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The aim of this study is to identify personality profiles in FM<\/jats:styled-content> patients and the possible presence of personality disorder (PD<\/jats:styled-content>) from the Temperament and Character Inventory\u2010Revised (TCI<\/jats:styled-content>\u2010R), and to assess whether personality dimensions are related to psychological distress in FM<\/jats:styled-content>.<\/jats:p><\/jats:sec>Method<\/jats:title>The sample consisted of 42 patients with FM<\/jats:styled-content> and 38 healthy controls. The TCI<\/jats:styled-content>\u2010R, Hospital Anxiety and Depression Scale, State\u2010Trait Anxiety Inventory, Short\u2010Form\u201036 Health Survey, Fibromyalgia Impact Questionnaire and McGill Pain Questionnaire were administered.<\/jats:p><\/jats:sec>Results<\/jats:title>The personality profile of the FM<\/jats:styled-content> group based on the TCI<\/jats:styled-content>\u2010R is defined by high Harm Avoidance (HA<\/jats:styled-content>), low Novelty Seeking (NS<\/jats:styled-content>), and low Self\u2010Directedness (SD<\/jats:styled-content>). Only one\u2010third of patients with FM<\/jats:styled-content> present a possible psychometric PD<\/jats:styled-content>, principally from Cluster C. In the FM<\/jats:styled-content> group, HA<\/jats:styled-content> and SD<\/jats:styled-content> are associated positively and negatively, respectively, with indicators of emotional distress. Patients with higher HA<\/jats:styled-content> present higher perceived pain intensity rated via a verbal\u2010numerical scale while Determination (SD<\/jats:styled-content>2) reduced the perceived level of pain induced by the stimulus. NS<\/jats:styled-content> is negatively related to the number of work absences caused by FM<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>The study suggests that HA<\/jats:styled-content> and SD<\/jats:styled-content> play an important role in psychological distress in FM<\/jats:styled-content>. The fact that SD<\/jats:styled-content> is prone to modification and has a regulatory effect on emotional impulses is a key aspect to consider from the psychotherapeutic point of view.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12473","type":"journal-article","created":{"date-parts":[[2014,12,9]],"date-time":"2014-12-09T02:26:05Z","timestamp":1418091965000},"page":"852-863","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Cloninger's psychobiological model of personality and psychological distress in fibromyalgia"],"prefix":"10.1111","volume":"19","author":[{"given":"Alba","family":"Garcia\u2010Fontanals","sequence":"first","affiliation":[{"name":"Department of Clinical and Health Psychology Autonomous University of Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susanna","family":"Garc\u00eda\u2010Blanco","sequence":"additional","affiliation":[{"name":"Rheumatology Department Hospital CIMA Sanitas Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariona","family":"Portell","sequence":"additional","affiliation":[{"name":"Department of Psychobiology and Methodology of Health Sciences Autonomous University of Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jes\u00fas","family":"Pujol","sequence":"additional","affiliation":[{"name":"MRI Research Unit CRC Mar Hospital del Mar Barcelona Spain"},{"name":"CIBERSAM G21 Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violant","family":"Poca\u2010Dias","sequence":"additional","affiliation":[{"name":"Rheumatology Department Hospital CIMA Sanitas Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferran","family":"Garc\u00eda\u2010Fructuoso","sequence":"additional","affiliation":[{"name":"Rheumatology Department Hospital CIMA Sanitas Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"L\u00f3pez\u2010Ruiz","sequence":"additional","affiliation":[{"name":"MRI Research Unit CRC Mar Hospital del Mar Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Guti\u00e9rrez\u2010Rosado","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology Autonomous University of Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montserrat","family":"Gom\u00e0\u2010i\u2010Freixanet","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology Autonomous University of Barcelona Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Deus","sequence":"additional","affiliation":[{"name":"Department of Clinical and Health Psychology Autonomous University of Barcelona Barcelona Spain"},{"name":"MRI Research Unit CRC Mar Hospital del Mar Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2014,12,5]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2007.09.003"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_7_4_1","first-page":"1577","article-title":"The London Fibromyalgia Epidemiology Study, comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls","volume":"26","author":"White KP","year":"1999","journal-title":"J Rheumatol"},{"key":"e_1_2_7_5_1","first-page":"519","article-title":"Prevalence and impact of fibromyalgia on function and quality of life in individuals from the general population, results from a nationwide study in Spain","volume":"26","author":"Mas AJ","year":"2008","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0005224"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1994.tb01531.x"},{"key":"e_1_2_7_8_1","first-page":"588","article-title":"Chronic widespread musculoskeletal pain with or without fibromyalgia, psychological distress in a representative community adult sample","volume":"29","author":"White KP","year":"2002","journal-title":"J Rheumatol"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0033-3182(99)71272-7"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.11272"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/10582450902820531"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-008-0722-5"},{"key":"e_1_2_7_13_1","volume-title":"The Temperament and Character Inventory (TCI). 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