Rheumatology International

, Volume 32, Issue 12, pp 3957–3961 | Cite as

Temperament and character profile of patients with fibromyalgia

Original Article


Personality may play an important role in the development and initiation of fibromyalgia (FM). It may also be used for individualized treatment planning. We aimed to assess personality profiles of FM patients and to evaluate the association of personality profiles with education, symptom severity, depression, anxiety, and functioning. Forty-two female patients with FM and 48 healthy female controls were enrolled in the study. We assessed personality profiles of FM patients using the Temperament and Character Inventory (TCI). Spearman’s rank correlation coefficient was used to detect the correlation between the TCI and education, symptom severity, depression, anxiety, and functioning. FM patients had significantly higher harm avoidance (HA) and self-transcendence (ST) scores, and lower self-directedness (SD) scores than those in the healthy controls. High HA scores were related to impaired functioning, depression, and anxiety symptoms. A negative correlation has been found between SD scores and depression scores. The study suggests that FM patients have distinctive temperament and character profile compared with healthy controls. FM patients tend to have high HA, high ST, and low SD scores.


Fibromyalgia Personality TCI 


  1. 1.
    Mease PJ (2009) Further strategies for treating fibromyalgia: the role of serotonin and norepinephrine reuptake inhibitors. Am J Med 122:44–55CrossRefGoogle Scholar
  2. 2.
    Chong YY, Ng BY (2009) Clinical aspects and management of fibromyalgia syndrome. Ann Acad Med Singap 38:967–973PubMedGoogle Scholar
  3. 3.
    Wolfe F, Ross K, Anderson J et al (1995) The prevalence, characteristics of fibromyalgia in the general population [abstract]. Arthritis Rheum 38:19–28PubMedCrossRefGoogle Scholar
  4. 4.
    Clauw DJ (2009) Fibromyalgia: an overview. Am J Med 122:3–13CrossRefGoogle Scholar
  5. 5.
    Mazza M, Mazza O, Pomponi M et al (2009) What is the effect of selective serotonin reuptake inhibitors on temperament and character in patients with fibromyalgia? Compr Psychiatry 50:240–244PubMedCrossRefGoogle Scholar
  6. 6.
    Fietta P, Fietta P, Manganelli P (2007) Fibromyalgia and psychiatric disorders. ACTA Biomed 78:88–95PubMedGoogle Scholar
  7. 7.
    Zautra AJ, Fasman R, Reich JW (2005) Fibromyalgia: evidence for deficits in positive affect regulation. Psychosom Med 67:147–155PubMedCrossRefGoogle Scholar
  8. 8.
    Nordahl HM, Stiles TC (2008) Personality styles in patients with fibromyalgia, major depression and healthy controls. Ann Gen Psychiatry 6:9CrossRefGoogle Scholar
  9. 9.
    Cloninger CR, Svrakie DM, Przybeck TR (1993) A psychobiological model of temperament and character. Arch Gen Psychiatry 50:975–990PubMedCrossRefGoogle Scholar
  10. 10.
    Cloninger CR (1994) Temperament and character. Curr Opin Neurobiol 4:266–273PubMedCrossRefGoogle Scholar
  11. 11.
    Kose S, Sayar K, Ak I et al (2004) Turkish version of the Temperament and Character Inventory (TCI): reliability, validity, and factorial structure. Bull Clin Psychopharmacol 14:107–131Google Scholar
  12. 12.
    Johnson AL, Storzbach D, Binder LM (2010) MMPI-2 profiles: fibromyalgia patients compared to epileptic and non-epileptic seizure patients. Clin Neuropsychol 24:220–234PubMedCrossRefGoogle Scholar
  13. 13.
    Sayar K, Gulec H, Topbas M (2004) Alexithymia and anger in patients with fibromyalgia. Clin Rheumatol 23:441–448PubMedCrossRefGoogle Scholar
  14. 14.
    Conrad R, Schilling G, Bausch C (2007) Temperament and character personality profiles and personality disorders in chronic pain patients. Pain 133:197–209PubMedCrossRefGoogle Scholar
  15. 15.
    Asmundson GJG, Norton PJ, Norton GR (1999) Beyond pain: the role of fear and avoidance in chronicity. Clin Psychol Rev 19:97–119PubMedCrossRefGoogle Scholar
  16. 16.
    Svrakic DM, Draganic S, Hill K et al (2002) Temperament, character, and personality disorders:etiologic, diagnostic, treatment issues. Acta Psychiatr Scand 106:189–195PubMedCrossRefGoogle Scholar
  17. 17.
    Yoon SJ, Jun CS, An HY (2009) Patterns of temperament and character in patients with posttraumatic stress disorder and their association with symptom severity. Compr Psychiatry 50:226–231PubMedCrossRefGoogle Scholar
  18. 18.
    Hur JW, Kim YK (2009) Comparison of clinical features and personality dimensions between patients with major depressive disorder and normal control. Psychiatry Invest 6:150–155CrossRefGoogle Scholar
  19. 19.
    Kılıç A, Güleç MY, Gül Ü (2008) Temperament and character profile of patients with psoriasis. JEADV 22:537–542PubMedGoogle Scholar
  20. 20.
    Fukuda S, Kuratsune H, Tajima S (2010) Premorbid personality in chronic fatigue syndrome as determined by the temperament and character inventory. Compr Psychiatry 51:78–85PubMedCrossRefGoogle Scholar
  21. 21.
    Hassett AL, Cone JD, Patella SJ (2000) The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis Rheum 43:2493–2500PubMedCrossRefGoogle Scholar
  22. 22.
    Chien AJ, Dunner DL (1996) The tridimensional personality questionnaire in depression: state versus trait issues [abstract]. J Psychiatr Res 30:21–27PubMedCrossRefGoogle Scholar
  23. 23.
    Van Campen E, Van Den Eede F, Moorkens G (2009) Use of Temperament and Character Inventory (TCI) for assessment of personality in chronic fatigue syndrome. Psychosomatics 50:147–154PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag 2011

Authors and Affiliations

  1. 1.Department of Physical and Rehabilitation MedicineYenisehir State HospitalBursaTurkey
  2. 2.Department of PsychiatryKahramanmaras State HospitalKahramanmarasTurkey
  3. 3.Fizik Tedavi ve Rehabilitasyon BölümüYenişehir Devlet HastanesiBursaTurkiye

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