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从社会心理角度对纤维肌痛的特征描述

Fibromyalgia characterization in a psychosocial approach.

作者信息

Gonzalez Barbara, Baptista Telmo M, Branco Jaime C, Novo Rosa F

机构信息

a COPELabs - Cognition and Computing-centric Laboratories , University Lusófona of Humanities and Technologies , Lisbon , Portugal.

出版信息

Psychol Health Med. 2015;20(3):363-8. doi: 10.1080/13548506.2014.931590. Epub 2014 Jun 25.

Abstract

This study aimed to characterize a group of women diagnosed with fibromyalgia, evaluating the relationship between personality and psychopathology, health status (disability, physical health, mental health, and pain), and potentially traumatic life events (PTLE) before the onset of the syndrome. The disability caused by fibromyalgia, physical and mental health status, pain, PTLE in childhood and in the course of life, and personality were assessed in a sample of 50 women with fibromyalgia, age 25-70 years (M = 46.96; SD = 10.96). A multiple correspondence analysis with all the variables identified two types of profiles and a K-Means cluster analysis confirmed two groups of patients: cluster 1 (n = 36), with better health and less psychopathological problems, named "Better adjustment" and cluster 2 (n = 14), with less health and more personality problems, named "Disorder and disability." Pertaining to personality only, a K-Means cluster analysis replicated the three classic personality profiles (normal, neurotic, and psychopathological) identified in chronic pain patients; and the normal profile was the more prevalent (n = 22). The results enhance the importance of recognizing the heterogeneity of fibromyalgia population and the great closeness between personality and physical health, with the PTLE having a less important role than expected.

摘要

本研究旨在对一组被诊断为纤维肌痛的女性进行特征描述,评估人格与精神病理学、健康状况(残疾、身体健康、心理健康和疼痛)以及该综合征发作前潜在的创伤性生活事件(PTLE)之间的关系。在50名年龄在25至70岁(M = 46.96;SD = 10.96)的纤维肌痛女性样本中,评估了纤维肌痛导致的残疾、身心健康状况、疼痛、童年及一生中的PTLE以及人格。对所有变量进行的多重对应分析确定了两种类型的概况,K均值聚类分析确认了两组患者:第1组(n = 36),健康状况较好且精神病理学问题较少,命名为“更好的适应”;第2组(n = 14),健康状况较差且人格问题较多,命名为“紊乱与残疾”。仅就人格而言,K均值聚类分析重现了慢性疼痛患者中确定的三种经典人格概况(正常、神经质和精神病理学);正常概况最为普遍(n = 22)。研究结果凸显了认识纤维肌痛人群异质性以及人格与身体健康之间紧密联系的重要性,同时PTLE的作用比预期的要小。

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