abf0f871182189d190b2015e7fb293fe invheapsy_a2025m1v15i1a2iENG.pdf 1ae02ea3142fa5531f1e013c35d56cfa687aeaa2 invheapsy_a2025m1v15i1a2iENG.pdf 0941c751dd6e3a64895101a1403250ed3db1addb05f517f31dccd3d12ba95a89 invheapsy_a2025m1v15i1a2iENG.pdf Title: Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) Subject: Background: 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). Objective: 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). Method: 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. Results: 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. Conclusions: The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance. Keywords: fibromyalgia; psychopathology; Personality Assessment Inventory (PAI);dysthymia; MCMI-III; major depression Author: Andrea Doreste, Jesus Pujol, Eva Penelo, Víctor Pérez, Laura Blanco-Hinojo, Gerard Martínez-Vilavella, Helena Pardina-Torner, Fabiola Ojeda, Jordi Monfort and Joan Deus Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25 CreationDate: Mon Jan 6 10:23:55 2025 CET ModDate: Mon Jan 6 10:30:59 2025 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 16 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1061071 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- YSPQJI+VnURWPalladioL-Bold Type 1 Custom yes yes yes 10 0 XQZWOA+URWPalladioL-Roma Type 1 Custom yes yes yes 16 0 XMAXNE+URWPalladioL-Bold Type 1 Custom yes yes yes 22 0 APEQMC+URWPalladioL-Ital Type 1 Custom yes yes yes 27 0 KORLVE+VnURWPalladioL Type 1 Custom yes yes yes 32 0 UOKXNL+URWPalladioL-BoldItal Type 1 Custom yes yes yes 67 0 CKBPVA+EURM10 Type 1 Builtin yes yes yes 75 0 CJAGJP+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 92 0 CJAJBC+TimesNewRoman,Bold CID TrueType Identity-H yes yes yes 95 0 CJAJCD+TimesNewRoman CID TrueType Identity-H yes yes yes 101 0 CJAEIE+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 107 0 CJAEIF+PalatinoLinotype CID TrueType Identity-H yes yes yes 110 0 CJAEIG+PalatinoLinotype TrueType WinAnsi yes yes no 116 0 CJAEII+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 119 0 CJAFBH+PalatinoLinotype TrueType MacRoman yes yes no 122 0 CJAEIE+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 129 0 CJAEIF+PalatinoLinotype CID TrueType Identity-H yes yes yes 132 0 CJAEIG+PalatinoLinotype TrueType WinAnsi yes yes no 138 0 CJAEII+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 141 0 CJAFBH+PalatinoLinotype TrueType MacRoman yes yes no 144 0 EILUJF+CMSY10 Type 1 Builtin yes yes yes 151 0 HYYHEA+CMBSY10 Type 1 Builtin yes yes yes 159 0 NJWNDJ+VnURWPalladioL-Italic Type 1 Custom yes yes yes 174 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-01-09 02:39:49 CET RepresentationInformation: invheapsy_a2025m1v15i1a2iENG.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-01-08 16:55:23 CET Size: 1061071 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 534 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Method Destination: section.2 Children: Item: Title: Eligibility Criteria Destination: subsection.2.1 Item: Title: Participants Destination: subsection.2.2 Item: Title: Study Design and Procedure Destination: subsection.2.3 Item: Title: Instruments Destination: subsection.2.4 Item: Title: Data Analysis Destination: subsection.2.5 Item: Title: Results Destination: section.3 Item: Title: Discussion Destination: section.4 Item: Title: References Destination: section.5 Info: Title: Outlining the Psychological Profile of Persistent Depression in Fibromyalgia Patients Through Personality Assessment Inventory (PAI) Author: Andrea Doreste, Jesus Pujol, Eva Penelo, Víctor Pérez, Laura Blanco-Hinojo, Gerard Martínez-Vilavella, Helena Pardina-Torner, Fabiola Ojeda, Jordi Monfort and Joan Deus Subject: Background: 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). Objective: 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). Method: 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. Results: 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. Conclusions: The PAI effectively identifies PDD in FM patients and detects concurrent MD episodes, aiding in better prognostic and therapeutic guidance. 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