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标题：PSYCHOPATHOLOGY AS A MODERATOR OF THE RELATIONSHIP BETWEEN PHYSICAL SYMPTOMS AND IMPAIRMENT IN FIBROMYALGIA PATIENTS
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作者：M. Pilar Martínez ; Ana I. Sánchez ; Rafael Cáliz 等
期刊名称：Psicothema
印刷版ISSN：0214-9915
电子版ISSN：1886-144X
出版年度：2021
卷号：33
期号：2
页码：214-221
DOI：10.7334/psicothema2020.338
出版社：Cologio Oficial de Psicólogos del Principado
摘要：Background: Fibromyalgia (FM) is a chronic pain syndrome that is accompanied by notable psychological distress. However, little research has been done on how the psychopathological profile of FM patients may influence their functional status. Method: Using the Symptom Checklist-90-Revised the study examined the psychopathological dimensions of 181 women with FM, and the role of psychopathology as a moderator of the relationship between physical symptoms and impairment of functioning. Results: FM patients exhibited T-scores above the cutoff point (≥ 60) in all dimensions, and 76.2% were identified as “clinical cases”. Somatization was a significant predictor of pain intensity, somatization and obsession-compulsion contributed significantly to predicting poor sleep quality, while somatization, depression and anxiety were significant predictors of impairment. Psychopathology was a statistically significant moderator that increased the impact of poor sleep quality on impairment. Conclusions: The dysfunctional psychological style is key in the impairment associated with FM. The evaluation of psychopathological profiles can allow the early identification of the patients who are most vulnerable to impaired functioning due to the presence of possible psychopathology, as well facilitating therapeutic adaptations.
关键词：Fibromyalgia; psychopathology; moderator; pain; sleep; impairment.