfibromiàlgiatrastorns de personalitatcostos directescostos indirectsFibromyalgiaFibromiàlgiaFibromialgiaBackground, data is lacking on comorbid personality disorders (PD) and fibromyalgia syndrome (FMS) in terms of prevalence, and associated healthcare and societal costs. The main aim of this study was to assess the prevalence of PD in FMS patients and to analyse whether the presence of comorbid PD is related to worse functional impairment and greater healthcare (medical visits, drug consumption, and medical tests) and societal costs. Methods, across-sectional study was performed using the baseline data of 216 FMS patients participating in a randomized, controlled trial carried out in three primary health care centres situated in the region of Barcelona, Spain. Measurement instruments included the International Personality Disorder Examination - Screening Questionnaire (IPDE-SQ), the Fibromyalgia Impact Questionnaire (FIQ), the Client Service Receipt Inventory (CSRI), and a socio-demographic questionnaire. Results, most patients (65 %) had a potential PD according to the IPDE-SQ. The most prevalent PD were the avoidant (41.4 %), obsessive-compulsive (33.1 %), and borderline (27 %). We found statistically significant differences in functional impairment (FIQ scores) between FMS patients with potential PD vs non-PD (59.2 vs 51.1; p < 0.001). Multivariate regression analyses revealed that higher FIQ total scores and the presence of potential PD were related to more healthcare costs (primary and specialised care visits). Conclusions: As expected, PD are frequent comorbid conditions in patients with FMS. Our results suggest that the screening of comorbid PD in patients with FMS might be recommendable in order to detect potential frequent attenders to primary and specialised care.BMC Family PracticeParc Sanitari Sant Joan de DéuInstitut Català de la SalutHospital Universitario Miguel ServetUniversitat Oberta de Catalunya (UOC)201920192016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/10609/92926reponame:O2, repositorio institucional de la UOCinstname:Universitat Oberta de Catalunya (UOC)InglésBMC Family Practice, 2016, 17(1)https://bmcfampract.biomedcentral.com/track/pdf/10.1186/s12875-016-0464-5CC BYhttp://creativecommons.org/licenses/by/4.0/es/info:eu-repo/semantics/openAccessoai:openaccess.uoc.edu:10609/929262026-05-28T12:42:01Z
dc.title.none.fl_str_mv Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
title Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
spellingShingle Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
Gumà Uriel, Laura
indirect costs
fibromyalgia syndrome
personality disorders
direct costs
fibromialgia
trastornos de personalidad
costes directos
costes indirectos
fibromiàlgia
trastorns de personalitat
costos directes
costos indirects
Fibromyalgia
Fibromiàlgia
Fibromialgia
title_short Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
title_full Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
title_fullStr Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
title_full_unstemmed Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
title_sort Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: A cross-sectional study
dc.creator.none.fl_str_mv Gumà Uriel, Laura
Peñarrubia-María, M. Teresa
Cerdà Lafont, Marta
Cunillera Puertolas, Oriol
Almeda Ortega, Jesús
Fernandez Vergel, Rita
Garcia-Campayo, Javier
Luciano, Juan Vicente
author Gumà Uriel, Laura
author_facet Gumà Uriel, Laura
Peñarrubia-María, M. Teresa
Cerdà Lafont, Marta
Cunillera Puertolas, Oriol
Almeda Ortega, Jesús
Fernandez Vergel, Rita
Garcia-Campayo, Javier
Luciano, Juan Vicente
author_role author
author2 Peñarrubia-María, M. Teresa
Cerdà Lafont, Marta
Cunillera Puertolas, Oriol
Almeda Ortega, Jesús
Fernandez Vergel, Rita
Garcia-Campayo, Javier
Luciano, Juan Vicente
author2_role author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Parc Sanitari Sant Joan de Déu
Institut Català de la Salut
Hospital Universitario Miguel Servet
Universitat Oberta de Catalunya (UOC)
dc.subject.none.fl_str_mv indirect costs
fibromyalgia syndrome
personality disorders
direct costs
fibromialgia
trastornos de personalidad
costes directos
costes indirectos
fibromiàlgia
trastorns de personalitat
costos directes
costos indirects
Fibromyalgia
Fibromiàlgia
Fibromialgia
topic indirect costs
fibromyalgia syndrome
personality disorders
direct costs
fibromialgia
trastornos de personalidad
costes directos
costes indirectos
fibromiàlgia
trastorns de personalitat
costos directes
costos indirects
Fibromyalgia
Fibromiàlgia
Fibromialgia
description Background, data is lacking on comorbid personality disorders (PD) and fibromyalgia syndrome (FMS) in terms of prevalence, and associated healthcare and societal costs. The main aim of this study was to assess the prevalence of PD in FMS patients and to analyse whether the presence of comorbid PD is related to worse functional impairment and greater healthcare (medical visits, drug consumption, and medical tests) and societal costs. Methods, across-sectional study was performed using the baseline data of 216 FMS patients participating in a randomized, controlled trial carried out in three primary health care centres situated in the region of Barcelona, Spain. Measurement instruments included the International Personality Disorder Examination - Screening Questionnaire (IPDE-SQ), the Fibromyalgia Impact Questionnaire (FIQ), the Client Service Receipt Inventory (CSRI), and a socio-demographic questionnaire. Results, most patients (65 %) had a potential PD according to the IPDE-SQ. The most prevalent PD were the avoidant (41.4 %), obsessive-compulsive (33.1 %), and borderline (27 %). We found statistically significant differences in functional impairment (FIQ scores) between FMS patients with potential PD vs non-PD (59.2 vs 51.1; p < 0.001). Multivariate regression analyses revealed that higher FIQ total scores and the presence of potential PD were related to more healthcare costs (primary and specialised care visits). Conclusions: As expected, PD are frequent comorbid conditions in patients with FMS. Our results suggest that the screening of comorbid PD in patients with FMS might be recommendable in order to detect potential frequent attenders to primary and specialised care.
publishDate 2016
dc.date.none.fl_str_mv 2016
2019
2019
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/10609/92926
url https://hdl.handle.net/10609/92926
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMC Family Practice, 2016, 17(1)
https://bmcfampract.biomedcentral.com/track/pdf/10.1186/s12875-016-0464-5
dc.rights.none.fl_str_mv CC BY
http://creativecommons.org/licenses/by/4.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv CC BY
http://creativecommons.org/licenses/by/4.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv BMC Family Practice
publisher.none.fl_str_mv BMC Family Practice
dc.source.none.fl_str_mv reponame:O2, repositorio institucional de la UOC
instname:Universitat Oberta de Catalunya (UOC)
instname_str Universitat Oberta de Catalunya (UOC)
reponame_str O2, repositorio institucional de la UOC
collection O2, repositorio institucional de la UOC
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869412060837707776
score 15,301603

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