The association between borderline personality disorder, fibromyalgia and chronic fatigue syndrome: systematic review

BackgroundOverlap of aetiological factors and demographic characteristics with clinical observations of comorbidity has been documented in fibromyalgia syndrome, chronic fatigue syndrome (CFS) and borderline personality disorder (BPD).AimsThe purpose of this study was to assess the association of BPD with fibromyalgia syndrome and CFS. The authors reviewed literature on the prevalence of BPD in patients with fibromyalgia or CFS and vice versa.MethodsA search of five databases yielded six eligible studies. A hand search and contact with experts yielded two additional studies. We extracted information pertaining to study setting and design, demographic information, diagnostic criteria and prevalence.ResultsWe did not identify any studies that specifically assessed the prevalence of fibromyalgia or CFS in patients with BPD. Three studies assessed the prevalence of BPD in fibromyalgia patients and reported prevalence of 1.0, 5.25 and 16.7%. Five studies assessed BPD in CFS patients and reported prevalence of 3.03, 1.8, 2.0, 6.5 and 17%.ConclusionsMore research is required to clarify possible associations between BPD, fibromyalgia and CFS.

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Diagnostic Concordance Between Categorical and Dimensional Instruments to Assess Personality Disorder in Chronic Fatigue Syndrome

European Journal of Psychological Assessment ◽

10.1027/1015-5759/a000281 ◽

2017 ◽

Vol 33 (3) ◽

pp. 158-165

Author(s):

Natalia Calvo ◽

Naia Sáez-Francàs ◽

Sergi Valero ◽

Jesús Castro-Marrero ◽

José Alegre Martín ◽

...

Keyword(s):

Personality Disorder ◽

Chronic Fatigue Syndrome ◽

Personality Assessment ◽

Chronic Fatigue ◽

Specific Pattern ◽

Harm Avoidance ◽

Assessment Instrument ◽

Compulsive Disorder ◽

Fatigue Syndrome ◽

Self Transcendence

Abstract. The study examines the relationship between a categorical and a dimensional personality assessment instrument in patients with Chronic Fatigue Syndrome (CFS). A total of 162 CFS patients were included in the study (91.4% women; mean age 47.5 years). All subjects completed the Spanish versions of the Personality Diagnostic Questionnaire-4+ (PDQ-4+) and the Temperament and Character Inventory-Revised (TCI-R). Results: 78 (48.1%) of the patients presented a Personality Disorder (PD), the most frequent being Cluster C, specifically Obsessive-compulsive disorder, followed by Avoidant disorder. PDs showed a specific pattern of correlation with temperament scales. All PD clusters correlated positively with Harm Avoidance and Self-Transcendence, and negatively with Reward Dependence, Self-Directedness, and Cooperativeness. In a logistic regression analysis, Self-Directedness and Cooperativeness predicted PD presence. The findings are consistent with previous studies in non-CFS samples and suggest that the combination of the Temperament and Character dimensions (low Self-Directedness and Cooperativeness and high Harm Avoidance and Self-Transcendence) correlates with PD severity, and that Self-Directedness and Cooperativeness are associated with PD presence in CFS patients. The integration of these two perspectives expands the current comprehension of personality pathology in CFS patients.

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The hypothalamo–pituitary–adrenal axis in chronic fatigue syndrome and fibromyalgia syndrome

Stress ◽

10.1080/10253890601130823 ◽

2007 ◽

Vol 10 (1) ◽

pp. 13-25 ◽

Cited By ~ 72

Author(s):

F. Tanriverdi ◽

Z. Karaca ◽

K. Unluhizarci ◽

F. Kelestimur

Keyword(s):

Chronic Fatigue Syndrome ◽

Fibromyalgia Syndrome ◽

Chronic Fatigue ◽

Adrenal Axis ◽

Fatigue Syndrome ◽

Pituitary Adrenal Axis

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The role of herpesviruses 6 and 7 in the development of chronic fatigue syndrome: a review of literature and description of clinical cases

Likarska sprava ◽

10.31640/vd.7-8.2018(4) ◽

2018 ◽

pp. 24-31

Author(s):

V. V. Tsaryk ◽

A. K. Novoskoltsev

Keyword(s):

Chronic Fatigue Syndrome ◽

Drug Treatment ◽

Fibromyalgia Syndrome ◽

Immune Dysfunction ◽

Chronic Fatigue ◽

Point Of View ◽

Review Of Literature ◽

Herpesvirus Infection ◽

Fatigue Syndrome

At the issue represented the etiopathogenesis of the chronic fatigue syndrome of (CFS) with immune dysfunction. Many doctors consider this problem only from the point of view of non-psychological disorders requiring only psycho-correction and non-drug treatment. However, syndromocomplex of CFS includes not only neuropsychiatric disorders, but also fibromyalgia syndrome, unexplained genesis, lymphadenopathy, non-specific polyarthralgias. It is also controversial about the feasibility of treating type 6 herpesviruses and type 7 viruses. Some authors consider the need for antiviral therapy only when reactivating the herpesvirus infection, in the transplantation of organs and tissues. However, for frequent HHV-7 and HHV-6 viremia remains resistant to ganciclovir, unlike CMV and EBV, which is successfully controlled by viremia.

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