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Clin Exp Rheumatol. 2017 May-Jun;35 Suppl 105(3):13-19. Epub 2016 Oct 20.

The influence of depression on personality traits in patients with fibromyalgia: a case-control study.

Author information

1
Department and Institute of Psychiatry, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil.
2
Department of Medical Clinic II, Rheumatology Service, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil.
3
Department of Neurology, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil.
4
Icahn School of Medicine at Mount Sinai, New York, USA.
5
Division of Psychology, Central Institute, Clinical Hospital, University of São Paulo School of Medicine, São Paulo, Brazil.
6
Department and Institute of Psychiatry, Clinical Hospital, University of São Paulo School of Medicine; and Laboratory of Psychiatric Neuroimaging (LIM-21) and Division of Psychiatry and Psychology, University Hospital, University of São Paulo, Brazil.

Abstract

OBJECTIVES:

We developed this study to investigate the association of fibromyalgia with personality traits, controlling for depression and other potential confounders.

METHODS:

We assessed personality traits using the Cloninger's Temperament and Character Inventory (TCI) in 78 female patients with fibromyalgia and in a control group of 78 subjects without fibromyalgia. The Mini-International Neuropsychiatric Interview was used to assess depression and anxiety diagnoses. To investigate the association between fibromyalgia and the Cloninger's Temperament and Character Inventory we performed unadjusted and adjusted analyses of covariance, using the TCI score as dependent variable and adjusting the model for depression, anxiety and for clinical and socio-demographic variables. We used a backward selection method to choose the final model.

RESULTS:

In the unadjusted analysis, fibromyalgia was associated with all personality traits, except persistency. After adjusting for depression and anxiety, patients with fibromyalgia presented decreased novelty seeking compared to controls; the differences in other personality traits were no longer significant. Novelty seeking was also correlated with the length of history of fibromyalgia and pain intensity.

CONCLUSIONS:

Decreased novelty seeking may be a personality trait associated with fibromyalgia. Depression and anxiety should be considered potential confounders in the evaluation of personality traits in this population.

PMID:
27782872
[Indexed for MEDLINE]

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