Suicidal Ideation Profiles in Patients with Fibromyalgia Using Transdiagnostic Psychological and Fibromyalgia-Associated Variables

Abstract

Several studies have emphasized the heterogeneity of fibromyalgia patients. Furthermore, fibromyalgia patients are considered a high-risk suicide group. The ideation-to-action framework proposes a set of transdiagnostic psychological factors involved in the development of suicidal ideation. The present study aims to explore the existence of different subgroups according to their vulnerability to suicidal ideation through these transdiagnostic psychological variables and a set of variables typically associated with fibromyalgia. In this cross-sectional study, 151 fibromyalgia patients were assessed through the Revised Fibromyalgia Impact Questionnaire, Beck Depression Inventory-II, Plutchik Suicide Risk Scale, Interpersonal Needs Questionnaire, Defeat Scale, Entrapment Scale, Psychache Scale, and Beck Hopelessness Scale. A K-means cluster analysis identified two clusters, one (45.70%) according to a low vulnerability, and a second (54.30%) with a high vulnerability to suicidal ideation. These clusters showed statistically significant differences in suicidal ideation and suicide risk. However, no differences were observed in most socio-demographic variables. In conclusion, fibromyalgia patients who present a clinical condition characterized by a moderate-high degree of physical dysfunction, overall disease impact and intensity of fibromyalgia-associated symptoms, along with a high degree of perceived burdensomeness, thwarted belongingness, defeat, entrapment, psychological pain and hopelessness, form a homogeneous group at high risk for suicidal ideation.

Efficacy of Repetitive Transcranial Magnetic Stimulation in Fibromyalgia: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

“…The improvement in FIQ/FIQR score as well as the secondary outcomes in our study implies that an overall improvement of the total spectrum of problems related to fibromyalgia might exist, which includes fibromyalgia-related symptoms, overall impact, and functional impairment [38]. Considering the high positive correlation between FIQR and suicide risk revealed in previous articles [47,48], as well as higher health economic costs in patients with higher FIQ scores [49], this improvement in the FIQ score has an important impact at both the individual and public health levels.…”

A Latent Profile Analysis of Psychotic Experiences, Non-psychotic Symptoms, Suicidal Ideation and Underlying Mechanisms in a Sample of Adolescents From the General Population

“…To further our understanding of the manifestation of psychopathology in adolescents, several studies have suggested that assessing underlying cognitive and affective processes in conjunction with psychiatric symptoms may be fruitful (34)(35)(36). Examples of such processes are defeat and entrapment, which are considered transdiagnostic mechanisms present in different psychopathological conditions and behaviors (37), including psychosis (38,39) and suicidal behavior (40). Earlier work on linking such processes with psychopathology has found that increased defeat and entrapment are associated with higher intensity of PEs in adolescents (41).…”

Modern Approaches to Physical Therapy in Persons With Arterial Hypertension and Neck Fibromyalgia (Literature Review)

“…Оскільки як в патогенезі АГ, так і в патогенезі ФМ як одну з причин виникнення виділяють порушення балансу вегетативної нервової системи (наприклад, відомо, що у більшості хворих на АГ спостерігається симпатикотонія), а, отже, спостерігають при цьому і супутні когнітивні і психологічні розлади (Galvez-Sánchez et al, 2021;Ordóñez-Carrasco et al, 2020;WHO, 2021), цілком ймовірно, що засоби фізичної терапії і кінезіотерапії, що сприяють відновленню балансу вегетативної нервової системи, позитивно впливатимуть як на перебіг АГ, так і на коморбідну ФМ. Виходячи з наявних відомостей про механізми впливу фізичних чинників і кінезіотерапії, саме ці методи можуть здійснювати суттєвий вплив на швидкість і якість лікування хворих на АГ і ФМ шиї.…”