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

Background Fibromyalgia (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 h...

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Autores: Doreste, Andrea, Pujol, Jesus, Penelo, Eva, Pérez, Víctor, Blanco Hinojo, Laura, Martínez Vilavella, Gerard, Pardina Torner, Helena, Ojeda, Fabiola, Monfort, Jordi, Deus, Joan
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2024
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/216513
Acceso en línea:https://hdl.handle.net/2445/216513
Access Level:acceso abierto
Palabra clave:Fibromiàlgia
Psicopatologia
Fibromyalgia
Pathological psychology
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spelling Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impactDoreste, AndreaPujol, JesusPenelo, EvaPérez, VíctorBlanco Hinojo, LauraMartínez Vilavella, GerardPardina Torner, HelenaOjeda, FabiolaMonfort, JordiDeus, JoanFibromiàlgiaPsicopatologiaFibromyalgiaPathological psychologyBackground Fibromyalgia (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.Objective To investigate the psychopathological profile and personality disorders in patients with FM and its relationship impact on this disease.Methods An 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.Results FM 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.Conclusion Recognizing 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.Frontiers Media SA2024info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://hdl.handle.net/2445/216513Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Dipòsit Digital de la UBinstname:Universidad de BarcelonaInglésReproducció del document publicat a: https://doi.org/10.3389/fpsyg.2024.1418644Frontiers in Psychology, 2024, vol. 15https://doi.org/10.3389/fpsyg.2024.1418644cc-by (c) Doreste, Andrea et al., 2024http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:diposit.ub.edu:2445/2165132026-05-27T06:46:51Z
dc.title.none.fl_str_mv Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
title Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
spellingShingle Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
Doreste, Andrea
Fibromiàlgia
Psicopatologia
Fibromyalgia
Pathological psychology
title_short Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
title_full Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
title_fullStr Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
title_full_unstemmed Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
title_sort Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
dc.creator.none.fl_str_mv Doreste, Andrea
Pujol, Jesus
Penelo, Eva
Pérez, Víctor
Blanco Hinojo, Laura
Martínez Vilavella, Gerard
Pardina Torner, Helena
Ojeda, Fabiola
Monfort, Jordi
Deus, Joan
author Doreste, Andrea
author_facet Doreste, Andrea
Pujol, Jesus
Penelo, Eva
Pérez, Víctor
Blanco Hinojo, Laura
Martínez Vilavella, Gerard
Pardina Torner, Helena
Ojeda, Fabiola
Monfort, Jordi
Deus, Joan
author_role author
author2 Pujol, Jesus
Penelo, Eva
Pérez, Víctor
Blanco Hinojo, Laura
Martínez Vilavella, Gerard
Pardina Torner, Helena
Ojeda, Fabiola
Monfort, Jordi
Deus, Joan
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Fibromiàlgia
Psicopatologia
Fibromyalgia
Pathological psychology
topic Fibromiàlgia
Psicopatologia
Fibromyalgia
Pathological psychology
description Background Fibromyalgia (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.Objective To investigate the psychopathological profile and personality disorders in patients with FM and its relationship impact on this disease.Methods An 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.Results FM 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.Conclusion Recognizing 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.
publishDate 2024
dc.date.none.fl_str_mv 2024
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/2445/216513
url https://hdl.handle.net/2445/216513
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fpsyg.2024.1418644
Frontiers in Psychology, 2024, vol. 15
https://doi.org/10.3389/fpsyg.2024.1418644
dc.rights.none.fl_str_mv cc-by (c) Doreste, Andrea et al., 2024
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Doreste, Andrea et al., 2024
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Frontiers Media SA
publisher.none.fl_str_mv Frontiers Media SA
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Dipòsit Digital de la UB
instname:Universidad de Barcelona
instname_str Universidad de Barcelona
reponame_str Dipòsit Digital de la UB
collection Dipòsit Digital de la UB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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