Cognitive rigidity in patients with depression and fibromyalgia

• Mari Aguilera ^[1] ; Clara Paz ^[2] ; Victoria Compañ ^[1] ; Juan Carlos Medina ^[1] ; Guillem Feixas ^[1]
  1. [1] Universitat de Barcelona

     Universitat de Barcelona

     Barcelona, España

     
  2. [2] Universidad de las Américas

     Universidad de las Américas

     México

     
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 19, Nº. 2, 2019, págs. 160-164
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2019.02.002
• Títulos paralelos:
  • Rigidez cognitiva en pacientes con depresión y fibromialgia
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 4 Citas
• Resumen
  • español

    Antecedentes/Objetivo La comorbilidad de la depresión y la fibromialgia ha sido bien documentada en la literatura. Sin embargo, la estructura cognitiva de estos pacientes no ha sido evaluada. Estudios previos muestran variabilidad en medidas de rigidez cognitiva en pacientes con depresión. Los síndromes físicos crónicos podrían ser una variable clave para explicar esta variabilidad presente en estudios previos. El presente estudio explora y compara la rigidez y la diferenciación cognitiva entre paciente con depresión que tienen y aquellos que no tienen fibromialgia.

    Método Treinta y un pacientes con depresión y fibromialgia fueron emparejados, considerando edad, sexo y números de episodios depresivos con 31 pacientes con depresión, pero sin diagnóstico de fibromialgia.

    Resultados Los resultados indican que los pacientes que presentan depresión y fibromialgia evidencian niveles más altos de síntomas depresivos, mayor rigidez cognitiva y menor diferenciación cognitiva que los pacientes sin fibromialgia.

    Conclusiones Estos resultados podrían ser considerados al momento de crear tratamientos ajustados a la estructura cognitiva de estos pacientes.

  • English

    Background/Objective The comorbidity of depression and fibromyalgia chronic syndrome has been well documented in the literature; however, the cognitive structure of these patients has not been assessed. Previous results reported variability in cognitive rigidity in depressive patients, the key for this might be the presence of chronic physical pain such as fibromyalgia. The present study explores and compares the cognitive rigidity and differentiation, between patients with depression with and without fibromyalgia syndrome.

    Method Thirty one patients with depression and fibromyalgia were matched, considering age, sex and number of depressive episodes, with 31 patients with depression but without fibromyalgia diagnosis. Cognitive rigidity and differentiation were measured with the repertory grid technique.

    Results The results indicated that depressed patients with fibromyalgia presented higher levels of depressive symptoms, greater cognitive rigidity and lower cognitive differentiation than those without fibromyalgia.

    Conclusions The results might inform future treatments to address the cognitive structure of these patients.

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