Psychological impact of fibromyalgia: current perspectives

Carmen M Galvez-Sánchez, Stefan Duschek, Gustavo A Reyes Del Paso, Carmen M Galvez-Sánchez, Stefan Duschek, Gustavo A Reyes Del Paso

Abstract

Fibromyalgia syndrome (FMS) is a chronic disorder characterized by widespread and persistent musculoskeletal pain and other frequent symptoms such as fatigue, insomnia, morning stiffness, cognitive impairment, depression, and anxiety. FMS is also accompanied by different comorbidities like irritable bowel syndrome and chronic fatigue syndrome. Although some factors like negative events, stressful environments, or physical/emotional traumas may act as predisposing conditions, the etiology of FMS remains unknown. There is evidence of a high prevalence of psychiatric comorbidities in FMS (especially depression, anxiety, borderline personality, obsessive-compulsive personality, and post-traumatic stress disorder), which are associated with a worse clinical profile. There is also evidence of high levels of negative affect, neuroticism, perfectionism, stress, anger, and alexithymia in FMS patients. High harm avoidance together with high self-transcendence, low cooperativeness, and low self-directedness have been reported as temperament and character features in FMS patients, respectively. Additionally, FMS patients tend to have a negative self-image and body image perception, as well as low self-esteem and perceived self-efficacy. FMS reduces functioning in physical, psychological, and social spheres, and also has a negative impact on cognitive performance, personal relationships (including sexuality and parenting), work, and activities of daily life. In some cases, FMS patients show suicidal ideation, suicide attempts, and consummated suicide. FMS patients perceive the illness as a stigmatized and invisible disorder, and this negative perception hinders their ability to adapt to the disease. Psychological interventions may constitute a beneficial complement to pharmacological treatments in order to improve clinical symptoms and reduce the impact of FMS on health-related quality of life.

Keywords: background; fibromyalgia; mood; patients’ experiences; personality; psychological impact.

Conflict of interest statement

Disclosure The authors report no conflicts of interest in this work.

Figures

Figure 1
Figure 1
Hyperalgesia and allodynia. Note: Reprinted from Current Biology, 8(15), Martin WJ, Malmberg AB, Basbaum AI, Pain: nocistatin spells relief, R525–R527, Copyright (1998), with permission from Elsevier.

References

    1. Wolfe F, Walitt B, Perrot S, Rasker JJ, Häuser W. Fibromyalgia diagnosis and biased assessment: sex, prevalence and bias. PLoS One. 2018;13(9):e0203755.
    1. Wolfe F, Clauw DJ, Fitzcharles MA, et al. The American College of rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res (Hoboken) 2010;62(5):600–610.
    1. Arnold LM, Gebke KB, Choy EH. Fibromyalgia: management strategies for primary care providers. Int J Clin Pract. 2016;70:99–112.
    1. Galvez-Sánchez CM. Depression and trait-anxiety mediate the influence of clinical pain on health related quality of life in fibromyalgia. J Affect Disord. 2019
    1. World Health Organization . International Statistical Classification of Diseases and Related Problems. ICD-10. Geneva: WHO; 1992.
    1. de la Coba P, Bruehl S, Moreno-Padilla M, Reyes Del Paso GA. Responses to slowly repeated evoked pain stimuli in fibromyalgia patients: evidence of enhanced pain sensitization. Pain Med. 2017;18(9):1778–1786.
    1. de la Coba P, Bruehl S, Galvez-Sánchez CM, Reyes Del Paso GA. Slowly repeated evoked pain as a marker of central sensitization in fibromyalgia: diagnostic accuracy and reliability in comparison with temporal summation of pain. Psychosom Med. 2018;80(6):573–580.
    1. Montoro CI, Duschek S, de Guevara CM, Reyes Del Paso GA. Patterns of cerebral blood flow modulation during painful stimulation in fibromyalgia: a transcranial Doppler sonography study. Pain Med. 2016;17(12):2256–2267.
    1. Martin WJ, Malmberg AB, Basbaum AI. Pain: nocistatin spells relief. Curr Biol. 1998;8(15):R525–R527.
    1. Gracely RH, Geisser ME, Giesecke T, et al. Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Brain. 2004;127(Pt 4):835–843.
    1. De La Coba P, Bruehl S, Galvez-Sánchez CM, Reyes del Paso GA. Specificity of slowly repeated evoked pain in comparison with traditional pain threshold and tolerance measures in fibromyalgia patients. Psychosom Med. 2018;80(6):573–580.
    1. Farhad K, Oaklander AL. Fibromyalgia and small-fiber polyneuropathy: what’s in a name? Muscle Nerve. 2018;58(5):611–613.
    1. Martínez-Lavín M. Fibromyalgia and small fiber neuropathy: the plot thickens. Clin Rheumatol. 2018;37(12):3167–3171.
    1. Caro XJ, Galbraith RG, Winter EF. Evidence of peripheral large nerve involvement in fibromyalgia: a retrospective review of EMG and nerve conduction findings in 55 FM subjects. Eur J Rheumatol. 2018;5(2):104–110.
    1. Hulens M, Dankaerts W, Stalmans I, et al. Fibromyalgia and unexplained widespread pain: the idiopathic cerebrospinal pressure dysregulation hypothesis. Med Hypotheses. 2018;110:150–154.
    1. Wolfe F, Smythe HA, Yunus MB, et al. The American College of rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum. 1990;33(2):160–172.
    1. Gracely RH, Petzke F, Wolf JM, Clauw DJ. Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthritis Rheum. 2002;46(5):1333–1343.
    1. Raphael KG, Janal MN, Nayak S, Schwartz JE, Gallagher RM. Psychiatric comorbidities in a community sample of women with fibromyalgia. Pain. 2006;124(1–2):117–125.
    1. Nicolson NA, Davis MC, Kruszewski D, Zautra AJ. Childhood maltreatment and diurnal cortisol patterns in women with chronic pain. Psychosom Med. 2010;72(5):471–480.
    1. Low LA, Schweinhardt P. Early life adversity as a risk factor for fibromyalgia in later life. Pain Res Treat. 2012;2012:140832.
    1. Albrecht PJ, Rice FL. Fibromyalgia syndrome pathology and environmental influences on afflictions with medically unexplained symptoms. Rev Environ Health. 2016;31(2):281–294.
    1. Gupta A, Silman AJ. Psychological stress and fibromyalgia: a review of the evidence suggesting a neuroendocrine link. Arthritis Res Ther. 2004;6(3):98–106.
    1. Theoharides TC, Tsilioni I, Arbetman L, Panagiotidou S. Fibromyalgia, a syndrome in search of pathogenesis and therapy. J Pharmacol Exp Ther. 2015;355:255–263.
    1. Häuser W, Galek A, Erbslöh-Möller B, et al. Posttraumatic stress disorder in fibromyalgia syndrome: prevalence, temporal relationship between posttraumatic stress and fibromyalgia symptoms, and impact on clinical outcome. Pain. 2013;154(8):1216–1223.
    1. Williams DA, Clauw DJ. Understanding fibromyalgia: lessons from the broader pain research community. J Pain. 2009;10(8):777–791.
    1. Gonzalez B, Baptista TM, Branco JC, Ferreira AS. Fibromyalgia: antecedent life events, disability, and causal attribution. Psychol Health Med. 2013;18(4):461–470.
    1. Malin K, Littlejohn GO. Personality and fibromyalgia syndrome. Open Rheumatol J. 2012;6(1):273–285.
    1. Van Houdenhove B. Premorbid “overactive” lifestyle and stress-related pain/fatigue syndromes. J Psychosom Res. 2005;58(4):389–390.
    1. Van Houdenhove B, Egle UT. Fibromyalgia: a stress disorder? piecing the biopsychosocial puzzle together. Psychother Psychosom. 2004;73(5):267–275.
    1. Reyes Del Paso GA, Garrido S, Pulgar A, Martín-Vázquez M, Duschek S. Aberrances in autonomic cardiovascular regulation in fibromyalgia syndrome and their relevance for clinical pain reports. Psychosom Med. 2010;72(5):462–470.
    1. Reyes del Paso GA, Garrido S, Pulgar Á, Duschek S, Pulgar A. Autonomic cardiovascular control and responses to experimental pain stimulation in fibromyalgia syndrome. J Psychosom Res. 2011;70(2):125–134.
    1. Horowitz MJ. Stress-response syndromes: a review of posttraumatic and adjustment disorders. Hosp Community Psychiatry. 1986;37(3):241–249.
    1. Mork PJ, Vasseljen O, Nilsen TIL. Association between physical exercise, body mass index, and risk of fibromyalgia: longitudinal data from the Norwegian Nord-Trøndelag health study. Arthritis Care Res (Hoboken) 2010;62(5):611–617.
    1. Muñoz Ladrón de Guevara C, Fernández-Serrano MJ, Reyes del Paso GA, Duschek S. Executive function impairments in fibromyalgia syndrome: relevance of clinical variables and body mass index. PLoS One. 2018;13(4):e0196329.
    1. Racine M, Galán S, de la Vega R, et al. Pain-related activity management patterns and function in patients with fibromyalgia syndrome. Clin J Pain. 2018;34(2):122–129.
    1. Arnold LM, Hudson JI, Hess EV, et al. Family study of fibromyalgia. Arthritis Rheum. 2004;50(3):944–952.
    1. Buskila D, Sarzi-Puttini P. Biology and therapy of fibromyalgia genetic aspects of fibromyalgia syndrome. Arthritis Res Ther. 2006;8(5):218.
    1. Arnold LM, Fan J, Russell IJ, et al. The fibromyalgia family study: a genome-wide linkage scan study. Arthritis Rheum. 2013;65(4):1122–1128.
    1. Wolfe F, Häuser W, Walitt BT, Katz RS, Rasker JJ, Russell AS. Fibro-myalgia and physical trauma: the concepts we invent. J Rheumatol. 2014;41(9):1737–1745.
    1. Freitas RPA, Andrade SC, Spyrides MHC, Albuquerque Barbosa MT, Sousa MBC. Impacts of social support on symptoms in Brazilian women with fibromyalgia. Rev Bras Rheumatol. 2017;57(3):197–203.
    1. Karper WB. Effects of exercise, patient education, and resource support on women with fibromyalgia: an extended long-term study. J Women Aging. 2016;28(6):555–562.
    1. Neuprez A, Crielaard JM. Fibromyalgie: état de la question en 2017 [Fibromyalgia: state of the issue in 2017] Rev Med Liege. 2017;72(6):288–294. French.
    1. Mannerkorpi K, Gard G. Hinders for continued work among persons with fibromyalgia. BMC Musculoskelet Disord. 2012;13(1):96.
    1. Henriksson CM, Liedberg GM, Gerdle B. Women with fibromyalgia: work and rehabilitation. Disabil Rehabil. 2005;27(12):685–694.
    1. Ilmarinen J. Work ability – a comprehensive concept for occupational health research and prevention. Scand J Work Environ Health. 2009;35(1):1–5.
    1. Juuso P, Skär L, Sundin K, Söderberg S. The workplace experiences of women with fibromyalgia. Musculoskeletal Care. 2016;14(2):69–76.
    1. Palstam A, Bjersing JL, Mannerkorpi K. Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health. BMC Public Health. 2012;12(1):1076.
    1. Reisine S, Fifield J, Walsh S, Forrest DD. Employment and health status changes among women with fibromyalgia: a five-year study. Arthritis Rheum. 2008;59(12):1735–1741.
    1. World Health Organization Healthy workplace. Framework and Model. Background and supporting literature and practice 2010. [Accessed September 20, 2018]. Available from: .
    1. Zielinski RE. Assessment of women’s sexual health using a holistic, patient-centered approach. J Midwifery Womens Health. 2013;58(3):321–327.
    1. Shaver JL, Wilbur J, Robinson FP, Wang E, Buntin MS. Women’s health issues with fibromyalgia syndrome. J Womens Health (Larchmt) 2006;15(9):1035–1045.
    1. Kalichman L. Association between fibromyalgia and sexual dysfunction in women. Clin Rheumatol. 2009;28(4):365–369.
    1. Rico-Villademoros F, Calandre EP, Rodríguez-López CM, et al. Sexual functioning in women and men with fibromyalgia. J Sex Med. 2012;9(2):542–549.
    1. Burri A, Greven C, Leupin M, Spector T, Rahman Q. A multivariate twin study of female sexual dysfunction. J Sex Med. 2012;9(10):2671–2681.
    1. Incesu C. Sexual function and dysfunctions. Klinik Psikiyatri. 2004;Ek3:3–13.
    1. Rosenbaum TY. Musculoskeletal pain and sexual function in women. J Sex Med. 2010;7(2 Pt 1):645–653.
    1. Lewis RW, Fugl-Meyer KS, Bosch R, et al. Epidemiology/risk factors of sexual dysfunction. J Sex Med. 2004;1(1):35–39.
    1. Monga TN, Tan G, Ostermann HJ, Monga U, Grabois M. Sexuality and sexual adjustment of patients with chronic pain. Disabil Rehabil. 1998;20(9):317–329.
    1. Ambler N, Williams AC, Hill P, Gunary R, Cratchley G. Sexual difficulties of chronic pain patients. Clin J Pain. 2001;17(2):138–145.
    1. Yilmaz H, Yilmaz SD, Polat HA, Salli A, Erkin G, Ugurlu H. The effects of fibromyalgia syndrome on female sexuality: a controlled study. J Sex Med. 2012;9(3):779–785.
    1. Burri A, Lachance G, Williams FM. Prevalence and risk factors of sexual problems and sexual distress in a sample of women suffering from chronic widespread pain. J Sex Med. 2014;11(11):2772–2784.
    1. Lisboa LL, Sonehara E, Oliveira KC, Andrade SC, Azevedo GD. Kinesiotherapy effect on quality of life, sexual function and climacteric. Clinical nursing research symptoms in women with fibromyalgia. Rev Bras Rheumatol. 2015;55:209–215.
    1. Bazzichi L, Giacomelli C, Rossi A, et al. Fibromyalgia and sexual problems. Reumatismo. 2012;64(4):261–267.
    1. Poh LW, He HG, Chan WCS, et al. Experiences of patients with rheumatoid arthritis: a qualitative study. Clin Nurs Res. 2017;26(3):373–393.
    1. Glass JM. Fibromyalgia and cognition. J Clin Psychiatry. 2008;69(Suppl 2):20–24.
    1. Galvez-Sánchez CM, Reyes Del Paso GA, Duschek S. Cognitive impairments in fibromyalgia syndrome: associations with positive and negative affect, Alexithymia, pain Catastrophizing and self-esteem. Front Psychol. 2018;9:377.
    1. Glass JM, Park DC, Minear M, Crofford LJ. Memory beliefs and function in fibromyalgia patients. J Psychosom Res. 2005;58(3):263–269.
    1. Dailey DL, Keffala VJ, Sluka KA. Do cognitive and physical fatigue tasks enhance pain, cognitive fatigue, and physical fatigue in people with fibromyalgia? Arthritis Care Res (Hoboken) 2015;67(2):288–296.
    1. Duschek S, Werner NS, Winkelmann A, Wankner S. Implicit memory function in fibromyalgia syndrome. Behav Med. 2013;39(1):11–16.
    1. Munguía-Izquierdo D, Legaz-Arrese A, Moliner-Urdiales D, Reverter-Masía J. Neuropsicología de los pacientes con síndrome de fibromialgia: relación con dolor y ansiedad [Neuropsychological performance in patients with fibromyalgia syndrome: relation to pain and anxiety] Psicothema. 2008;20(3):427–431. Spanish.
    1. Reyes Del Paso GA, Pulgar Á, Duschek S, Garrido S. Cognitive impairment in fibromyalgia syndrome: the impact of cardiovascular regulation, pain, emotional disorders and medication. Eur J Pain. 2012;16(3):421–429.
    1. Peñacoba Puente C, Velasco Furlong L, Écija Gallardo C, Cigarán Mén-dez M, Bedmar Cruz D, Fernández-de-Las-Peñas C. Self-efficacy and affect as mediators between pain dimensions and emotional symptoms and functional limitation in women with fibromyalgia. Pain Manag Nurs. 2015;16(1):60–68.
    1. Hassett AL, Simonelli LE, Radvanski DC, Buyske S, Savage SV, Sigal LH. The relationship between affect balance style and clinical outcomes in fibromyalgia. Arthritis Rheum. 2008;59(6):833–840.
    1. Finan PH, Zautra AJ, Davis MC. Daily affect relations in fibromyalgia patients reveal positive affective disturbance. Psychosom Med. 2009;71(4):474–482.
    1. Malin K, Littlejohn GO. Stress modulates key psychological processes and characteristic symptoms in females with fibromyalgia. Clin Exp Rheumatol. 2013;31(6 Suppl 79):64–71.
    1. Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. J Pers Soc Psychol. 1988;54(6):1063–1070.
    1. Glass JM. Review of cognitive dysfunction in fibromyalgia: a convergence on working memory and attentional control impairments. Rheum Dis Clin North Am. 2009;35(2):299–311.
    1. Kivimäki M, Leino-Arjas P, Virtanen M, et al. Work stress and incidence of newly diagnosed fibromyalgia: prospective cohort study. J Psychosom Res. 2004;57(5):417–422.
    1. Van Houdenhove B, Egle U, Luyten P. The role of life stress in fibro-myalgia. Curr Rheumatol Rep. 2005;7(5):365–370.
    1. Ricci A, Bonini S, Continanza M, et al. Worry and anger rumination in fibromyalgia syndrome. Reumatismo. 2016;68(4):195–198.
    1. van Middendorp H, Lumley MA, Jacobs JW, van Doornen LJ, Bijlsma JW, Geenen R. Emotions and emotional approach and avoidance strategies in fibromyalgia. J Psychosom Res. 2008;64(2):159–167.
    1. Sayar K, Gulec H, Topbas M. Alexithymia and anger in patients with fibromyalgia. Clin Rheumatol. 2004;23(5):441–448.
    1. Baastrup S, Schultz R, Brødsgaard I, et al. A comparison of coping strategies in patients with fibromyalgia, chronic neuropathic pain, and pain-free controls. Scand J Psychol. 2016;57(6):516–522.
    1. Montoro CI, Reyes del Paso GA, Duschek S. Alexithymia in fibromyalgia syndrome. Pers Individ Dif. 2016;102:170–179.
    1. Ang DC, Choi H, Kroenke K, Wolfe F. Comorbid depression is an independent risk factor for mortality in patients with rheumatoid arthritis. J Rheumatol. 2005;32(6):1013–1019.
    1. Bazzichi L, Maser J, Piccinni A, et al. Quality of life in rheumatoid arthritis: impact of disability and lifetime depressive spectrum symptomatology. Clin Exp Rheumatol. 2005;23(6):783–788.
    1. Fietta P, Fietta P, Manganelli P. Fibromyalgia and psychiatric disorders. Acta Biomed. 2007;78(2):88–95.
    1. Uçar M, Sarp Ü, Karaaslan Ö, Gül AI, Tanik N, Arik HO. Health anxiety and depression in patients with fibromyalgia syndrome. J Int Med Res. 2015;43(5):679–685.
    1. Pando-Fernández MP. Fibromyalgia and psychotherapy. Rev Digit Med Psicosom Psicoter. 2011;1:1–42.
    1. Coppens E, Van Wambeke P, Morlion B, et al. Prevalence and impact of childhood adversities and post-traumatic stress disorder in women with fibromyalgia and chronic widespread pain. Eur J Pain. 2017;21(9):1582–1590.
    1. Galek A, Erbslöh-Möller B. Mental disorders in patients with fibromyalgia syndrome: screening in centers of different medical specialties. Schmerz Berl Ger. 2013;27:296–304.
    1. Steiner JL, Sm B, Slaven JE. The complex relationship between pain intensity and physical functioning in fibromyalgia: the mediating role of depression. J Appl Biobehav Res. 2017:1–12.
    1. Soriano-Maldonado A, Amris K, Ortega FB, et al. Association of different levels of depressive symptoms with symptomatology, overall disease severity, and quality of life in women with fibromyalgia. Qual Life Res. 2015;24(12):2951–2957.
    1. Alciati A, Sarzi-Puttini P, Batticciotto A, et al. Overactive lifestyle in patients with fibromyalgia as a core feature of bipolar spectrum disorder. Clin Exp Rheumatol. 2012;30(6 Suppl 74):122–128.
    1. Di Tommaso Morrison MC, Carinci F, Lessiani G, et al. Fibromyalgia and bipolar disorder: extent of comorbidity and therapeutic implications. J Biol Regul Homeost Agents. 2017;31(1):17–20.
    1. Thieme K, Turk DC, Flor H. Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables. Psychosom Med. 2004;66(6):837–844.
    1. Staud R, Koo E, Robinson ME, Price DD. Spatial summation of mechanically evoked muscle pain and painful aftersensations in normal subjects and fibromyalgia patients. Pain. 2007;130(1–2):177–187.
    1. Kye SY, Park K. Suicidal ideation and suicidal attempts among adults with chronic diseases: a cross-sectional study. Compr Psychiatry. 2017;73:160–167.
    1. Kurth T, Scher AI. Suicide risk is elevated in migraineurs who have comorbid fibromyalgia. Neurology. 2015;85(12):1012–1013.
    1. Jimenez-Rodríguez I, García-Leiva JM, Jiménez-Rodríguez BM, Condés-Moreno E, Rico-Villademoros F, Calandre EP. Suicidal ideation and the risk of suicide in patients with fibromyalgia: a comparison with non-pain controls and patients suffering from low-back pain. Neuropsychiatr Dis Treat. 2014;10:625–630.
    1. Chen-Chia L, Chun-Hung T, Jiunn-Horng CH. A nationwide population-based cohort study. Medicine. 2016;95(44):e5187.
    1. Calandre EP, Navajas-Rojas MA, Ballesteros J, Garcia-Carrillo J, Gar-cia-Leiva JM, Rico-Villademoros F. Suicidal ideation in patients with fibromyalgia: a cross-sectional study. Pain Pract. 2015;15(2):168–174.
    1. Triñanes Y, González-Villar A, Gómez-Perretta C, Carrillo-de-La-Peña MT. Suicidality in chronic pain: predictors of suicidal ideation in fibromyalgia. Pain Pract. 2015;15(4):323–332.
    1. Calandre EP, Vilchez JS, Molina-Barea R, et al. Suicide attempts and risk of suicide in patients with fibromyalgia: a survey in Spanish patients. Rheumatology (Oxford) 2011;50(10):1889–1893.
    1. Dreyer L, Kendall S, Danneskiold-Samsøe B, Bartels EM, Bliddal H. Mortality in a cohort of Danish patients with fibromyalgia: increased frequency of suicide. Arthritis Rheum. 2010;62(10):3101–3108.
    1. Wolfe F, Hassett AL, Walitt B, Michaud K. Mortality in fibromyalgia: a study of 8,186 patients over thirty-five years. Arthritis Care Res. 2011;63(1):94–101.
    1. Nock MK, Borges G, Bromet EJ, Cha CB, Kessler RC, Lee S. Suicide and suicidal behavior. Epidemiol Rev. 2008;30(1):133–154.
    1. Pigeon WR, Pinquart M, Conner K. Meta-analysis of sleep disturbance and suicidal thoughts and behaviors. J Clin Psychiatry. 2012;73(9):e1160–e1167.
    1. Wojnar M, Ilgen MA, Wojnar J, McCammon RJ, Valenstein M, Brower KJ. Sleep problems and suicidality in the National comorbidity survey replication. J Psychiatr Res. 2009;43(5):526–531.
    1. Kleiman EM, Turner BJ, Chapman AL, Nock MK. Fatigue moderates the relationship between perceived stress and suicidal ideation: evidence from two high-resolution studies. J Clin Child Adolesc Psychol. 2018;47(1):116–130.
    1. Bolton JM, Walld R, Chateau D, Finlayson G, Sareen J. Risk of suicide and suicide attempts associated with physical disorders: a population-based, balancing score-matched analysis. Psychol Med. 2015;45(3):495–504.
    1. Hawton K, van Heeringen K. Suicide. The Lancet. 2009;373(9672):1372–1381.
    1. Nock MK, Borges G, Bromet EJ, et al. Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. Br J Psychiatry. 2008;192(2):98–105.
    1. Johannsson V. Does a fibromyalgia personality exist? J Musculoskel Pain. 1993;1(3–4):245–252.
    1. Uguz F, Ciçek E, Salli A, et al. Axis I and axis II psychiatric disorders in patients with fibromyalgia. Gen Hosp Psychiatry. 2010;32(1):105–107.
    1. Hellström O, Bullington J, Karlsson G, Lindqvist P, Mattsson B. A phenomenological study of fibromyalgia. Patient perspectives. Scandinavian J Primary Health Care. 2009;17(1):11–16.
    1. Fu T, Gamble H, Siddiqui U, Schwartz T. Psychiatric and personality disorder survey of patients with fibromyalgia. Annals Depres Anxiet. 2015;2(6):1064.
    1. Gumà-Uriel L, Peñarrubia-María MT, Cerdà-Lafont M, et al. Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: a cross-sectional study. BMC Fam Pract. 2016;17(1):61.
    1. Herken H, Gürsoy S, Yetkin OEoe, Virit O, Esgi K. Personality characteristics and depression level of the female patients with fibromyalgia syndrome. Int Med J. 2001;8:41–44.
    1. Sirois FM, Molnar DS. Perfectionism and maladaptive coping styles in patients with chronic fatigue syndrome, irritable bowel syndrome and fibromyalgia/arthritis and in healthy controls. Psychother Psychosom. 2014;83(6):384–385.
    1. Castelli L, Tesio V, Colonna F, et al. Alexithymia and psychological distress in fibromyalgia: prevalence and relation with quality of life. Clin Exp Rheumatol. 2012;30(6 Suppl 74):70–77.
    1. Vural M, Berkol TD, Erdogdu Z, Kucukserat B, Aksoy C. Evaluation of personality profile in patients with fibromyalgia syndrome and healthy controls. Mod Rheumatol. 2014;24(5):823–828.
    1. Montoro CI, Reyes del Paso GA. Personality and fibromyalgia: relationships with clinical, emotional, and functional variables. Pers Individ Dif. 2015;85:236–244.
    1. van Middendorp H, Kool MB, van Beugen S, Denollet J, Lumley MA, Geenen R. Prevalence and relevance of type D personality in fibromyalgia. Gen Hosp Psychiatry. 2016;39:66–72.
    1. Denollet J. DS14: standard assessment of negative affectivity, social inhibition, and type D personality. Psychosom Med. 2005;67(1):89–97.
    1. Bucourt E, Martaillé V, Mulleman D, et al. Comparison of the big five personality traits in fibromyalgia and other rheumatic diseases. Joint Bone Spine. 2017;84(2):203–207.
    1. Torres X, Bailles E, Valdes M, et al. Personality does not distinguish people with fibromyalgia but identifies subgroups of patients. Gen Hosp Psychiatry. 2013;35(6):640–648.
    1. Elliott TR, Jackson WT, Layfield M, Kendall D. Personality disorders and response to outpatient treatment of chronic pain. J Clin Psychol Med Settings. 1996;3(3):219–234.
    1. Uomoto JM, Turner JA, Herron LD. Use of the MMPI and MCMI in predicting outcome of lumbar laminectomy. J Clin Psychol. 1988;44(2):191–197.
    1. Uguz F, Kucuk A, Cicek E, et al. Quality of life in rheumatological patients: the impact of personality disorders. Int J Psychiatry Med. 2015;49(3):199–207.
    1. Cloninger C. Personality and Psychopathology. Washington, DC: American Psychiatric Press, Inc; 1999.
    1. Gencay-Can A, Can SS. Temperament and character profile of patients with fibromyalgia. Rheumatol Int. 2012;32(12):3957–3961.
    1. Balbaloglu O, Tanik N, Alpayci M, Hakan AK, Karaahmet E, Inan LE. Paresthesia frequency in fibromyalgia and its effects on personality traits. Int J Rheum Dis. 2018;21(7):1343–1349.
    1. Garcia-Fontanals A, García-Blanco S, Portell M, et al. Cloninger’s psychobiological model of personality and psychological distress in fibromyalgia. Int J Rheum Dis. 2016;19(9):852–863.
    1. Yoon SJ, Jun CS, An HY, Kang HR, Jun TY. Patterns of temperament and character in patients with posttraumatic stress disorder and their association with symptom severity. Compr Psychiatry. 2009;50(3):226–231.
    1. Michielsen HJ, van Houdenhove B, Leirs I, Vandenbroeck A, Onghena P. Depression, attribution style and self-esteem in chronic fatigue syndrome and fibromyalgia patients: is there a link? Clin Rheumatol. 2006;25(2):183–188.
    1. Garaigordobil M. Fibromialgia: discapacidad funcional, autoestima Y perfil de personalidad [Fibromyalgia: functional disability, self-esteem and personality profile] Inf Psicol. 2013;106:4–16. Spanish.
    1. Bandura A. Social Foundations of Thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.
    1. Bandura A. Self-efficacy: The Exercise of Control. New York: Freeman; 1997.
    1. Mannerkorpi K, Svantesson U, Broberg C. Relationships between Performance-based tests and patients’ ratings of activity limitations, self-efficacy, and pain in fibromyalgia. Arch Phys Med Rehabil. 2006;87(2):259–264.
    1. Rasmussen MU, Amris K, Rydahl-Hansen S, et al. Are the changes in observed functioning after multi-disciplinary rehabilitation of patients with fibromyalgia associated with changes in pain self-efficacy? Dis-abil Rehabil. 2017;39(17):1744–1752.
    1. Bandura A, O’Leary A, Taylor CB, Gauthier J, Gossard D. Perceived self-efficacy and pain control: opioid and nonopioid mechanisms. J Pers Soc Psychol. 1987;53(3):563–571.
    1. Vong SK, Cheing GL, Chan CC, Chan F, Leung AS. Measurement structure of the pain self-efficacy questionnaire in a sample of Chinese patients with chronic pain. Clin Rehabil. 2009;23(11):1034–1043.
    1. Denison E, Asenlöf P, Lindberg P. Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain. 2004;111(3):245–252.
    1. Baptista AS, Jones A, Jones A, Jones A. Effectiveness of dance in patients with fibromyalgia: a randomized, single-blind, controlled study. J Natour Clin Exp Rheumatol. 2012;30(6 Suppl 74):18–23.
    1. Bojner Horwitz E, Kowalski J, Theorell T, Anderberg UM. Dance/ movement therapy in fibromyalgia patients: changes in self-figure Drawings and their relation to verbal self-rating scales. Arts Psycho-ther. 2006;33(1):11–25.
    1. Van Houdenhove B, Neerinckx E, Onghena P, Vingerhoets A, Lysens R, Vertommen H. Daily hassles reported by chronic fatigue syndrome and fibromyalgia patients in tertiary care: a controlled quantitative and qualitative study. Psychother Psychosom. 2002;71(4):207–213.
    1. Asbring P. Chronic illness – a disruption in life: identity-transformation among women with chronic fatigue syndrome and fibromyalgia. J Adv Nurs. 2001;34(3):312–319.
    1. Grogan S. Body image and health: contemporary perspectives. J Health Psychol. 2006;11(4):523–530.
    1. Lotze M, Moseley GL. Role of distorted body image in pain. Curr Rheumatol Rep. 2007;9(6):488–496.
    1. Boyington JE, Schoster B, Callahan LF. Comparisons of body image perceptions of a sample of black and white women with rheumatoid arthritis and fibromyalgia in the US. Open Rheumatol J. 2015;9(1):1–7.
    1. Neumann L, Lerner E, Glazer Y, Bolotin A, Shefer A, Buskila D. A cross-sectional study of the relationship between body mass index and clinical characteristics, tenderness measures, quality of life, and physical functioning in fibromyalgia patients. Clin Rheumatol. 2008;27(12):1543–1547.
    1. Kim CH, Luedtke CA, Vincent A, Thompson JM, Oh TH. Association of body mass index with symptom severity and quality of life in patients with fibromyalgia. Arthritis Care Res (Hoboken) 2012;64(2):222–228.
    1. Okifuji A, Bradshaw DH, Olson C. Evaluating obesity in fibromyalgia: neuroendocrine biomarkers, symptoms, and functions. Clin Rheumatol. 2009;28(4):475–478.
    1. Lempp HK, Hatch SL, Carville SF, Choy EH. Patients’ experiences of living with and receiving treatment for fibromyalgia syndrome: a qualitative study. BMC Musculoskelet Disord. 2009;10(1):124.
    1. Arnold LM, Crofford LJ, Mease PJ, et al. Patient perspectives on the impact of fibromyalgia. Patient Educ Couns. 2008;73(1):114–120.
    1. Söderberg S, Strand M, Haapala M, Lundman B. Living with a woman with fibromyalgia from the perspective of the husband. J Adv Nurs. 2003;42(2):143–150.
    1. Thorne SE, Harris SR, Mahoney K, Con A, McGuinness L. The context of health care communication in chronic illness. Patient Educ Couns. 2004;54(3):299–306.
    1. Skuladottir H, Halldorsdottir S. The quest for well-being: self-identified needs of women in chronic pain. Scand J Caring Sci. 2011;25(1):81–91.
    1. West C, Stewart L, Foster K, Usher K. The meaning of resilience to persons living with chronic pain: an interpretive qualitative inquiry. J Clin Nurs. 2012;21(9–10):1284–1292.
    1. Juuso P, Skär L, Olsson M, Söderberg S, et al. Living with a double burden: meanings of pain for women with fibromyalgia. Int J Qual Stud Health Wellbeing. 2011;6(3):7184.
    1. Sim J, Madden S. Illness experience in fibromyalgia syndrome: a metasynthesis of qualitative studies. Soc Sci Med. 2008;67(1):57–67.
    1. Mengshoel AM, Sim J, Ahlsen B, Madden S. Diagnostic experience of patients with fibromyalgia: a meta-ethnography. Chronic Illn. 2018;14(3):194–211.
    1. Briones-Vozmediano E, Vives-Cases C, Ronda-Pérez E, et al. Patients’ and professionals’ views on managing fibromyalgia. Pain Res Manag. 2013;18(1):19–24.
    1. Armentor JL. Living with a contested, stigmatized illness: experiences of managing relationships among women with fibromyalgia. Qual Health Res. 2017;27(4):462–473.
    1. Söderberg S, Lundman B, Norberg A. The meaning of fatigue and tiredness as narrated by women with fibromyalgia and healthy women. J Clin Nurs. 2002;11(2):247–255.
    1. Åsbring P. Chronic illness – a disruption in life: identity-transformation among women with chronic fatigue syndrome and fibromyalgia. J Adv Nurs. 2001;34(3):312–319.
    1. Söderberg S, Lundman B. Transitions experienced by women with fibromyalgia. Health Care Women Int. 2001;22(7):617–631.
    1. Devins G. Enhancing personal control and minimizing illness intrusiveness. In: Kutner N, Cardenas D, Bower J, editors. Maximizing Rehabilitation in Chronic Renal Disease. New York: PMA Publishing; 1989. pp. 109–136.
    1. Devins GM. Psychologically meaningful activity, illness intrusiveness, and quality of life in rheumatic diseases. Arthritis Rheum. 2006;55(2):172–174.
    1. Álvarez-Gallardo IC, Bidonde J, Busch A, et al. Therapeutic validity of exercise interventions in the management of fibromyalgia. J Sports Med Phys Fitness. 2018 Oct 1; Epub.
    1. González E, Elorza J, Failde I. Comorbilidad psiquiátrica Y Fibromialgia. SU efecto sobre La calidad de vida de Los pacientes [Psychiatric comorbidity and Fibromyalgia and Its effect on the quality of life of patients] Actas Esp Psiquiatr. 2010;38:295–300. Spanish.
    1. Assumpção A, Pagano T, Matsutani LA, Ferreira EA, Pereira CA, Marques AP. Quality of life and discriminating power of two questionnaires in fibromyalgia patients: fibromyalgia impact Questionnaire and medical outcomes study 36-Item short-form health survey. Rev Bras Fisioter. 2010;14(4):284–289.
    1. Carville SF, Arendt-Nielsen L, Bliddal H, et al. EULAR EULAR evidence-based recommendations for the management of fibromyalgia syndrome. Ann Rheum Dis. 2008;67(4):536–541.

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