1,721,004 research outputs found
ADULT ATTACHMENT STYLE AND HEALTH RELATED QUALITY OF LIFE IN PATIENTS WITH FIBROMYALGIA SYNDROME
No full textPERSONALITY AND PSYCHOPATHOLOGY IN FIBROMYALGIA: A CASE-CONTROL STUDY
No full textAim. The aim of this study was to investigate the prevalence of Personality Disorders and Personality Organization with clinician report interviews in a group of patients with Fibromyalgia (FM), compared to patients with Rheumatoid Arthritis (RA).
Methods. In this cross-sectional study, 32 consecutive female with FM and 39 with RA were assessed by: Structured Interview of Personality Organization (STIPO), Structured Clinical Interview of Personality Disorder (SCID-5-PD), Beck Depression Inventory-II (BDI-II), Toronto Alexithymia Scale (TAS-20), Visual Analogue Scale for pain (VAS), and the SF-36 questionnaire for the Health related Quality of Life.
Results. FM patients reported significantly higher levels of depressive symptoms (p=.012) and difficulty in identifying emotions (p=.021) compared to RA patients, and lower scores for quality of life in both the physical and mental components of the SF-36 (p<.05). Regarding the personality organization, FM patients reported higher score in the identity diffusion, object relations, primitive defense and coping style subscales of the STIPO compared to RA patients (p<.001), suggesting a higher prevalence of borderline level of personality organization in FM patients. The SCID-PD showed that FM patients had a higher prevalence of personality disorders compared to RA patients (p = .001), with 35.5% of FM vs. 5.1% of RA patients showing a personality disorder. Conclusion. The present study revealed a higher prevalence of personality disorders and a more pathological level of personality organization in FM patients compared to RA patients. What is more, FM patients showed higher depressive symptoms and alexithymia, and a lower quality of life than RA patients. Further studies would be needed to better evaluate the impact of personality disorders and pathological levels of personality organization on quality of life in chronic pain patients
Attachment Style and Chronic Pain: Toward an Interpersonal Model of Pain
Full text linkChronic pain (CP) is a burdensome symptom. Different psychological models have been proposed to explain the role of psychological and social factors in developing and maintaining CP. Attachment, for example, is a psychological construct of possible relevance in CP. The first studies on the role of attachment in CP did not investigate the partner's psychological factors, thus neglecting the influence of the latter. The main aim of this mini-review was to examine the more recent literature investigating the relationship between CP and attachment style. In particular, whether or not more recent studies assessed the psychological variables of a patient's partner. The articles were selected from the Medline/PubMed database using the search terms "attachment" AND "pain"; "CP" AND "attachment style," which led to nine papers being identified. The results showed that, even though the key point was still the hypothesis that an insecure attachment style is associated with CP, in recent years researchers have focused on the possible psychological aspects mediating between attachment style and CP. In particular, worrying, coping strategies, catastrophizing and perceived spouse responses to pain behavior were taken into account. Only one study considered the role of the reciprocal influence of attachment style of both patient and partner, underlining the role of real significant others' responses to pain behaviors. In conclusion, the results of the present mini-review highlight how in recent years researchers have moved toward investigating those psychological aspects that could mediate the relationship between attachment and CP, while only partially evaluating the interpersonal perspective
Post-traumatic growth, distress and attachment style among women with breast cancer
Full text linkIdentifying factors fostering post-traumatic growth (PTG) is very
important to promote PTG itself through specific psychological
interventions. To this end, we investigated PTG and its relationship
with clinical and psychological variables in a sample of 108 female
breast cancer survivors. Results showed that women with higher
depressive symptoms presented lower levels of PTG than women
without. Moreover, women who had undergone combined
treatment presented higher levels of PTG than women who had not.
The results highlighted the resulting importance of psychological
intervention focusing on depressive symptoms, which negatively
interfere with the patients’ psychological growth
Traumatic experiences and somatoform dissociation in women with fibromyalgia
Full text linkObjective: Psychological factors like traumatic life events seem to affect the etiopathogenesis and the exacerbation of fibromyalgia (FM), a chronic widespread musculoskeletal pain syndrome. This Study investigated the prevalence of traumatic events, with a particular attention to the whole life span, and both psychoform and somatoform dissociation in patients with FM, compared with healthy controls (HC). In addition, the possible effects of traumatic events and dissociative experiences on FM symptoms have been analyzed. Method: Traumatic experiences, dissociative symptoms, and psychological distress were assessed in 99 consecutive patients with FM and 107 healthy women. Student t-tests for two independent samples were used to determine differences between the FM and HC groups. A hierarchical multiple regression analysis was used to explore the possible contribution of trauma and dissociation to FM symptoms. Results: Results revealed that the levels of both somatoform and psychoform dissociation were higher among patients with FM than HC (p < .001). Moreover, patients with FM experienced significantly more negative life events than HC (p < .001). Finally, the data suggested that the severity of FM disabilities was significantly predicted by the presence of depressive symptoms, somatoform dissociation, cumulative trauma, and educational level. The final Model explained 40% of the variance. Conclusions: Results suggest that the construct of somatoform dissociation could serve as a useful framework to improve our understanding of FM symptoms, and stressed the importance of evaluating the effects of multiple traumas in cumulative form because this has substantial implications for the evaluation and treatment of patients. (PsycInfo Database Record (c) 2021 APA, all rights reserved)
Diagnostic Criteria for Psychosomatic Research: uno studio pilota sulla sindrome fibromialgica
No full text- …
