Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI)
Background: Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more disabling than major...
| Autores: | , , , , , , , , , |
|---|---|
| Tipo de recurso: | artículo |
| Fecha de publicación: | 2025 |
| País: | España |
| Institución: | Universitat Autònoma de Barcelona |
| Repositorio: | Dipòsit Digital de Documents de la UAB |
| Idioma: | inglés |
| OAI Identifier: | oai:ddd.uab.cat:305661 |
| Acceso en línea: | https://ddd.uab.cat/record/305661 https://dx.doi.org/urn:doi:10.3390/ejihpe15010002 |
| Access Level: | acceso abierto |
| Palabra clave: | Fibromyalgia Psychopathology Personality Assessment Inventory (PAI) Dysthymia MCMI-III Major depression |
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Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI)Doreste Soler, Andrea|||0000-0002-7213-2550Pujol Nuez, Jesús|||0000-0002-9946-4547Penelo Werner, Eva|||0000-0001-6796-7660Pérez Solà, Víctor|||0000-0002-5825-2337Blanco Hinojo, Laura, 1981-Martinez Vilavella, Gerard|||0000-0001-8948-4918Pardina-Torner, Helena|||0000-0002-0720-3412Ojeda, Fabiola|||0000-0002-6734-9288Monfort, Jordi|||0000-0002-9103-661XDeus Yela, Juan|||0000-0002-3305-2662FibromyalgiaPsychopathologyPersonality Assessment Inventory (PAI)DysthymiaMCMI-IIIMajor depressionBackground: Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more disabling than major depression (MD). Objective: To identify clinical scales and subscales of the Personality Assessment Inventory (PAI) that effectively describe and differentiate the psychological profile of PDD, with or without comorbid MD, in FM patients with PDD previously dimensionally classified by the Millon Clinical Multiaxial Inventory III (MCMI-III). Method: An observational, cross-sectional study was conducted with 66 women (mean age 49.18, SD = 8.09) from Hospital del Mar. The PAI, the MCMI-III, and the Fibromyalgia Impact Questionnaire (FIQ) were used to assess the sample. Results: The PAI showed strong discriminative ability in detecting PDD, characterized by high scores in cognitive and emotional depression and low scores in identity alteration, dominance, and grandeur. High scores in cognitive, emotional, and physiological depression, identity alteration, cognitive anxiety, and suicidal ideation, along with low scores in dominance and grandeur, were needed to detect MD with PDD. Discriminant analysis could differentiate 69.6-73.9% of the PDD group and 84.6% of the PDD+MD group. Group comparisons showed that 72.2% of patients with an affective disorder by PAI were correctly classified in the MCMI-III affective disorder group, and 70% without affective disorder were correctly classified. Conclusions: The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance. 22025-01-0120252025-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/305661https://dx.doi.org/urn:doi:10.3390/ejihpe15010002reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengAgencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-127703OB-I00Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-00717open accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3056612026-06-06T12:50:31Z |
| dc.title.none.fl_str_mv |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| title |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| spellingShingle |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) Doreste Soler, Andrea|||0000-0002-7213-2550 Fibromyalgia Psychopathology Personality Assessment Inventory (PAI) Dysthymia MCMI-III Major depression |
| title_short |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| title_full |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| title_fullStr |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| title_full_unstemmed |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| title_sort |
Outlining the psychological profile of persistent depression in fibromyalgia patients through Personality Assessment Inventory (PAI) |
| dc.creator.none.fl_str_mv |
Doreste Soler, Andrea|||0000-0002-7213-2550 Pujol Nuez, Jesús|||0000-0002-9946-4547 Penelo Werner, Eva|||0000-0001-6796-7660 Pérez Solà, Víctor|||0000-0002-5825-2337 Blanco Hinojo, Laura, 1981- Martinez Vilavella, Gerard|||0000-0001-8948-4918 Pardina-Torner, Helena|||0000-0002-0720-3412 Ojeda, Fabiola|||0000-0002-6734-9288 Monfort, Jordi|||0000-0002-9103-661X Deus Yela, Juan|||0000-0002-3305-2662 |
| author |
Doreste Soler, Andrea|||0000-0002-7213-2550 |
| author_facet |
Doreste Soler, Andrea|||0000-0002-7213-2550 Pujol Nuez, Jesús|||0000-0002-9946-4547 Penelo Werner, Eva|||0000-0001-6796-7660 Pérez Solà, Víctor|||0000-0002-5825-2337 Blanco Hinojo, Laura, 1981- Martinez Vilavella, Gerard|||0000-0001-8948-4918 Pardina-Torner, Helena|||0000-0002-0720-3412 Ojeda, Fabiola|||0000-0002-6734-9288 Monfort, Jordi|||0000-0002-9103-661X Deus Yela, Juan|||0000-0002-3305-2662 |
| author_role |
author |
| author2 |
Pujol Nuez, Jesús|||0000-0002-9946-4547 Penelo Werner, Eva|||0000-0001-6796-7660 Pérez Solà, Víctor|||0000-0002-5825-2337 Blanco Hinojo, Laura, 1981- Martinez Vilavella, Gerard|||0000-0001-8948-4918 Pardina-Torner, Helena|||0000-0002-0720-3412 Ojeda, Fabiola|||0000-0002-6734-9288 Monfort, Jordi|||0000-0002-9103-661X Deus Yela, Juan|||0000-0002-3305-2662 |
| author2_role |
author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Fibromyalgia Psychopathology Personality Assessment Inventory (PAI) Dysthymia MCMI-III Major depression |
| topic |
Fibromyalgia Psychopathology Personality Assessment Inventory (PAI) Dysthymia MCMI-III Major depression |
| description |
Background: Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more disabling than major depression (MD). Objective: To identify clinical scales and subscales of the Personality Assessment Inventory (PAI) that effectively describe and differentiate the psychological profile of PDD, with or without comorbid MD, in FM patients with PDD previously dimensionally classified by the Millon Clinical Multiaxial Inventory III (MCMI-III). Method: An observational, cross-sectional study was conducted with 66 women (mean age 49.18, SD = 8.09) from Hospital del Mar. The PAI, the MCMI-III, and the Fibromyalgia Impact Questionnaire (FIQ) were used to assess the sample. Results: The PAI showed strong discriminative ability in detecting PDD, characterized by high scores in cognitive and emotional depression and low scores in identity alteration, dominance, and grandeur. High scores in cognitive, emotional, and physiological depression, identity alteration, cognitive anxiety, and suicidal ideation, along with low scores in dominance and grandeur, were needed to detect MD with PDD. Discriminant analysis could differentiate 69.6-73.9% of the PDD group and 84.6% of the PDD+MD group. Group comparisons showed that 72.2% of patients with an affective disorder by PAI were correctly classified in the MCMI-III affective disorder group, and 70% without affective disorder were correctly classified. Conclusions: The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2 2025-01-01 2025 2025-01-01 |
| dc.type.none.fl_str_mv |
Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| dc.type.openaire.fl_str_mv |
info:eu-repo/semantics/article |
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article |
| dc.identifier.none.fl_str_mv |
https://ddd.uab.cat/record/305661 https://dx.doi.org/urn:doi:10.3390/ejihpe15010002 |
| url |
https://ddd.uab.cat/record/305661 https://dx.doi.org/urn:doi:10.3390/ejihpe15010002 |
| dc.language.none.fl_str_mv |
Inglés eng |
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Inglés |
| language |
eng |
| dc.relation.none.fl_str_mv |
Agencia Estatal de Investigación https://doi.org/10.13039/501100011033 PID2021-127703OB-I00 Agència de Gestió d'Ajuts Universitaris i de Recerca https://doi.org/10.13039/501100003030 2017/SGR-00717 |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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info:eu-repo/semantics/openAccess |
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open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/ |
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openAccess |
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application/pdf |
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