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

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• dc.contributor.author Doreste, Andrea
• dc.contributor.author Pujol, Jesús
• dc.contributor.author Penelo, Eva
• 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 2025-03-28T07:12:50Z
• dc.date.available 2025-03-28T07:12:50Z
• dc.date.issued 2024
• dc.description.abstract 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.
• dc.description.sponsorship The author(s) declare that financial support was received for the research, authorship, and/or publication of this article. This study received partial support from the Ministry of Science and Innovation of Spain (Grant PID2021-127703OB-I00) 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, et al. Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact. Front Psychol. 2024 Sep 12;15:1418644. DOI: 10.3389/fpsyg.2024.1418644
• dc.identifier.doi http://dx.doi.org/10.3389/fpsyg.2024.1418644
• dc.identifier.issn 1664-1078
• dc.identifier.uri http://hdl.handle.net/10230/70040
• dc.language.iso eng
• dc.publisher Frontiers
• dc.relation.ispartof Front Psychol. 2024 Sep 12;15:1418644
• dc.relation.projectID info:eu-repo/grantAgreement/ES/3PE/PID2021-127703OB-I00
• dc.rights © 2024 Doreste, Pujol, Penelo, Pérez, Blanco-Hinojo, Martínez-Vilavella, Pardina-Torner, Ojeda, Monfort and Deus. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Disease impact
• dc.subject.keyword Fibromyalgia
• dc.subject.keyword Fibromyalgia impact questionnaire (FIQ)
• dc.subject.keyword Personality assessment inventory (PAI)
• dc.subject.keyword Psychopathology
• dc.title Exploring the psychopathological profile of fibromyalgia: insights from the personality assessment inventory and its association with disease impact
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion