Quality of life, distrust in health care system and adherence to medical recommendations in patients with fibromyalgia: a latent profile analysis

IF 1.8 Q3 PSYCHOLOGY, CLINICAL

Mediterranean Journal of Clinical Psychology Pub Date : 2021-08-08 DOI:10.13129/2282-1619/MJCP-2953

K. Gana, M. Cuvelier, M. Koleck

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引用次数: 1

Abstract

Introduction: Fibromyalgia is a very heterogeneous disorder. This heterogeneity is one of the reasons why researchers have tried to analyze different patient profiles and their relationship with quality of life. The aim of the present study was to identify: (1) latent profiles based on the Revised Fibromyalgia Impact Questionnaire’s scores, and (2) possible differences between them in quality of life, distrust in healthcare system, and adherence to medical recommendations. Methods : 707 FM patients (aged 18-85 years, 95% women) completed the Revised Fibromyalgia Impact Questionnaire, the 12-Item Short Form Health Survey, the Patient Adherence Scale, and the Health Care System Distrust Scale. Data were analyzed using latent profile analysis. Results : Three profiles were identified: (1) Low fibromyalgia impact profile (2) Moderate fibromyalgia impact profile, and (3) High fibromyalgia impact profile. Significant differences between these profiles were found in quality of life, adherence to medical recommendations, and distrust in healthcare system. Poor-sleep quality emerged as a significant high important symptom in the three profiles. Conclusion : The greater the fibromyalgia impact, the lower the quality of life, and the adherence to medical recommendations and the greater the mistrust in the healthcare system. Self-perceived sleep quality in fibromyalgia patients should require special attention from clinicians.

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纤维肌痛患者的生活质量、对医疗保健系统的不信任和对医疗建议的依从性：潜在特征分析

简介：纤维肌痛是一种异质性疾病。这种异质性是研究人员试图分析不同患者档案及其与生活质量关系的原因之一。本研究的目的是确定：（1）基于修订的纤维肌痛影响问卷评分的潜在特征，以及（2）他们在生活质量、对医疗系统的不信任和对医疗建议的遵守方面的可能差异。方法：707名FM患者（年龄18-85岁，95%为女性）完成了修订的纤维肌痛影响问卷、12项简式健康调查、患者依从性量表和医疗保健系统不信任量表。使用潜在剖面分析对数据进行分析。结果：确定了三种情况：（1）低纤维肌痛影响情况（2）中度纤维肌痛冲击情况和（3）高纤维肌痛撞击情况。这些情况在生活质量、对医疗建议的遵守以及对医疗系统的不信任方面存在显著差异。在这三种情况下，睡眠质量差是一个重要的症状。结论：纤维肌痛的影响越大，生活质量就越低，对医疗建议的遵守程度就越高，对医疗系统的不信任也就越大。纤维肌痛患者的自我感知睡眠质量需要临床医生的特别关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Mediterranean Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

4.10

自引率

53.80%

发文量

审稿时长

4 weeks

期刊介绍： The MJCP is an Open Access Peer-Reviewed International Journal in Clinical Psychology. MJCP accepts research related to innovative and important areas of clinical research: 1. Clinical studies related to Clinical Psychology, 2. Psychopathology and Psychotherapy; 3. Basic studies pertaining to clinical psychology field as experimental psychology, psychoneuroendocrinology and psychoanalysis; 4. Growing application of clinical techniques in clinical psychology, psychology of health, clinical approaches in projective methods; 5. Forensic psychology in clinical research; 6. Psychology of art and religion; 7. Advanced in basic and clinical research methodology including qualitative and quantitative research and new research findings.