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Abstract：
BACKGROUND Type D personality has been associated with adverse clinical outcomes and poor quality of life in many diseases. This study aimed to evaluate the effects of type D personality on pain, anxiety and depression, sleep quality, and quality of life in 50 patients with fibromyalgia syndrome. MATERIAL AND METHODS Fifty patients with fibromyalgia and 50 healthy controls were included in the study. Baseline and post-treatment evaluations encompassed a comprehensive battery of assessment tools: socio-demographic questionnaire, visual analog scale for pain, Beck Anxiety Inventory, Beck Depression Inventory, Fibromyalgia Impact Questionnaire, SF-36 Short Form Questionnaire, and Pittsburgh Sleep Quality Index. The effects of type D personality traits on clinical parameters were determined by evaluating the participants with the D-Type Personality Scale (DS-14). RESULTS Twelve participants (24%) in the control group and 30 patients (60%) in the fibromyalgia group had type D personality traits, and the difference was significant (P<0.001). The Beck Anxiety Inventory and Beck Depression Inventory scores were significantly higher, and the SF-36 domains of vitality and mental health were significantly lower in fibromyalgia patients with type D personality (P=0.023, P=0.036, P=0.002, P>0.001). CONCLUSIONS This study draws attention to the high prevalence of type D personality in patients with fibromyalgia and demonstrates that this personality trait has a negative impact on patients\' clinical parameters.
摘要：
背景技术在许多疾病中,D型人格与不良临床结果和不良生活质量相关。本研究旨在评估D型人格对疼痛的影响，焦虑和抑郁,睡眠质量,50例纤维肌痛综合征患者的生活质量。材料与方法本研究包括50例纤维肌痛患者和50例健康对照。基线和治疗后评估包括一系列全面的评估工具：社会人口统计问卷，疼痛的视觉模拟量表，贝克焦虑量表，贝克抑郁量表，纤维肌痛影响问卷，SF-36简表问卷，匹兹堡睡眠质量指数。采用D型人格量表(DS-14)对参与者进行评价,确定D型人格特征对临床参数的影响。结果对照组12例(24%)和纤维肌痛组30例(60%)均有D型人格特征,差异有统计学意义(P<0.001)。贝克焦虑量表和贝克抑郁量表得分明显较高,在具有D型人格的纤维肌痛患者中，SF-36活力和心理健康领域显着降低（P=0.023，P=0.036，P=0.002，P>0.001）。结论本研究提请注意纤维肌痛患者D型人格的高患病率，并证明这种人格特质对患者的临床参数有负面影响。
