Skip to main content Accessibility help

Prevalence of personality disorders in patients with fibromyalgia: a brief review

  • Luigi Attademo (a1) and Francesco Bernardini (a2)


Fibromyalgia (FM) is a complex musculoskeletal pain disorder characterized by widespread pain, fatigue, and other functional symptoms. Patients with FM are frequently affected by psychiatric disorders. Clinicians typically observe certain personality characteristics or traits associated with FM, but there is still a lack of studies about personality disorders (PDs) in patients with FM. Aim of our brief review is to summarize the literature to date on prevalence of PDs in FM. We searched the PubMed electronic database for all articles up to 1 February 2017, and identified a number of reports about prevalence of PDs in patients with FM. Most of studies show that the proportion of PDs diagnosed in patients with FM appears far greater than that found in the general population. We suggest that is very useful to evaluate PDs in patients with FM systematically, in order to improve the understanding, assessment, and treatment of this clinical condition.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the or variations. ‘’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Prevalence of personality disorders in patients with fibromyalgia: a brief review
      Available formats

      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Prevalence of personality disorders in patients with fibromyalgia: a brief review
      Available formats

      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Prevalence of personality disorders in patients with fibromyalgia: a brief review
      Available formats


Corresponding author

Correspondence to: Luigi Attademo. USC Psychiatry 1, Department of Mental Health, Azienda Socio-Sanitaria Territoriale (ASST) “Papa Giovanni XXIII”, Piazza OMS 1, 24127 Bergamo, Italy. Email:


Hide All
Abdin, E., Koh, K.G., Subramaniam, M., Guo, M.E., Leo, T., Teo, C., Tan, E.E. and Chong, S.A. 2011: Validity of the Personality diagnostic Questionnaire-4 (PdQ-4+) among mentally ill Prison inmates in Singapore. Journal of Personality Disorders 25, 834841.
Amir, M., Neumann, L., Bor, O., Shir, Y., Rubinow, A. and Buskila, D. 2000: Coping styles, anger, social support, and suicide risk of women with fibromyalgia syndrome. Journal of Musculoskeletal Pain 8, 720.
Arnold, L.M., Hudson, J.I., Keck, P.E., Auchenbach, M.B., Javaras, K.N. and Hess, E.V. 2006: Comorbidity of fibromyalgia and psychiatric disorders. Journal of Clinical Psychiatry 67, 12191225.
Asbring, P. and Närvänen, A.L. 2003: Ideal versus reality: physicians perspectives on patients with chronic fatigue syndrome (CFS) and fibromyalgia. Social Science & Medicine 57, 711720.
Bazzichi, L., Giacomelli, C., Consensi, A., Atzeni, F., Batticciotto, A., Di Franco, M., Casale, R. and Sarzi-Puttini, P. 2016: One year in review 2016: fibromyalgia. Clinical and Experimental Rheumatology 34 (Suppl 96), S145S149.
Cerón Muñoz, A.M., Centelles Mañosa, F., Abellana Senglà, M. and Garcia Capel, S. 2010: [Fibromyalgia and personality disorders]. Semergen - Medicina de Familia. 36, 501506.
Clauw, D.J. 2014: Fibromyalgia: a clinical review. JAMA 311, 15471555.
Cloninger, C.R. 1999. The temperament and character inventory-revised. St Louis, MO: Center for Psychobiology of Personality, Washington University.
First, M.B., Spitzer, R.L., Gibbon, M. and Williams, J.B.W. 1996. User’s guide for the structured clinical interview for DSM-IV personality disorders (SCID-II). Washington, DC: American Psychiatric Association, 180.
Fu, T., Gamble, H., Siddiqui, U. and Schwartz, T. 2015: Psychiatric and personality disorder survey of patients with fibromyalgia. Annals of Depression and Anxiety 2, 1064.
Garcia-Fontanals, A., García-Blanco, S., Portell, M., Pujol, J., Poca-Dias, V., García-Fructuoso, F., López-Ruiz, M., Gutiérrez-Rosado, T., Gomà-i-Freixanet, M. and Deus, J. 2014: Cloninger’s psychobiological model of personality and psychological distress in fibromyalgia. International Journal of Rheumatic Diseases 19, 852863.
Grant, B.F., Hasin, D.S., Stinson, F.S., Dawson, D.A., Chou, S.P., Ruan, W.J. and Pickering, R.P. 2004: Prevalence, correlates, and disability of personality disorders in the United States: results from the national epidemiologic survey on alcohol and related conditions. Journal of Clinical Psychiatry 65, 948958.
Gumà-Uriel, L., Peñarrubia-María, M.T., Cerdà-Lafont, M., Cunillera-Puertolas, O., Almeda-Ortega, J., Fernández-Vergel, R., García-Campayo, J. and Luciano, J.V. 2016: Impact of IPDE-SQ personality disorders on the healthcare and societal costs of fibromyalgia patients: a cross-sectional study. BMC Family Practice 17, 61.
Herken, H., Gürsoy, S., Yetkin, O.E., Virit, O. and Esgi, K. 2001: Personality characteristics and depression level of the female patients with fibromyalgia syndrome. International Medical Journal 8, 4144.
Jahan, F., Nanji, K., Qidwai, W. and Qasim, R. 2012: Fibromyalgia syndrome: an overview of pathophysiology, diagnosis and management. Oman Medical Journal 27, 192195.
Kayhan, F., Küçük, A., Satan, Y., İlgün, E., Arslan, Ş. and İlik, F. 2016: Sexual dysfunction, mood, anxiety, and personality disorders in female patients with fibromyalgia. Neuropsychiatric Disease and Treatment 12, 349355.
Loranger, A.W. 1999: International Personality Disorder Examination: IPDE; DSM-IV and ICD-10; Interviews. PAR. Odessa, FL.
Malin, K. and Littlejohn, G.O. 2012: Personality and fibromyalgia syndrome. The Open Rheumatology Journal 6, 273285.
Martinez, J.E., Ferraz, M.B., Fontana, A.M. and Atra, E. 1995: Psychological aspects of Brazilian women with fibromyalgia. Journal of Psychosomatic Research 39, 167174.
Mease, P., Arnold, L.M., Choy, E.H., Clauw, D.J., Crofford, L.J., Glass, J.M., Martin, S.A., Morea, J., Simon, L., Strand, C.V. and Williams, D.A., OMERACT Fibromyalgia Working Group 2009: Fibromyalgia syndrome module at OMERACT 9: domain construct. The Journal of Rheumatology 36, 23182329.
Pando Fernández, M.P. 2011: [Fibromyalgia and psychotherapy]. Revista Digital de Medicina Psicosomática y Psicoterapia 1, 142.
Queiroz, L.P. 2013: Worldwide epidemiology of fibromyalgia. Current Pain and Headache Reports 17, 356.
Rose, S., Cottencin, O., Chouraki, V., Wattier, J.M., Houvenagel, E., Vallet, B. and Goudemand, M. 2009: [Study on personality and psychiatric disorder in fibromyalgia]. Presse Medicale. 38, 695700.
Sadock, B.J., Sadock, V.A. and Ruiz, P. 2014. Kaplan & Sadock’s synopsis of psychiatry: behavioral sciences/clinical psychiatry, 11th edition. Philadelphia: LWW.
Samuels, J. 2011: Personality disorders: epidemiology and public health issues. International Review of Psychiatry 23, 223233.
Schneider, K. 1959: Clinical psychopathology. Grune & Stratton. New York, NY.
Spitzer, R.L., Williams, J.B.W., Gibbon, M. and First, M. 1990. Manual for the structured clinical interview for DSM-III-R personality disorders. Washington, DC: American Psychiatric Press, 7.
Thieme, K., Turk, D.C. and Flor, H. 2004: Comorbid depression and anxiety in fibromyalgia syndrome: relationship to somatic and psychosocial variables. Psychosomatic Medicine. 66, 837844.
Torgersen, S., Kringlen, E. and Cramer, V. 2001: The prevalence of personality disorders in a community sample. Archives of General Psychiatry 58, 590596.
Uguz, F., Ciçek, E., Salli, A., Karahan, A.Y., Albayrak, I., Kaya, N. and Uğurlu, H. 2010: Axis I and Axis II psychiatric disorders in patients with fibromyalgia. General Hospital Psychiatry 32, 105107.
Wolfe, F., Smythe, H.A., Yunus, M.B., Bennett, R.M., Bombardier, C., Goldenberg, D.L., Tugwell, P., Campbell, S.M., Abeles, M., Clark, P., Fam, A.G., Farber, S.J., Flechtner, J.J., Franklin, C.M., Gatter, R.A., Hamaty, D., Lessard, J., Lichtbroun, A.S., Masi, A.T., McCain, G.A., Reynolds, W.J., Romano, T.J., Russell, I.J. and Sheon, R.P. 1990: The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis and Rheumatism 33, 160172.



Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed