Ablin Jacob N, Zohar Ada H, Zaraya-Blum Reut, Buskila Dan
Institute of Rheumatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel; Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Department of Clinical Psychology, Ruppin Academic Center , Israel.
PeerJ. 2016 Sep 13;4:e2421. doi: 10.7717/peerj.2421. eCollection 2016.
The current study is an innovative exploratory investigation, aiming at identifying differences in personality profiles within Fibromyalgia Syndrome (FMS) and Chronic Fatigue Syndrome (CFS) patients.
In total, 344 participants (309 female, 35 male) reported suffering from FMS and/or CFS and consented to participate in the study. Participants were recruited at an Israeli FM/CFS patient meeting held in May 2013, and through an announcement posted on several social networks. Participants were asked to complete a research questionnaire, which included FMS criteria and severity scales, and measures of personality, emotional functioning, positivity, social support and subjective assessment of general health. In total, 204 participants completed the research questionnaire (40.7% attrition rate).
A cluster analysis produced two distinct clusters, which differed significantly on psychological variables, but did not differ on demographic variables or illness severity. As compared to cluster number 2 (N = 107), participants classified into cluster number 1 (N = 97) showed a less adaptive pattern, with higher levels of Harm Avoidance and Alexithymia; higher prevalence of Type D personality; and lower levels of Persistence (PS), Reward dependence (RD), Cooperation, Self-directedness (SD), social support and positivity.
The significant pattern of results indicates at least two distinct personality profiles of FM and CFS patients. Findings from this research may help improve the evaluation and treatment of FM and CFS patients, based on each patient's unique needs, psychological resources and weaknesses, as proposed by the current trend of personalized medicine.
本研究是一项创新性探索性调查,旨在确定纤维肌痛综合征(FMS)和慢性疲劳综合征(CFS)患者在人格特征方面的差异。
共有344名参与者(309名女性,35名男性)报告患有FMS和/或CFS,并同意参与该研究。参与者是在2013年5月举行的一次以色列FM/CFS患者会议上招募的,以及通过在几个社交网络上发布的公告招募的。参与者被要求完成一份研究问卷,其中包括FMS标准和严重程度量表,以及人格、情绪功能、积极性、社会支持和总体健康主观评估的测量。共有204名参与者完成了研究问卷(损耗率为40.7%)。
聚类分析产生了两个不同的聚类,它们在心理变量上有显著差异,但在人口统计学变量或疾病严重程度上没有差异。与第2组(N = 107)相比,归入第1组(N = 97)的参与者表现出适应性较差的模式,具有更高的回避伤害和述情障碍水平;D型人格的患病率更高;以及更低的坚持性(PS)、奖励依赖(RD)、合作性、自我导向(SD)、社会支持和积极性水平。
显著的结果模式表明FM和CFS患者至少有两种不同的人格特征。本研究结果可能有助于根据每位患者的独特需求、心理资源和弱点,改进FM和CFS患者的评估和治疗,这是当前个性化医疗趋势所倡导的。