Malin Katrina, Littlejohn Geoffrey Owen
Faculty of Medicine, Monash University, Melbourne, VIC 3168, Australia.
Pain Res Treat. 2012;2012:730741. doi: 10.1155/2012/730741. Epub 2012 Feb 19.
Objective. We examined personality traits in young women with FM, in order to seek associations with key psychological processes and clinical symptoms. Methods. Twenty-seven women with FM and 29 age-matched female healthy controls [HC] completed a series of questionnaires examining FM symptoms, personality and psychological variables. Results. Significant differences between characteristic FM symptoms (sleep, pain, fatigue, and confusion) as well as for the psychological variables of depression, anxiety, and stress were found between FM and HC (P < 0.001). Neuroticism was the only subscale of the Big Five Inventory that showed a significant difference between the FM group and HC group [P < 0.05]. Within the FM group, there was a significant association between the level of the neuroticism and each of pain, sleep, fatigue, and confusion, depression, anxiety, and stress (P < 0.05-0.01). The association between the level of neuroticism and the level of stress was the strongest of all variables tested (P < 0.001). Conclusion. The personality trait of neuroticism significantly associates with the key FM characteristics of pain, sleep, fatigue and confusion as well as the common co-morbidities of depression, anxiety and stress. Personality appears to be an important modulator of FM clinical symptoms.
目的。我们对患有纤维肌痛（FM）的年轻女性的人格特质进行了研究，以探寻其与关键心理过程及临床症状之间的关联。方法。27名患有FM的女性和29名年龄匹配的健康对照女性（HC）完成了一系列问卷，这些问卷用于调查FM症状、人格及心理变量。结果。在FM组和HC组之间，FM的特征性症状（睡眠、疼痛、疲劳和迷糊）以及抑郁、焦虑和压力等心理变量存在显著差异（P < 0.001）。神经质是大五人格量表中唯一在FM组和HC组之间显示出显著差异的分量表[P < 0.05]。在FM组内，神经质水平与疼痛、睡眠、疲劳、迷糊、抑郁、焦虑和压力中的每一项之间均存在显著关联（P < .05 - 0.01）。在所有测试变量中，神经质水平与压力水平之间的关联最为强烈（P < 0.001）。结论。神经质这一人格特质与FM的关键特征疼痛、睡眠、疲劳和迷糊以及常见的共病抑郁、焦虑和压力显著相关。人格似乎是FM临床症状的一个重要调节因素。
