Vural Meltem, Berkol Tonguc Demir, Erdogdu Zeynep, Kucukserat Batuhan, Aksoy Cihan
Istanbul Physical Medicine and Rehabilitation Training Hospital , Istanbul , Turkey.
Mod Rheumatol. 2014 Sep;24(5):823-8. doi: 10.3109/14397595.2013.868069. Epub 2013 Dec 29.
Fibromyalgia syndrome (FMS) is associated with widespread musculoskeletal pain disorder characterized by various symptoms. Our aim was to compare the personality profiles and psychological aspects between FMS patients and control subjects. Additionally, we evaluated the FMS symptoms, pain and functional status. A total of 72 female patients with FMS and 64 age- and sex-matched healthy controls were included.
Visual Analog Scale (VAS), to assess pain and sleep quality, and Fibromyalgia Impact Questionnaire (FIQ), to evaluate the functional status, were used in both groups. We assessed the psychological status with Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and the personality profiles were evaluated with Minnesota Multiphasic Personality Inventory (MMPI).
Total BDI and BAI scores of FMS patients were higher than control subjects (p < 0.01, p < 0.01). In terms of psychopathology, hysteria parameters of MMPI were significantly higher in FMS. MMPI parameters except lie, infrequency, masculinity femininity and hypomania parameters (p > 0.05) were significantly higher in FMS group than the control group.
The results of the present study suggest that there is a relationship between the psychological state and personality characteristics in FMS. Much more research is needed to better define the role of personality characteristics in the pathogenesis and symptoms of FMS.
纤维肌痛综合征(FMS)与以多种症状为特征的广泛肌肉骨骼疼痛障碍相关。我们的目的是比较FMS患者与对照受试者的人格特征和心理方面。此外,我们评估了FMS症状、疼痛和功能状态。共纳入72名患有FMS的女性患者和64名年龄及性别匹配的健康对照者。
两组均使用视觉模拟量表(VAS)评估疼痛和睡眠质量,使用纤维肌痛影响问卷(FIQ)评估功能状态。我们用贝克抑郁量表(BDI)评估心理状态,用贝克焦虑量表(BAI)评估焦虑状态,并用明尼苏达多相人格调查表(MMPI)评估人格特征。
FMS患者的BDI和BAI总分高于对照受试者(p < 0.01,p < 0.01)。在精神病理学方面,FMS患者MMPI的癔症参数显著更高。FMS组中,除说谎、低频、男性化女性化和轻躁狂参数外(p > 0.05),MMPI参数均显著高于对照组。
本研究结果表明,FMS患者的心理状态与人格特征之间存在关联。需要更多研究来更好地确定人格特征在FMS发病机制和症状中的作用。