{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,5]],"date-time":"2026-04-05T08:15:44Z","timestamp":1775376944692,"version":"3.50.1"},"reference-count":85,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,10,16]],"date-time":"2023-10-16T00:00:00Z","timestamp":1697414400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Italian Ministry of Health - Ricerca Corrente"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Individuals with fibromyalgia report alarming levels of suicidal ideation, and comorbidity with other chronic health conditions such as obesity\u2014a risk factor for suicidal ideation per se\u2014could 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In total, 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>3n sum, 7.8% 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.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>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 (ie, 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.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/pm\/pnad139","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T21:15:17Z","timestamp":1697231717000},"page":"239-247","source":"Crossref","is-referenced-by-count":19,"title":["Suicidal ideation in female individuals with fibromyalgia and comorbid obesity: prevalence and association with clinical, pain-related, and psychological factors"],"prefix":"10.1093","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8711-5975","authenticated-orcid":false,"given":"Giorgia","family":"Varallo","sequence":"first","affiliation":[{"name":"Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia , Modena 41125, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federica","family":"Scarpina","sequence":"additional","affiliation":[{"name":"Istituto Auxologico Italiano, IRCCS, U.O. di Neurologia e Neuroriabilitazione, Ospedale San Giuseppe , Piancavallo 28884, Italy"},{"name":"\u201cRita Levi Montalcini\u201d Department of Neurosciences, University of Turin , Turin 10126, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tor","family":"Arnison","sequence":"additional","affiliation":[{"name":"Clinical Epidemiology and Biostatistics, Faculty of Medicine and Health, School of medical Sciences, \u00d6rebro University , \u00d6rebro 70182, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emanuele Maria","family":"Giusti","sequence":"additional","affiliation":[{"name":"EPIMED Research Center, Department of Medicine and Surgery, University of Insubria , Varese 21100, 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Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eliana","family":"Tossani","sequence":"additional","affiliation":[{"name":"Department of Psychology \u201cRenzo Canestrari\u201d, Alma Mater Studiorum, University of Bologna , Bologna 40126, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Silvana","family":"Grandi","sequence":"additional","affiliation":[{"name":"Department of Psychology \u201cRenzo Canestrari\u201d, Alma Mater Studiorum, University of Bologna , Bologna 40126, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Franceschini","sequence":"additional","affiliation":[{"name":"Department of Medicine and surgery, University of Parma , Parma 43125, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Baldini","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia , Modena 41125, Italy"},{"name":"Department of Biomedical and Neuromotor Sciences, University of Bologna , Bologna 40126, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Plazzi","sequence":"additional","affiliation":[{"name":"Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia , Modena 41125, Italy"},{"name":"IRCCS Istituto delle Scienze Neurologiche di Bologna , Bologna 40139, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paolo","family":"Capodaglio","sequence":"additional","affiliation":[{"name":"Laboratory of Biomechanics, Rehabilitation and Ergonomics, IRCCS, Istituto Auxologico Italiano , Verbania 28884, Italy"},{"name":"Department of Surgical Sciences, Physical Medicine and Rehabilitation, University of Torino , Turin 10124, 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