High Levels of Empathic Concern in Fibromyalgia Patients
Altos niveles de preocupación empática en pacientes con fibromialgia
DOI:
https://doi.org/10.17981/JACN.2.2.2021.04Keywords:
Central Sensitivity Syndromes, empathic concern, Empathy, Fantasy, Fibromyalgia, Personal distressAbstract
Introduction: Fibromyalgia (FM) is a syndrome that is characterized by chronic pain, fatigue, and sleep, cognitive and mood disorders. From a clinical standpoint, these patients have excessive concern for others, which is related to their empathic capacity. There are few studies on social cognition in FM.
Materials and Methods: The relationship between FM and empathy was studied in 22 adults with FM. Instruments: Revised Fibromyalgia Impact Questionnaire (FIQR), Interpersonal Reactivity Index (IRI).
Results: High scores were observed in all of the domains of empathy. Relationships were found indicating that: 1) the lower the fantasy, the greater the overall impact of FM; 2) the greater the personal distress, the greater the FM symptomatology.
Conclusions: People with FM present high empathic capacity; and empathic concern stands out as a primary dimension of empathy. Fantasy seems to be a buffer in FM. High levels of personal distress are associated with increased symptomatology of Fibromyalgia.
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References
Albiol, S.; Gomà-i-Freixanet, M.; Valero, S.; Vega, D. y Muro, A. (2014). Rasgos de personalidad (ZKPQ) en pacientes con fibromialgia: un estudio de casos y controles. Anales de Psicología, 30(3), 937–943.
https://dx.doi.org/10.6018/analesps.30.3.153791
Álvaro-González, L. (2015). El cerebro social: bases neurobiológicas de interés clínico. Revista de Neurología, 61(10), 458–470. Disponible en
https://pesquisa.bvsalud.org/portal/resource/pt/ibc-144859
Atzeni, F.; Talotta, R.; Masala, I. F.; Giacomelli, C.; Conversano, C.; Nucera, V.; Lucchino, B.; Iannuccelli, C.; Di Franco, M.; Bazzichi, L.; Lucchino, B. & Bazzichi, L. (2019). One year in review 2019: fibromyalgia. Clinical and Experimental Rheumatology, 37 Suppl 116(1), 3–10. Disponible en
https://pubmed.ncbi.nlm.nih.gov/30747097/
Banissy, M. J.; Kanai, R.; Walsh, V. & Rees, G. (2012). Inter-individual differences in empathy are reflected in human brain structure. NeuroImage, 62(3), 2034–2039.
https://dx.doi.org/10.1016/j.neuroimage.2012.05.081
Batson, C.; Fultz, J. & Schoenrade, P. (1987). Distress and Empathy: Two Qualitatively Distinct Vicarious Emotions with Different Motivational Consequences. Journal of Personality, 55(1), 19–39.
https://doi.org/10.1111/j.1467-6494.1987.tb00426.x
Bennett, R.; Friend, R.; Jones, K. D.; Ward, R.; Han, B. K. & Ross, R. L. (2009). The Revised Fibromyalgia Impact Questionnaire (FIQR): validation and psychometric properties. Arthritis Research & Therapy, 11(4), 1–14.
https://doi.org/10.1186/ar2783
Bentancour, P. y Vales, L. (2021). Características de la capacidad empática de adultos que se encuentran en un proceso de revinculación con niños y adolescentes institucionalizados. Cuadernos de Neuropsicología, 15(2), 118–134. Disponible en
https://cnps.cl/index.php/cnps/article/view/469
Bernard, A.; Prince, A. & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis care and research, 13(1), 42–50.
https://doi.org/10.1002/1529-0131(200002)13:1%3C42::AID-ART7%3E3.0.CO;2-R
Besteiro, J.; Álvarez, M.; Lemos, S.; Muñiz, J.; Costas, C. y Weruaga, A. (2008). Dimensiones de personalidad, sentido de coherencia y salud percibida en pacientes con un síndrome fibromiálgico. International Journal of Clinical and Health Psychology, 8(2), 411–427. Disponible en
http://hdl.handle.net/10651/35021
Camacho, L. y Anarte, M. (2003). Creencias, afrontamiento y estado de ánimo deprimido en pacientes con dolor crónico. Psicothema, 15(3), 464–470. Disponible en
https://reunido.uniovi.es/index.php/PST/article/view/8095
Cerón, A.; Centelles, F.; Abellana, M. y García, S. (2010). Fibromialgia y trastornos de personalidad. Semergen-Medicina de familia, 36(9), 501–506. Disponible en
https://www.sciencedirect.com/science/article/abs/pii/S1138359310001917
Chen, Y.-C.; Chen, C.-C.; Decety, J. & Chenga, Y. (2014). Aging is associated with changes in the neural circuits underlying empathy. Neurobiology of Aging, 35(4), 827–836.
https://doi.org/10.1016/j.neurobiolaging.2013.10.080
Clauw, D. (2014). Fibromyalgia: a clinical review. JAMA, 311(15), 1547–1555.
https://doi.org/10.1001/jama.2014.3266
Davis, M. (1996). Empathy: A social psychological approach. New York: Routledge.
Davis, M. (1983). Measuring individual differences in empathy: Evidence for a multidimensional approach. Journal of Personality and Social Psychology, 44(1), 113–126.
https://doi.org/10.1037/0022-3514.44.1.113
Davis, M. (1980). A Multidimensional Approach to Individual Differences in Empathy. Journal of Personality and Social Psychology, 10(85), 1–19. Available from
https://www.uv.es/~friasnav/Davis_1980.pdf
De Tommaso, M.; Ricci, K.; Conca, G.; Vecchio, E.; Delussi, M. & Invitto, S. (2019). Empathy for pain in fibromyalgia patients: An EEG study. International Journal of Psychophysiology, 146, 43–53.
https://doi.org/10.1016/j.ijpsycho.2019.09.007
Di Tella, M.; Castelli, L.; Colonna, F.; Fusaro, E.; Torta, R.; Ardito, R. B. & Adenzato, M. (2015). Theory of mind and emotional functioning in Fibromyalgia syndrome: An investigation of the relationship between social cognition and executive function. PLoS ONE, 10(1), 1–16.
https://doi.org/10.1371/journal.pone.0116542
Fietta, P.; Fietta, P. & Manganelli, P. (2007). Fibromyalgia and psychiatric disorders. Acta Biomed, 78, 88–95. Available from
https://paulogentil.com/pdf/Fibromyalgia%20and%20psychiatric%20disorders.pdf
Galvez-Sánchez, C.; Duschek, S. & Reyes, G. (2019). Psychological impact of fibromyalgia: current perspectives. Psychology Research and Behavior Managment, 12, 117–127. Disponible en
https://pubmed.ncbi.nlm.nih.gov/30858740/
Garaigordobil, M. & Govilard, L. (2013). Fibromialgia: discapacidad funcional, autoestima y perfiles de personalidad. Información psicológica, 106, 4–16. Disponible en
http://www.informaciopsicologica.info/OJSmottif/index.php/leonardo/article/view/125
Kaltsas, G. & Tsiveriotis, K. (2020). Fibromyalgia. In: K. R. Feingold, B. Anawalt, A. Boyce, G. Chrousos, W. W. de Herder, K. Dhatariya, K. Dungan, J. M. Hershman, J. Hofland, S. Kalra, G. Kaltsas, C. Koch, P. Kopp, M. Korbonits, C. S. Kovacs, W. Kuohung, B. Laferrère, M. Levy, E. A. McGee, R. McLachlan, J. E. Morley, M. New, J. Purnell, R. Sahay, F. Singer & M. A. Sperling (eds.), Endotext (pp. 2000–2020). South Dartmouth: NCBI Bookshelf. Available:
https://europepmc.org/article/NBK/nbk279092
Lieberman, M. D. (2007). Social cognitive neuroscience: a review of core processes. Annual Review of Psychology, 58, 259–589.
https://doi.org/10.1146/annurev.psych.58.110405.0853654
Mestre, V.; Frías, M. & Samper, P. (2004). La medida de la empatía: análisis del Interpersonal Reactivity Index. Psicothema, 16(2), 255–260. Disponible en
https://pesquisa.bvsalud.org/portal/resource/pt/ibc-32463
Moya-Albiol, L.; Herrero, N. & Bernal, M. (2010). Bases neuronales de la empatía. Revista de Neurología, 50(02), 89–100. Disponible en
https://www.neurologia.com/articulo/2009111
Müller, M.; Ungaretti, J. & Etchezahar, E. (2015). Evaluación multidimensional de la empatía: Adaptación del Interpersonal Reactivity Index (IRI) al contexto argentino. Revista de Investigación en Psicología Social, 3(1), 42–53. Disponible en
http://sportsem.uv.es/j_sports_and_em/index.php/rips/article/view/118
Munguía-Izquierdo, D.; Legaz-Arrese, A.; Moliner-Urdiales, D. y Reverter-Masía, J. (2008). Neuropsicología de los pacientes con síndrome de fibromialgia: relación con dolor y ansiedad. Psicothema, 20(3), 427–431.
http://www.psicothema.com/psicothema.asp?id=3503
Özsoy, F., & Okan, S. (2018). Theory of mind and metacognitive functions in patients with fibromyalgia syndrome. Klinik Psikiyatri Dergisi, 21(4), 351–359.
https://doi.org/10.5505/kpd.2018.46036
Peri, A. (Coord.) (2005). Panorama de la educación en el Uruguay. Una década de transformaciones: 1992-2004. Montevideo: Anep. Codicen. Programa de Investigación y Estadística Educativa. Recuperado de
Pujal, M. y Mora, E. (2017). Contextualizar la vulnerabilidad: el diagnóstico psicosocial de género. El caso de la fibromialgia. En, P. Montesó-Curto y L. Rosseló (Comp.), Compartir experiencias, combatir el dolor. Una visión de la fibromialgia desde el ámbito biopsicosocial (pp. 159–188). Tarragona: UVR.
Ramos-Rodríguez, C.; López-Rios, F. y Ordoñez-Carrasco, J. (2019). Patrones de personalidad en mujeres afectadas de fibromialgia. Interpsiquis, 20. Disponible en
Revuelta, E.; Segura, E. & Paulino, J. (2010). Depresión, ansiedad y fibromialgia. Revista de la Sociedad Española del Dolor, 17(7), 326–332.
https://doi.org/10.1016/j.resed.2010.07.002
Salgueiro, M.; García-Leiva, J. M.; Ballesteros, J.; Hidalgo, J.; Molina, R. & Calandre, E. P. (2013). Validation of a Spanish versión of the Revised Fibromyalgia Impact Questionnaire (FIQR). Health and Quality of Life Outcomes, 11(132), 1–8.
https://doi.org/10.1186/1477-7525-11-132
Sarzi-Puttini, P.; Giorgi, V.; Marotto, D. & Atzeni, F. (2020). Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nature Reviews Rheumatology, 16(11), 645–660.
https://doi.org/10.1038/s41584-020-00506-w
Shamay-Tsoory, S. G.; Aharon-Peretz, J. & Perry, D. (2009). Two systems for empathy: A double dissociation between emotional and cognitive empathy in inferior frontal gyrus versus ventromedial prefrontal lesions. Brain, 132(3), 617–627.
https://doi.org/10.1093/brain/awn279
Singer, T. (2012). The past, present and future of social neuroscience: a European perspective. NeuroImage, 61(2), 437–449.
https://doi.org/10.1016/j.neuroimage.2012.01.109
Truyols, M.; Pérez, J.; Medinas, M.; Palmer, A. & Sesé, A. (2008). Aspectos psicológicos relevantes en el estudio y el tratamiento del dolor crónico. Clínica y Salud, 19(3), 295–320. Available:
https://journals.copmadrid.org/clysa/art/d709f38ef758b5066ef31b18039b8ce5
Uboldi, C. (2012). Dolor de mujer (2 Ed.). Montevideo: Artemisa.
Vales, L. (2022). Empathic and self-awareness in patients with moderate and severe traumatic brain injury. Psiquiatría Biológica, 29(1), 100354–100354.
https://doi.org/10.1016/j.psiq.2022.100354
Völlm, B. A.; Taylor, A. N. W.; Richardson, P.; Corcoran, R.; Stirling, J.; McKie, S.; Deakin, J. F. W. & Elliott, R. (2006). Neuronal correlates of theory of mind and empathy: a functional magnetic resonance imaging study in a nonverbal task. Neuroimage, 29(1), 90–98.
https://pubmed.ncbi.nlm.nih.gov/16122944/
Walitt, B.; Ceko, M.; Gracely, J. & H. Gracely, R. (2015). Neuroimaging of Central Sensitivity Syndromes: Key Insights from the Scientific Literature. Current Rheumatology Reviews, 12(1), 55–87.
https://doi.org/10.2174/1573397112666151231111104
Weisenberg, M.; Tepper, I. & Schwarzwald, J. (1995). Humor as a cognitive technique for increassing pain tolerance. Pain, 63(2), 207–212.
https://pubmed.ncbi.nlm.nih.gov/8628586/
Winters, D. E.; Pruitt, P. J.; Fukui, S.; Cyders, M. A.; Pierce, B. J.; Lay, K. & Damoiseaux, J. S. (2021). Network functional connectivity underlying dissociable cognitive and affective components of empathy in adolescence. Neuropsychologia, 156, 107832–107832.
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