Abstract

BackgroundDue to uncertainty regarding chronic pain in Fibromyalgia (FM) patients, there has been a growing interest in social comparison and its influence on emotional responses.Aimsto analyze profiles in FM patients according to pain perception, social comparison strategies and anxiety and depression.MethodsThe sample consisted of 131 FM outpatients (Mean age: 50.15, SD = 11.1). Two scales were used: the Social Comparison Illness Scale and the Hospital Anxiety and Depression Scale.ResultsTwo profiles were found by cluster analysis (K-means method): one (66%) with a higher level of pain perception, anxiety and depression and greater use of upward contrast and downward identification social comparison; and another (34%) with lower levels of pain perception, anxiety and depression and greater use of upward identification and downward contrast.ConclusionThese profiles underline the interest in social comparison strategies and their role in FM.

Highlights

  • Fibromyalgia (FM) is a chronic disease that mainly affects women and is characterized by widespread musculoskeletal pain accompanied by various symptoms such as fatigue, stiffness, sleep disruption, physical symptoms and high levels of anxiety and depression (Wolfe et al, 2010, 2013)

  • In the context of the above, the aim of this study was to analyze the profiles of women with FM who share common characteristics based on a set of assessed variables: pain perception, social comparison processes and anxiety and depression

  • Inclusion criteria were: (1) FM diagnosis re-confirmed by the American College of Rheumatology (ACR) criteria (Wolfe et al, 2010) upon their arrival at the FM Department, (2) aged over 18, (3) no previous psychiatric diagnosis (4) ability to understand questionnaires, (5) informed consent to participate in the study

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Summary

Introduction

Fibromyalgia (FM) is a chronic disease that mainly affects women and is characterized by widespread musculoskeletal pain accompanied by various symptoms such as fatigue, stiffness, sleep disruption, physical symptoms (i.e., extreme sensitivity, headaches, irritable bowel syndrome, temporomandibular joint disorders) and high levels of anxiety and depression (Wolfe et al, 2010, 2013) The heterogeneity of these symptoms is one of the reasons why researchers have tried to analyze different patient profiles and their relationship with psychological adaptation. Due to uncertainty regarding chronic pain in Fibromyalgia (FM) patients, there has been a growing interest in social comparison and its influence on emotional responses

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