A meta-analysis of studies with the Minnesota Multiphasic Personality Inventory in fibromyalgia patients

Novo, Rosa; Gonzalez, Bárbara; Peres, Rodrigo Sanches; Aguiar, Pedro

doi:10.1016/j.paid.2017.04.026

Cited by 12 publications

(13 citation statements)

References 49 publications

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“…34 It has been established that patients with chronic pain are more likely to exhibit particular MMPI-2 profiles, known as the "conversion V" or "neurotic triad". 42 Our findings that the Hypochondriasis and Hysteria scores were lower than the Depression scores are consistent with the neurotic triad pattern previously observed in patients with chronic pain. 17,28 The neurotic triad pattern is related to depressive tendencies, introversion, hypochondriacal anxiety, and catastrophizing often involved in pathological conditions associated with chronic pain; it has also been associated with low tolerance for and high sensitivity to pain.…”

Section: Discussionsupporting

confidence: 91%

<p>Psychological Characteristics in Patients with Chronic Complex Regional Pain Syndrome: Comparisons with Patients with Major Depressive Disorder and Other Types of Chronic Pain</p>

Park¹,

Jang²,

Oh³

et al. 2020

JPR

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Objective: This study investigated psychological characteristics of patients with chronic complex regional pain syndrome (CRPS) and examined relationships between psychosocial factors and pain severity. Methods: In total, 76 patients with CRPS, 95 patients with other types of chronic pain, 171 healthy controls, and 66 patients with major depressive disorder (MDD) were included. Minnesota Multiphasic Personality Inventory (MMPI-2) profiles and scores on the Beck Depression Inventory and State-Trait Anxiety Inventory were calculated. Pain intensity was measured using a visual analog scale (VAS). Results: Patients with CRPS scored higher on the Hypochondriasis (Hs), Depression (D), Hysteria (Hy), Paranoia (Pa), and Psychasthenia (Pt) scales of the MMPI-2 compared to healthy controls. The CRPS group scored lower on the D, Psychopathic deviate (Pd), Pa, Pt, Schizophrenia (Sc), and Social introversion (Si) scales compared to the MDD group. Although CRPS patients reported higher levels of pain than patients with other types of pain, the MMPI profiles of the two pain groups did not differ significantly. Linear regression analyses revealed that pain severity was significantly associated with depression and scores on the Masculinity-Femininity (Mf) scale. Conclusion: This is the first comparative study of the psychological characteristics of chronic CRPS patients, healthy controls, and patients with MDD. The neurotic profiles of CRPS patients were more psychologically adaptable than were those of patients with MDD; however, this profile was shared by both pain groups. The present findings further showed that, although pain severity was not a major contributor to depression, patients with CRPS should be evaluated for depressive symptoms.

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Section: Discussionsupporting

confidence: 91%

<p>Psychological Characteristics in Patients with Chronic Complex Regional Pain Syndrome: Comparisons with Patients with Major Depressive Disorder and Other Types of Chronic Pain</p>

Park¹,

Jang²,

Oh³

et al. 2020

JPR

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“…The final number of articles enrolled in this study was 24, of which the full texts were examined independently. We decided to exclude a review about borderline personality disorder [ 31 ] in fibromyalgia because of its focus on a specific psychopathological disorder, a meta-analysis about the use of Minnesota Multiphasic Personality Inventory (MMPI) [ 22 ] in patients with fibromyalgia for its focus on a specific instrument and, lastly, a letter to the editor about perfectionism [ 32 ]. The articles examined for this systematic review were definitively 21.…”

Section: Methodsmentioning

confidence: 99%

“…Another purpose was to shift the overview of fibromyalgia from a peripheral condition concept to a systemic one, to support the multifactorial and complex nature of the disease. For this, new criteria include self-reported evaluations of a Widespread Pain Index and a Symptom Severity Scale which also comprehend cognitive functioning and sleep quality assessment [ 20 ]. The new female: male ratio diagnosed by using the new criteria is 2:1 [ 21 ] and the assessment is made by a global evaluation using a shorter symptoms checklist among other things.…”

Section: Introductionmentioning

confidence: 99%

“…Many studies have focused both on personality traits or particular characteristics and psychopathology aspects in a narrow sense. In this regard, a recent meta-analysis [ 22 ] highlighted significant statistical differences in clinical profiles between FM patients and healthy controls. More specifically, the research group identified three different sub-groups in FM patients: One group with the neurotic triad profile (elevation on hypochondrias, depression and hysteria scores), another group with a normal profile (absence of significant high-ranked scales) and a group with a psychopathological profile (high scores in at least 4 scales).…”

Section: Introductionmentioning

confidence: 99%

“…More specifically, the research group identified three different sub-groups in FM patients: One group with the neurotic triad profile (elevation on hypochondrias, depression and hysteria scores), another group with a normal profile (absence of significant high-ranked scales) and a group with a psychopathological profile (high scores in at least 4 scales). Another recent analysis [ 22 ] investigating several different studies on prevalence of borderline personality disorder in patients with FM and chronic fatigue, showed inconsistent results on prevalence estimation (from 1% to 16.7%). Kayhan et al [ 23 ] demonstrated that, with the exception of histrionic personality disorder, there are no significant differences between FM group and controls.…”

Section: Introductionmentioning

confidence: 99%

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Personality Traits in Fibromyalgia (FM): Does FM Personality Exists? A Systematic Review

Conversano

Marchi

Ciacchini

et al. 2018

CPEMH

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Introduction:Fibromyalgia (FM) is the second most common rheumatic disease with many effects on patient's quality of life. It has been described as a chronic condition characterized by widespread musculo-skeletal pain, sleep disorders and prominent fatigue. Regarding the role of personality factors in fibromyalgia, researchers have focused both on personality traits and psychopathological aspects showing inconsistent results. In particular, several studies have examined the role of alexithymia in FM patients, a trait of personality characterized by difficulty in identification, recognition and description of emotions and feelings, while others have focused on a specific type of personality, such as type D personality (distressed personality). Other studies investigated personality in FM patients referring to Cloninger’s model, a psychobiological model of personality that includes both temperamental and character dimensions of personality. Analyzing scientific literature on this subject seems well suited to provide a critical review of the latest studies and their results.Methods:The method used for this review satisfies the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). We identified PsycInfo and PubMed as databases for our research.Results:Personality is studied under many aspects and a reference model is not always present. Many studies underline high levels of alexithymia and type D personality in FM patients but when depression is controlled, these results do not differ from those of healthy controls.Conclusion:Studies that use a comprehensive model of personality present a different theoretical approach and use alternatively the Big-Five model, Eysenck’s and Cloninger’s models. The use of a comprehensive model of personality and the control of psychopathological disorders, such as anxiety and depression, seem to be very relevant for a better understanding of a specific personality profile associated with fibromyalgia.

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The frequency of psychiatric disorder co‐morbidities in patients with fibromyalgia: A cross‐sectional study in Iran

et al. 2023

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Aim This study aimed to investigate psychiatric disorders in Iranian female patients with fibromyalgia (FM). Design Female patients, newly diagnosed with FM, were interviewed by a psychiatrist for psychiatric assessments during a 2‐year period. Methods The diagnosis of the psychiatric disorders was based on the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM‐5), and sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Results In total, 159 patients with the mean age of 42.15 ± 9.89 were recruited in this study. Over 92% of the cases were also diagnosed with at least one type of psychiatric disorder. Sleep disorders (SDs, 90.57%), mood disorders (MDs, 52.83%), personality disorders (PDs, 40.25%) and anxiety disorders (ADs, 16.98%) were the most prevalent diagnoses among these patients. The logistic regression results correspondingly showed that suffering from Cluster‐B PDs was associated with a higher prevalence rate of somatic symptom disorders (SSDs), with a p‐value of 0.019 and an odds ratio (OR) of 2.7.

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A meta-analysis of studies with the Minnesota Multiphasic Personality Inventory in fibromyalgia patients

Cited by 12 publications

References 49 publications

<p>Psychological Characteristics in Patients with Chronic Complex Regional Pain Syndrome: Comparisons with Patients with Major Depressive Disorder and Other Types of Chronic Pain</p>

<p>Psychological Characteristics in Patients with Chronic Complex Regional Pain Syndrome: Comparisons with Patients with Major Depressive Disorder and Other Types of Chronic Pain</p>

Personality Traits in Fibromyalgia (FM): Does FM Personality Exists? A Systematic Review

The frequency of psychiatric disorder co‐morbidities in patients with fibromyalgia: A cross‐sectional study in Iran

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