PMID- 27245582
OWN - NLM
STAT- MEDLINE
DCOM- 20171107
LR  - 20220321
IS  - 1471-2296 (Electronic)
IS  - 1471-2296 (Linking)
VI  - 17
DP  - 2016 Jun 1
TI  - Impact of IPDE-SQ personality disorders on the healthcare and societal costs of 
      fibromyalgia patients: a cross-sectional study.
PG  - 61
LID - 10.1186/s12875-016-0464-5 [doi]
LID - 61
AB  - BACKGROUND: Data is lacking on comorbid personality disorders (PD) and 
      fibromyalgia syndrome (FMS) in terms of prevalence, and associated healthcare and 
      societal costs. The main aim of this study was to assess the prevalence of PD in 
      FMS patients and to analyse whether the presence of comorbid PD is related to 
      worse functional impairment and greater healthcare (medical visits, drug 
      consumption, and medical tests) and societal costs. METHODS: A cross-sectional 
      study was performed using the baseline data of 216 FMS patients participating in 
      a randomized, controlled trial carried out in three primary health care centres 
      situated in the region of Barcelona, Spain. Measurement instruments included the 
      International Personality Disorder Examination - Screening Questionnaire 
      (IPDE-SQ), the Fibromyalgia Impact Questionnaire (FIQ), the Client Service 
      Receipt Inventory (CSRI), and a socio-demographic questionnaire. RESULTS: Most 
      patients (65 %) had a potential PD according to the IPDE-SQ. The most prevalent 
      PD were the avoidant (41.4 %), obsessive-compulsive (33.1 %), and borderline 
      (27 %). We found statistically significant differences in functional impairment 
      (FIQ scores) between FMS patients with potential PD vs non-PD (59.2 vs 51.1; 
      p < 0.001). Multivariate regression analyses revealed that higher FIQ total 
      scores and the presence of potential PD were related to more healthcare costs 
      (primary and specialised care visits). CONCLUSIONS: As expected, PD are frequent 
      comorbid conditions in patients with FMS. Our results suggest that the screening 
      of comorbid PD in patients with FMS might be recommendable in order to detect 
      potential frequent attenders to primary and specialised care.
FAU - Guma-Uriel, Laura
AU  - Guma-Uriel L
AD  - Mental Health Centre Esplugues, Parc Sanitari Sant Joan de Deu, Rambla Verge de 
      la Merce, 1 edif. Moli. 08950, Esplugues Sant Boi del Llobregat, Esplugues del 
      Llobregat, Spain. lguma@pssjd.org.
FAU - Penarrubia-Maria, M Teresa
AU  - Penarrubia-Maria MT
AD  - Primary Health Centre Bartomeu Fabres Anglada, SAP Delta Llobregat, Unitat Docent 
      Costa de Ponent, Institut Catala de la Salut, Gava, Spain.
AD  - Primary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, 
      Madrid, Spain.
FAU - Cerda-Lafont, Marta
AU  - Cerda-Lafont M
AD  - Teaching, Research, & Innovation Unit, Parc Sanitari Sant Joan de Deu, Sant Boi 
      de Llobregat, Spain.
FAU - Cunillera-Puertolas, Oriol
AU  - Cunillera-Puertolas O
AD  - Unitat de Suport a la Recerca, IDIAP Jordi Gol, Primary Health care Department of 
      Costa de Ponent, Institut Catala de la Salut, Cornella de Llobregat, Spain.
FAU - Almeda-Ortega, Jesus
AU  - Almeda-Ortega J
AD  - Unitat de Suport a la Recerca, IDIAP Jordi Gol, Primary Health care Department of 
      Costa de Ponent, Institut Catala de la Salut, Cornella de Llobregat, Spain.
FAU - Fernandez-Vergel, Rita
AU  - Fernandez-Vergel R
AD  - Primary Health Centre Bartomeu Fabres Anglada, SAP Delta Llobregat, Unitat Docent 
      Costa de Ponent, Institut Catala de la Salut, Gava, Spain.
AD  - Primary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, 
      Madrid, Spain.
FAU - Garcia-Campayo, Javier
AU  - Garcia-Campayo J
AD  - Primary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, 
      Madrid, Spain.
AD  - Department of Psychiatry, Miguel Servet Hospital, Aragon Institute of Health 
      Sciences (I + CS), Zaragoza, Spain.
FAU - Luciano, Juan V
AU  - Luciano JV
AD  - Primary Care Prevention and Health Promotion Research Network, RedIAPP, ISCIII, 
      Madrid, Spain.
AD  - Teaching, Research, & Innovation Unit, Parc Sanitari Sant Joan de Deu, Sant Boi 
      de Llobregat, Spain.
AD  - Open University of Catalonia, Barcelona, Spain.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20160601
PL  - England
TA  - BMC Fam Pract
JT  - BMC family practice
JID - 100967792
SB  - IM
MH  - Adult
MH  - Aged
MH  - Borderline Personality Disorder/epidemiology
MH  - Comorbidity
MH  - Compulsive Personality Disorder/epidemiology
MH  - Cross-Sectional Studies
MH  - Female
MH  - Fibromyalgia/*economics/*epidemiology
MH  - *Health Care Costs
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Personality Disorders/*economics/*epidemiology
MH  - Prevalence
MH  - Surveys and Questionnaires
PMC - PMC4888611
OTO - NOTNLM
OT  - Direct costs
OT  - Fibromyalgia syndrome
OT  - Indirect costs
OT  - Personality disorders
EDAT- 2016/06/02 06:00
MHDA- 2017/11/08 06:00
PMCR- 2016/06/01
CRDT- 2016/06/02 06:00
PHST- 2015/08/26 00:00 [received]
PHST- 2016/05/20 00:00 [accepted]
PHST- 2016/06/02 06:00 [entrez]
PHST- 2016/06/02 06:00 [pubmed]
PHST- 2017/11/08 06:00 [medline]
PHST- 2016/06/01 00:00 [pmc-release]
AID - 10.1186/s12875-016-0464-5 [pii]
AID - 464 [pii]
AID - 10.1186/s12875-016-0464-5 [doi]
PST - epublish
SO  - BMC Fam Pract. 2016 Jun 1;17:61. doi: 10.1186/s12875-016-0464-5.