Abstract: Dimensions of psychological dysfunction in patients with fibromyalgia: development of an Italian questionnaire

Clin Rheumatol. 2004 Apr;23(2):102-8. Epub 2004 Jan 17.

Colangelo N, Bertinotti L, Nacci F, Conforti ML, Beneforti E, Pignone A, Matucci-Cerinic M, Zoppi M.

Department of Medicine, Division of Rheumatology, University of Florence, Villa Monna Tessa, Viale Pieraccini 18, 50139, Florence, Italy.

Our objective was to observe whether dysfunctional psychological dimensions of pain could be detected in fibromyalgia patients through the development of a new questionnaire. An original questionnaire composed of 51 items was given to 250 patients (185 females and 65 males, mean age 55+/-12.8 years) suffering from chronic fibromyalgia according to the criteria of the Multicenter Criteria Committee of the American College of Rheumatology. A Varimax computerized program of factorial analysis with orthogonal and oblique rotation of the axes was used to analyze the data.

Five strong independent factors were identified: 1) catastrophizing and 2) external control beliefs (cognitive); 3) alexithymia (emotional); 4) restless behavior (behavioral); and 5) need for support (relational). Our questionnaire is a preliminary development of an Italian language psychological characterization of FM patients which may be a relevant and useful tool for the evaluation of the outcome of clinical/psychological treatment of FM.

PMID: 15045622 [PubMed – in process]

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