9723242fe14638678d49f8c2b8800d4d ejihpe-15-00149.pdf 9b97a38a54e91fed53692e536d57e069f2928b6a ejihpe-15-00149.pdf 2966f6637b4696c9f7b355506279beb29a03fee5d1f4371c93e875d212d37ca7 ejihpe-15-00149.pdf Title: Personality Assessment Inventory in Fibromyalgia: Links to Functional, Physical–Somatic, and Emotional Impact Subject: Background: Fibromyalgia (FM) is a chronic condition characterized by widespread pain, fatigue, cognitive difficulties, and psychological symptoms. Patients often present distinct personality traits and psychopathological patterns associated with symptom severity. Objective: To examine psychopathological profiles in FM patients based on functional, physical–somatic, and emotional impairment domains, as well as on cumulative disease severity. Materials and Methods: A cross-sectional study was conducted with 70 women clinically diagnosed with FM at a specialized Fibromyalgia Unit. Psychological functioning was assessed using the Personality Assessment Inventory, and disease impact was measured with the Fibromyalgia Impact Questionnaire. Hierarchical cluster analyses were used to classify participants into mild and severe clusters across FIQ domains, and psychological profiles were compared. Results: Patients with severe functional impairment had more affective dysregulation (76.43 vs. 70.20, p < 0.01) and somatic complaints (85.57 vs. 79.76, p < 0.05) than those with mild impairment. The severe–physical cluster showed greater mood instability, somatization, and suicidal ideation (60.94 vs. 53.61, p < 0.05). The severe–emotional cluster had higher rates of major depression (85.71% vs. 64.28%) and persistent depressive disorder (76.19% vs. 70.61%, p < 0.05). Severe showed more emotional instability and somatization, distinguishing it from mild. Greater cumulative severity intensified depressive and somatic disorders. Discussion: Findings support FM’s biopsychosocial profile, where emotional distress may relate to psychological and physical symptoms, reinforcing the need for personalized, multidisciplinary care and comprehensive assessment. Keywords: biopsychosocial approach; fibromyalgia; Fibromyalgia Impact Questionnaire (FIQ); Personality Assessment Inventory (PAI); personality traits; psychopathological profiles Author: Andrea Doreste, Jesus Pujol, Eva Penelo, Víctor Pérez, Laura Blanco-Hinojo, Gerard Martínez-Vilavella, Fabiola Ojeda, Jordi Monfort and Joan Deus Creator: LaTeX with hyperref Producer: pdfTeX-1.40.25; modified using OpenPDF 1.4.2 CreationDate: Fri Aug 1 03:34:26 2025 CEST ModDate: Fri Aug 1 03:38:43 2025 CEST Custom Metadata: yes Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 24 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 2907327 bytes Optimized: no PDF version: 1.5 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- AIRHKL+VnURWPalladioL Type 1 Custom yes yes yes 126 0 EQMVVT+URWPalladioL-Roma Type 1 Custom yes yes yes 127 0 XRNZOU+URWPalladioL-Ital Type 1 Custom yes yes yes 128 0 UUNKJR+URWPalladioL-Bold Type 1 Custom yes yes yes 129 0 CKBPVA+EURM10 Type 1 Builtin yes yes yes 342 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 366 0 JDUPKS+CMSY10 Type 1 Builtin yes yes yes 398 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes yes 399 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 392 0 DGCEKM+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 393 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 413 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 440 0 DGCEKM+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 441 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 460 0 DGCEKM+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 461 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 692 0 DGCEKO+PalatinoLinotype TrueType WinAnsi yes yes no 707 0 DGCEKM+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 708 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2025-08-27 03:07:48 CEST RepresentationInformation: ejihpe-15-00149.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2025-08-26 06:23:18 CEST Size: 2907327 Format: PDF Version: 1.5 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 903 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: ViewerPreferences: HideToolbar: false HideMenubar: false HideWindowUI: false FitWindow: true CenterWindow: false DisplayDocTitle: false NonFullScreenPageMode: UseNone Direction: L2R ViewArea: CropBox ViewClip: CropBox PrintArea: CropBox PageClip: CropBox PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Item: Title: Materials and Methods Children: Item: Title: Eligibility Criteria Item: Title: Participants Item: Title: Study Design and Procedure Item: Title: Instruments Item: Title: Data Analysis Item: Title: Results Item: Title: Discussion Item: Title: Conclusions Item: Title: Appendix A Item: Title: References Info: Title: Personality Assessment Inventory in Fibromyalgia: Links to Functional, Physical–Somatic, and Emotional Impact Author: Andrea Doreste, Jesus Pujol, Eva Penelo, Víctor Pérez, Laura Blanco-Hinojo, Gerard Martínez-Vilavella, Fabiola Ojeda, Jordi Monfort and Joan Deus Subject: Background: Fibromyalgia (FM) is a chronic condition characterized by widespread pain, fatigue, cognitive difficulties, and psychological symptoms. Patients often present distinct personality traits and psychopathological patterns associated with symptom severity. Objective: To examine psychopathological profiles in FM patients based on functional, physical–somatic, and emotional impairment domains, as well as on cumulative disease severity. Materials and Methods: A cross-sectional study was conducted with 70 women clinically diagnosed with FM at a specialized Fibromyalgia Unit. Psychological functioning was assessed using the Personality Assessment Inventory, and disease impact was measured with the Fibromyalgia Impact Questionnaire. Hierarchical cluster analyses were used to classify participants into mild and severe clusters across FIQ domains, and psychological profiles were compared. Results: Patients with severe functional impairment had more affective dysregulation (76.43 vs. 70.20, p < 0.01) and somatic complaints (85.57 vs. 79.76, p < 0.05) than those with mild impairment. The severe–physical cluster showed greater mood instability, somatization, and suicidal ideation (60.94 vs. 53.61, p < 0.05). The severe–emotional cluster had higher rates of major depression (85.71% vs. 64.28%) and persistent depressive disorder (76.19% vs. 70.61%, p < 0.05). Severe showed more emotional instability and somatization, distinguishing it from mild. Greater cumulative severity intensified depressive and somatic disorders. Discussion: Findings support FM’s biopsychosocial profile, where emotional distress may relate to psychological and physical symptoms, reinforcing the need for personalized, multidisciplinary care and comprehensive assessment. 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