Rheumatology International

, Volume 38, Issue 8, pp 1479–1486 | Cite as

Perceived burdensomeness, thwarted belongingness and suicidal ideation in patients with fibromyalgia and healthy subjects: a cross-sectional study

  • Cristina P. Lafuente-Castro
  • Jorge L. Ordoñez-Carrasco
  • Juan M. Garcia-Leiva
  • Monika Salgueiro-Macho
  • Elena P. CalandreEmail author
Observational Research


Perceived burdensomeness and thwarted belongingness are key factors in the development of suicidal behaviors that have been frequently observed among patients with fibromyalgia. The aim of the present study was to compare these two factors in patients with fibromyalgia with and without suicidal ideation and healthy subjects. Secondary objectives were to evaluate the relationship between these two factors and the secondary variables included in the study, such as depression, sleep quality or the degree of marital adjustment. Perceived burdensomeness and thwarted belongingness were assessed with the Interpersonal Needs Questionnaire, depression and suicidal ideation with the Patients Health Questionnaire-9, suicidal risk with the Plutchik Suicide Risk scale, sleep with the Insomnia Severity Index, and marital adjustment with the Locke–Wallace Marital Adjustment scale. Questionnaire scores were compared with the Kruskal–Wallis test. 49 healthy subjects, 38 patients with fibromyalgia without suicidal ideation and 15 patients with fibromyalgia and suicidal ideations were included. Perceived burdensomeness scores were significantly higher in patients with suicidal ideation than in patients without suicidal ideation and controls; thwarted belongingness scores were significantly higher in patients with suicidal ideation than in controls. Marital adjustment was also significantly poor in patients with suicidal ideation than in patients without suicidal ideation and controls. Among patients with fibromyalgia, perceived burdensomeness seems to be strongly related with suicidal ideation, whereas thwarted belongingness seems to play a less relevant role at this respect. Poor marital adjustment could be related with depression.


Fibromyalgia Suicidal ideation Perceived burdensomeness Thwarted belongingness Marital adjustment 



The authors wish to thank Ms. Emilia Condés for her technical advise related to the statistical analysis of the data.

Author contributions

CPLC: recruitment and assessment of patients, creation of the first manuscript draft. JLOC, JMGL and MSM: data analysis and results; revision of the manuscript final draft. EPC: study concept and design, revision of the manuscript final draft.

Compliance with ethical standards

Conflict of interest

The authors report no conflict of interest.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Instituto de NeurocienciasUniversidad de GranadaGranadaSpain
  2. 2.Departamento de PsicologíaUniversidad de AlmeriaAlmeríaSpain
  3. 3.Departamento de Psiquiatría, Hospital Universitario CrucesInstituto de Investigación Sanitaria Biocruces-HRiBarakaldoSpain

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