Depression symptoms are associated with key health outcomes in women with fibromyalgia: a cross-sectional study

Pozo-Cruz, Jesús del; Alfonso-Rosa, Rosa M.; Castillo-Cuerva, Alejandro; Sañudo, Borja; Nolan, Paul; Pozo-Cruz, Borja del

doi:10.1111/1756-185x.12564

Cited by 20 publications

(15 citation statements)

References 34 publications

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“…18 Furthermore, psychological symptoms were found to be associated with disease severity, poor physical fitness and deterioration in quality of life (QoL) in the patients with FM. 19 Type D personality is a distressed personality type involving two personality traits, namely negative affectivity and social inhibition, which are described as tendency to experience negative emotions and to inhibit self-expression in social relationships, respectively. 20 Individuals with negative affectivity commonly concentrate on negative aspects of life and are likely to experience negative feelings such as distress, dissatisfaction, irritability, anxiety and depression.…”

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confidence: 99%

Type D Personality is Associated With Disease Severity and Poor Quality of Life in Turkish Patients With Fibromyalgia Syndrome: A Cross-Sectional Study

Garip

Güler²,

Tuncer

et al. 2020

Arch Rheumatol

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Objectives: This study aims to investigate the rate of type D personality in Turkish patients with fibromyalgia (FM) and evaluate its associations with clinical parameters of FM as well as its effects on health-related quality of life (HRQoL). Patients and methods: The study included 100 patients with FM (14 males, 86 females; mean age 34.6±7.4 years; range, 22 to 49 years) fulfilling 1990 American College of Rheumatology diagnostic criteria and 50 healthy controls (9 males, 41 females; mean age 32.6±6.5 years; range, 21 to 50 years). Type D personality was assessed using the type D scale-14 (DS-14). FM disease severity was determined by Fibromyalgia Impact Questionnaire (FIQ), functional status by Stanford Health Assessment Questionnaire (HAQ), and HRQoL by Nottingham Health Profile (NHP). Severity of pain and fatigue were measured by visual analog scale (VAS). Results: The frequency of type D personality was 33% in FM patients and 12% in controls (odds ratio=3.612, 95% confidence interval 1.398-9.333) (p=0.006). Type D FM patients scored higher in tender point count (TPC), FIQ, HAQ, VAS-pain and all NHP subgroups except energy (p<0.01). Type D personality was found to be correlated with FIQ, TPC, HAQ, VAS-pain and NHP subgroups except energy (p<0.01). Conclusion: Based on our findings, assessment of personality characteristics of patients with FM may hold the key for the treatment of the disease. Besides, a better understanding of personality-related pain in FM patients may provide a more targeted approach to pain treatment.

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confidence: 99%

Type D Personality is Associated With Disease Severity and Poor Quality of Life in Turkish Patients With Fibromyalgia Syndrome: A Cross-Sectional Study

Garip

Güler²,

Tuncer

et al. 2020

Arch Rheumatol

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“…Of interest, among patients who moved to a worse cluster, the symptoms that drove the change were predominantly depression and anxiety. This is not surprising since previous studies report the detrimental effects of comorbid depression and anxiety on overall symptom severity [ 42 , 43 ] and because of the bidirectional effect of depression in samples of patients with fibromyalgia [ 44 ]. Research has also demonstrated that patients with fibromyalgia with comorbid mood disorders and anxiety tend to have poorer outcomes than patients with predominantly physical and lower psychological symptoms [ 42 ].…”

Section: Discussionmentioning

confidence: 80%

“…This is not surprising since previous studies report the detrimental effects of comorbid depression and anxiety on overall symptom severity [ 42 , 43 ] and because of the bidirectional effect of depression in samples of patients with fibromyalgia [ 44 ]. Research has also demonstrated that patients with fibromyalgia with comorbid mood disorders and anxiety tend to have poorer outcomes than patients with predominantly physical and lower psychological symptoms [ 42 ]. Our finding that mood and anxiety tended to drive changes in cluster categorization highlights the importance of regular mood and anxiety assessment and referral to mental health specialists, as appropriate, in patients with fibromyalgia who have worsening symptoms.…”

Section: Discussionmentioning

confidence: 80%

Longitudinal stability of fibromyalgia symptom clusters

et al. 2018

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BackgroundUsing self-report questionnaires of key fibromyalgia symptom domains (pain, fatigue, sleep disturbance, function, stiffness, dyscognition, depression, and anxiety), we previously identified four unique symptom clusters. The purpose of this study was to examine the stability of fibromyalgia symptom clusters between baseline and 2-year follow-up.MethodsWomen with a diagnosis of fibromyalgia completed the Brief Pain Inventory, Profile of Mood States, Medical Outcomes Study Sleep measure, Multidimensional Fatigue Inventory, Multiple Ability Self-Report Questionnaire, Revised Fibromyalgia Impact Questionnaire, and the 36-Item Short Form Survey Instrument at baseline. Follow-up measures were completed approximately 2 years later. The hierarchical agglomerative clustering algorithm previously developed was applied; agreement between baseline and follow-up was assessed with the κ statistic.ResultsAmong 433 participants, the mean age was 56 (range 20–85) years. The median Revised Fibromyalgia Impact Questionnaire total score was 57 (range 8–96). More than half of participants (58%) remained in the same cluster at follow-up as at baseline, which represented moderate agreement between baseline and follow-up (κ = 0.44, 95% confidence interval (CI) 0.37–0.50). Only two patients changed from high symptom intensity to low symptom intensity; similarly, only three moved from low to high.ConclusionsFibromyalgia patients classified into four unique symptom clusters based on the key domains of pain, fatigue, sleep disturbance, function, stiffness, dyscognition, depression, and anxiety showed moderate stability in cluster assignment after 2 years. Few patients moved between the two extremes of severity, and it was slightly more common to move to a lower symptom level than to worsen.Trial registrationNot applicable.

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Section: Discussionmentioning

confidence: 94%

Longitudinal stability of fibromyalgia symptom clusters

Hoskin

Vincent

Whipple

et al. 2018

The Journal of Pain

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Depression symptoms are associated with key health outcomes in women with fibromyalgia: a cross-sectional study

Abstract: Depressed women with FM exhibited higher symptom severity and reported worse physical fitness and quality of life than their non-depressed peers.

Cited by 20 publications

References 34 publications

Type D Personality is Associated With Disease Severity and Poor Quality of Life in Turkish Patients With Fibromyalgia Syndrome: A Cross-Sectional Study

Type D Personality is Associated With Disease Severity and Poor Quality of Life in Turkish Patients With Fibromyalgia Syndrome: A Cross-Sectional Study

Longitudinal stability of fibromyalgia symptom clusters

Longitudinal stability of fibromyalgia symptom clusters

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