TY - JOUR
PY - 2023//
TI - Suicidal ideation in female individuals with fibromyalgia and comorbid obesity: prevalence and association with clinical, pain-related and psychological factors
JO - Pain medicine
A1 - Varallo, Giorgia
A1 - Scarpina, Federica
A1 - Arnison, Tor
A1 - Giusti, Emanuele Maria
A1 - Tenti, Micheal
A1 - Rapelli, Giada
A1 - Cattivelli, Roberto
A1 - Landi, Giulia
A1 - Tossani, Eliana
A1 - Grandi, Silvana
A1 - Franceschini, Christian
A1 - Baldini, Valentina
A1 - Plazzi, Giuseppe
A1 - Capodaglio, Paolo
A1 - Castelnuovo, Gianluca
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - OBJECTIVE: Individuals with fibromyalgia report alarming levels of suicidal ideation, and comorbidity with other chronic health conditions such as obesity - a risk factor for suicidal ideation per se- could further complicate the clinical picture. The aim of this study is to determine, in a sample of women with fibromyalgia and comorbid obesity, the prevalence of suicidal ideation and to evaluate clinical, pain-related and psychological factors associated with suicidal ideation.
METHODS: 156 female individuals with fibromyalgia and obesity were recruited and completed a series of self-report measures that assessed i) the level of pain intensity, ii) depressive symptomatology, iii) sleep quality, and iv) pain catastrophizing. Suicidal ideation was evaluated by item #9 of the Beck Depression Inventory. In addition, information regarding previous suicide attempts and current opioid use was collected.
RESULTS: 37.8% of participants reported presence of suicidal ideation. According to the results of the multiple logistic regression, depressive symptomatology, sleep quality, and pain catastrophizing were associated with the presence of suicidal ideation.
DISCUSSION: The presence of suicidal ideation in our sample was significantly associated with depressive symptomatology, sleep quality, and pain catastrophizing. Our findings are the first to suggest a unique (i.e., independent of depressive symptomatology, and sleep quality) association between pain catastrophizing and suicidal ideation in the context of fibromyalgia and comorbid obesity. In order to prevent and reduce suicidal ideation, these factors should be assessed and targeted in interventions for pain management. Future research should investigate the extent to which addressing depressive symptoms, sleep quality, and pain catastrophizing reduces suicidal ideation.
Language: en
LA - en SN - 1526-2375 UR - http://dx.doi.org/10.1093/pm/pnad139 ID - ref1 ER -