Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI)
<b>Background:</b> Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more di...
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MDPI AG
2025-01-01
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| Series: | European Journal of Investigation in Health, Psychology and Education |
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| Online Access: | https://www.mdpi.com/2254-9625/15/1/2 |
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| author | Andrea Doreste Jesus Pujol Eva Penelo Víctor Pérez Laura Blanco-Hinojo Gerard Martínez-Vilavella Helena Pardina-Torner Fabiola Ojeda Jordi Monfort Joan Deus |
| author_facet | Andrea Doreste Jesus Pujol Eva Penelo Víctor Pérez Laura Blanco-Hinojo Gerard Martínez-Vilavella Helena Pardina-Torner Fabiola Ojeda Jordi Monfort Joan Deus |
| author_sort | Andrea Doreste |
| collection | DOAJ |
| description | <b>Background:</b> Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more disabling than major depression (MD). <b>Objective:</b> To identify clinical scales and subscales of the Personality Assessment Inventory (PAI) that effectively describe and differentiate the psychological profile of PDD, with or without comorbid MD, in FM patients with PDD previously dimensionally classified by the Millon Clinical Multiaxial Inventory III (MCMI-III). <b>Method:</b> An observational, cross-sectional study was conducted with 66 women (mean age 49.18, SD = 8.09) from Hospital del Mar. The PAI, the MCMI-III, and the Fibromyalgia Impact Questionnaire (FIQ) were used to assess the sample. <b>Results:</b> The PAI showed strong discriminative ability in detecting PDD, characterized by high scores in cognitive and emotional depression and low scores in identity alteration, dominance, and grandeur. High scores in cognitive, emotional, and physiological depression, identity alteration, cognitive anxiety, and suicidal ideation, along with low scores in dominance and grandeur, were needed to detect MD with PDD. Discriminant analysis could differentiate 69.6–73.9% of the PDD group and 84.6% of the PDD+MD group. Group comparisons showed that 72.2% of patients with an affective disorder by PAI were correctly classified in the MCMI-III affective disorder group, and 70% without affective disorder were correctly classified. <b>Conclusions:</b> The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance. |
| format | Article |
| id | doaj-art-a4d042926f9e4309b1e0a0e50b9ad405 |
| institution | Kabale University |
| issn | 2174-8144 2254-9625 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
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| series | European Journal of Investigation in Health, Psychology and Education |
| spelling | doaj-art-a4d042926f9e4309b1e0a0e50b9ad4052025-01-24T13:30:39ZengMDPI AGEuropean Journal of Investigation in Health, Psychology and Education2174-81442254-96252025-01-01151210.3390/ejihpe15010002Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI)Andrea Doreste0Jesus Pujol1Eva Penelo2Víctor Pérez3Laura Blanco-Hinojo4Gerard Martínez-Vilavella5Helena Pardina-Torner6Fabiola Ojeda7Jordi Monfort8Joan Deus9Department of Clinical and Health Psychology, Autonomous University of Barcelona, 08193 Bellaterra, SpainMRI Research Unit, Radiology Department, Hospital del Mar, 08003 Barcelona, SpainDepartament de Psicobiologia i de Metodologia de les Ciències de la Salut, Universitat Autònoma de Barcelona, 08193 Bellaterra, SpainCentro de Investigación Biomédica en Red de Salud Mental (CIBERSAM G21), Instituto de Salud Carlos III, 08036 Barcelona, SpainMRI Research Unit, Radiology Department, Hospital del Mar, 08003 Barcelona, SpainMRI Research Unit, Radiology Department, Hospital del Mar, 08003 Barcelona, SpainCognition and Brain Plasticity Unit (Bellvitge Biomedical Research Institute–IDIBELL), 08908 Barcelona, SpainRheumatology Department, Hospital del Mar, 08003 Barcelona, SpainRheumatology Department, Hospital del Mar, 08003 Barcelona, SpainDepartment of Clinical and Health Psychology, Autonomous University of Barcelona, 08193 Bellaterra, Spain<b>Background:</b> Fibromyalgia (FM) is a complex condition marked by increased pain sensitivity and central sensitization. Studies often explore the link between FM and depressive anxiety disorders, but few focus on dysthymia or persistent depressive disorder (PDD), which can be more disabling than major depression (MD). <b>Objective:</b> To identify clinical scales and subscales of the Personality Assessment Inventory (PAI) that effectively describe and differentiate the psychological profile of PDD, with or without comorbid MD, in FM patients with PDD previously dimensionally classified by the Millon Clinical Multiaxial Inventory III (MCMI-III). <b>Method:</b> An observational, cross-sectional study was conducted with 66 women (mean age 49.18, SD = 8.09) from Hospital del Mar. The PAI, the MCMI-III, and the Fibromyalgia Impact Questionnaire (FIQ) were used to assess the sample. <b>Results:</b> The PAI showed strong discriminative ability in detecting PDD, characterized by high scores in cognitive and emotional depression and low scores in identity alteration, dominance, and grandeur. High scores in cognitive, emotional, and physiological depression, identity alteration, cognitive anxiety, and suicidal ideation, along with low scores in dominance and grandeur, were needed to detect MD with PDD. Discriminant analysis could differentiate 69.6–73.9% of the PDD group and 84.6% of the PDD+MD group. Group comparisons showed that 72.2% of patients with an affective disorder by PAI were correctly classified in the MCMI-III affective disorder group, and 70% without affective disorder were correctly classified. <b>Conclusions:</b> The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance.https://www.mdpi.com/2254-9625/15/1/2fibromyalgiapsychopathologyPersonality Assessment Inventory (PAI)dysthymiaMCMI-IIImajor depression |
| spellingShingle | Andrea Doreste Jesus Pujol Eva Penelo Víctor Pérez Laura Blanco-Hinojo Gerard Martínez-Vilavella Helena Pardina-Torner Fabiola Ojeda Jordi Monfort Joan Deus Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) European Journal of Investigation in Health, Psychology and Education fibromyalgia psychopathology Personality Assessment Inventory (PAI) dysthymia MCMI-III major depression |
| title | Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) |
| title_full | Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) |
| title_fullStr | Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) |
| title_full_unstemmed | Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) |
| title_short | Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) |
| title_sort | outlining the psychological profile of persistent depression in fibromyalgia patients through personality assessment inventory pai |
| topic | fibromyalgia psychopathology Personality Assessment Inventory (PAI) dysthymia MCMI-III major depression |
| url | https://www.mdpi.com/2254-9625/15/1/2 |
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