Outlining the psychological profile of persistent depression in Fibromyalgia patients through Personality Assessment Inventory (PAI)

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  • dc.contributor.author Doreste, Andrea
  • dc.contributor.author Pujol, Jesús
  • dc.contributor.author Penelo, Eva
  • dc.contributor.author Pérez Solá, Victor
  • dc.contributor.author Blanco Hinojo, Laura, 1981-
  • dc.contributor.author Martínez-Vilavella, Gerard
  • dc.contributor.author Pardina-Torner, Helena
  • dc.contributor.author Ojeda Morillo, Fabiola Alejandra
  • dc.contributor.author Monfort, Jordi
  • dc.contributor.author Deus, Joan
  • dc.date.accessioned 2025-11-13T14:28:42Z
  • dc.date.available 2025-11-13T14:28:42Z
  • dc.date.issued 2025
  • dc.date.updated 2025-11-13T14:28:42Z
  • dc.description.abstract 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.
  • dc.description.sponsorship This study received partial support from the Ministry of Science and Innovation of Spain (Grant PID2021-127703OB-I00, MICIU/AEI/10.130391/501100011033 and FEDER/UE) and the Agency of University and Research Funding Management of the Catalonia Government within the Research Groups SGR 2017/00717 framework.
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Doreste A, Pujol J, Penelo E, Pérez V, Blanco-Hinojo L, Martínez-Vilavella G, Pardina-Torner H, Ojeda F, Monfort J, Deus J. Outlining the psychological profile of persistent depression in Fibromyalgia patients through Personality Assessment Inventory (PAI). Eur J Investig Health Psychol Educ. 2025 Jan 6;15(1):2. DOI: 10.3390/ejihpe15010002
  • dc.identifier.doi http://dx.doi.org/10.3390/ejihpe15010002
  • dc.identifier.issn 2174-8144
  • dc.identifier.uri http://hdl.handle.net/10230/71878
  • dc.language.iso eng
  • dc.publisher MDPI
  • dc.relation.ispartof European Journal of Investigation in Health, Psychology and Education. 2025;15(1):2
  • dc.relation.projectID info:eu-repo/grantAgreement/ES/3PE/PID2021-127703OB-I00
  • dc.rights © 2025 by the authors. Published by MDPI on behalf of the University Association of Education and Psychology. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.rights.uri http://creativecommons.org/licenses/by/4.0/
  • dc.subject.keyword MCMI-III
  • dc.subject.keyword Personality Assessment Inventory (PAI)
  • dc.subject.keyword Dysthymia
  • dc.subject.keyword Fibromyalgia
  • dc.subject.keyword Major depression
  • dc.subject.keyword Psychopathology
  • dc.title Outlining the psychological profile of persistent depression in Fibromyalgia patients through Personality Assessment Inventory (PAI)
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/publishedVersion

Col·leccions

Articles (Departament de Medicina i Ciències de la Vida)
Articles (Hospital del Mar Research Institute)