MMPI-2 profiles and illness perception in fibromyalgia syndrome: The role of therapeutic exercise as adapted physical activity

Article type: Research Article

Authors: Paolucci, Teresa^a | Vetrano, Mario^b | Zangrando, Federico^a | Vulpiani, Maria Chiara^b | Grasso, Maria Rosaria^b | Trifoglio, Domenica^b | Di Franco, Manuela^c | Iannuccelli, Cristina^c | Sorgi, Maria Laura^d | Reis, Victor^e | Saraceni, Vincenzo Maria^a | Guidetti, Laura^{f; *}

Affiliations: [a] Physical Medicine and Rehabilitation, Policlinico Umberto I, Sapienza University of Rome, Rome, Italy | [b] Physical Medicine and Rehabilitation Unit, Sapienza University of Rome, Sant'Andrea Hospital, Rome, Italy | [c] Rheumatology Unit, Department of Internal Medicine, Sapienza University of Rome, Policlinico Umberto I, Italy | [d] Rheumatology Unit, Sapienza University of Rome, Sant'Andrea Hospita, Rome, Italy | [e] Research Centre for Sport, Exercise and Health, Vila Real, Portugal | [f] University of Rome "Foro Italico", Italy

Correspondence: [*] Corresponding author: Laura Guidetti, (MD, PhD, FACSM), University of Rome "Foro Italico", Department of Movement, Human and Health Sciences-Division of Health Sciences, Piazza L. De Bosis 6, 00135 Roma, Italy. Tel.: +39 3472362066, +39 0636733356; E-mail: [email protected]

Abstract: BACKGROUND:Control of pain management is an important up-stream process in fibromyalgia (FM) mechanisms. OBJECTIVE:To investigate whether adapted physical activity (APA) could change the illness perception in relation to the FM personality profile. METHODS:Thirty-seven women with FM allocated randomly: 19 treatment group (TG) and 18 control group (CG). Interventions: exercises program included ten sessions, two times for week for one hour each and observation for CG. Scales: Illness Perception Questionnaire-revisited (IPQ-r) for the mental representation of the disease, Minnesota Multiphasic Personality Inventory profiles (MMPI-2) for personality tool and Fibromyalgia Impact Questionnaire (FIQ) for function, impact and symptoms. Outcome assessments were performed before rehabilitation treatment (T0) than at the end (T1), and a follow-up 12 weeks after treatment (T2). RESULTS:APA was efficacy to improve FIQ values in TG at T1 and T2 test days (P=0.014). Changes in IPQ-R values in T2 were not significant. All patients presented a baseline T-score ≥ 65 in at least one of the basic and content MMPI-2 scales (Hy, D, Hs and Hea and Anx). CONCLUSION:APA was efficacy in FM, but further research to differentiate between illness experience rather than focus on a strict personality profile are necessary.

Keywords: Fibromyalgia, rehabilitation, physical exercise, personality assessment, pain perception, MMPI-2\vspace{-0.4cm}

DOI: 10.3233/BMR-140497

Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. 28, no. 1, pp. 101-109, 2015