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The International Association for the Study of Pain

Negative self-views particularly affect disease-related traits in female adolescents with juvenile fibromyalgia -TU25

Poster Abstract

Abstract Description

Self-identity in juvenile fibromyalgia (JFM) patients has never been studied. This study assesses self-identity through an fMRI task, with a sample of 53 JFM female patients and 44 healthy females. During the task, personality trait words were shown to participants either in red (self-judgement condition) or green (vowel-counting condition) in a “block” design. Traits could either be semantically related to the disease or be general traits, either positively or negatively valenced. Self-judgement blocks required answering whether or not they felt currently described by such trait, and vowel-counting blocks required counting the vowels of the word. Responses were coded dichotomously for each trait.
We found that a negative self-image is mostly confined to disease-related traits, since patients felt more identified with negative disease-related traits than controls and less with positive ones; whereas for general traits, patients' endorsement of positive and negative words were similar to controls. More errors on vowel counting in JFM compared to controls were present only for negative disease-related traits, indicating higher distractibility by salient semantic stimuli. After self-judgement blocks, JFM felt significantly worse than controls. Our findings highlight the need to take care of identity development and feelings about the self in patients with JFM considering the importance of these aspects during adolescence and as predictors of future depression. 

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Authors

Authors

Mr. Miguel Montero - Institut of Neurosciences, Department of Medicine, School of Medicine and Health Sciences, University of Barcelona (Barcelona, Spain) , Lucia Blanc - Institut of Neurosciences, Department of Medicine, School of Medicine and Health Sciences, University of Barcelona (Barcelona, Spain) , Saul Pascual-Diaz - Institut of Neurosciences, Department of Medicine, School of Medicine and Health Sciences, University of Barcelona (Barcelona, Spain) , Ms. Marina López-Solà - Institut of Neurosciences, Department of Medicine, School of Medicine and Health Sciences, University of Barcelona (Barcelona, Spain) , Maria Suñol - Institut of Neurosciences, Department of Medicine, School of Medicine and Health Sciences, University of Barcelona (Barcelona, Spain) , Tracy V. Ting - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati; Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati; Pediatric Pain Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati (Ohio, USA) , Jon Dudley - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati (Ohio, USA) , Robert C. Coghill - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati; Pediatric Pain Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati (Ohio, USA) , Susmita Kashikar-Zuck - Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati; Pediatric Pain Research Center, Cincinnati Children's Hospital Medical Center, Cincinnati (Ohio, USA)

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