Alexithymia, not fibromyalgia, predicts the attribution of pain to anger-related facial expressions. Front Psychol 2016; 20[http://dx.doi.org/10.3389/fpsyg.2016.00579] , 47Santos DM, Lage LV, Jabur EK, et al. Psychol Health Med 2015; 20(3): 363-8. Ablin et al. [http://dx.doi.org/10.1097/PHM.0000000000000300] [PMID: 25888651] -7Di Tella M, Castelli L, Colonna F, et al. Fibromyalgia characterization in a psychosocial approach. In a recent review [8Sancassiani F, Machado S, Ruggiero V, et al. [http://dx.doi.org/10.7717/peerj.2421] [PMID: 27672497] , 38Gonzalez B, Baptista TM, Branco JC, Novo RF. Harm Avoidance and self-Directedness characterize fibromyalgic patients and the symptom severity. Evid Based Complement Alternat Med. J Psychosom Res 1994; 38(1): 23-32. Personality and fibromyalgia: Relationships with clinical, emotional, and functional variables. In particular, several studies have examined the role of alexithymia in FM patients, a trait of personality characterized by difficulty in identification, recognition and description of emotions and feelings, while others have focused on a specific type of personality, such as type D personality (distressed personality). Fibromyalgia often occurs in comorbidity with psychiatric conditions of various kinds, including mood disorders and anxiety disorders [10Conversano C, Carmassi C, Bertelloni CA, et al. Regarding the role of personality factors in fibromyalgia, researchers have focused both on personality traits and psychopathological aspects showing inconsistent results. Results of the multi-center SPIRR-CAD trial. Several personality styles among patients with fibromyalgia are encountered in clinical practice. (Table 1). Studies that use a comprehensive model of personality present a different theoretical approach and use alternatively the Big-Five model, Eysenck's and Cloninger's models. J Psychol 2015; 149(1-2): 115-40. Clin Rheumatol 2016; 35(9): 2353-7. Furthermore, significant correlations between neuroticism and pain, and impulsivity and pain in FM group were found. Ann Med Interne (Paris) 1998; 149(7): 406-14. Kayhan et al. Many studies have focused both on personality traits or particular characteristics and psychopathology aspects in a narrow sense. 105): 6-12. Pain experience in fibromyalgia syndrome: The role of alexithymia and psychological distress. The examined studies focused on various aspects of personality associated with FM and highlighted different roles for these aspects compared to FM. Effect of tai chi versus aerobic exercise for fibromyalgia: comparative effectiveness randomized controlled trial. Kayhan F, Küçük A, Satan Y, İlgün E, Arslan Ş, İlik F. Sexual dysfunction, mood, anxiety, and personality disorders in female patients with fibromyalgia. Comparing Verum and Sham Acupuncture in Fibromyalgia Syndrome: A Systematic Review and Meta-Analysis. Personality and fibromyalgia: Relationships with clinical, emotional, and functional variables. Multivariable linear regression was performed to evaluate each association. We identified PsycInfo and PubMed as databases for our research. Furthermore, various researchers discussed the specific role played by personality traits on fibromyalgia: Some studies investigated personality as a predisposing factor in the onset and maintenance of the disease [28Ablin JN, Zohar AH, Zaraya-Blum R, Buskila D. Distinctive personality profiles of fibromyalgia and chronic fatigue syndrome patients. The twenty-item toronto alexithymia Scale: I. Personality features in female fibromyalgia syndrome. Contribution of Personality Traits, Psychological Factors, and Health-Related Quality of Life to Medication Adherence in Patients with Rheumatoid Arthritis.

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