Personality, Pain and Rheumatic Disease: Examining Psychological Flexibility

Morales Hotleykim^*
*Correspondence: Morales Hotleykim, Department of Rheumatology, University of Zaragoza, 50009 Zaragoza, Spain, Email:

Introduction

The intersection of personality traits, pain perception and rheumatic diseases has garnered increasing attention in recent years within the field of psychosomatic medicine. Rheumatic diseases, such as rheumatoid arthritis, fibromyalgia and osteoarthritis, are characterized by chronic pain, inflammation and joint stiffness, posing significant challenges to affected individuals' physical and psychological well-being. Personality factors, including psychological flexibility, have emerged as potential contributors to variations in pain experience, coping strategies and treatment outcomes among patients with rheumatic diseases. This paper seeks to explore the intricate relationship between personality, pain and rheumatic disease, with a specific focus on examining the role of psychological flexibility as a modulating factor. By synthesizing existing literature and research findings, this paper aims to elucidate the complex interplay between personality traits, pain perception and psychological flexibility in the context of rheumatic diseases, offering insights into potential avenues for personalized interventions and psychosocial support [1].

Description

Rheumatic diseases represent a heterogeneous group of conditions characterized by chronic pain, inflammation and functional impairment, posing significant challenges to affected individuals' physical and psychological well-being. The experience of pain in rheumatic diseases is influenced by various factors, including disease severity, inflammatory processes and individual differences in pain perception and coping mechanisms. Personality traits have emerged as important determinants of pain experience and adaptation among patients with rheumatic diseases, with psychological flexibility gaining prominence as a key construct in this context. Psychological flexibility, rooted in Acceptance and Commitment Therapy (ACT), refers to the ability to adaptively respond to internal experiences (e.g., thoughts, emotions, sensations) and engage in values-based action in the presence of pain or distress. Individuals high in psychological flexibility demonstrate greater resilience, acceptance of pain and willingness to engage in valued activities despite pain-related limitations. Conversely, low psychological flexibility is associated with maladaptive pain coping strategies, avoidance behavior and heightened psychological distress [2].

Research examining the relationship between personality, pain and rheumatic diseases has highlighted the importance of psychological flexibility as a potential mediator of pain-related outcomes. Studies have consistently shown that higher levels of psychological flexibility are associated with lower pain severity, decreased psychological distress and better functional outcomes among patients with rheumatic diseases. Moreover, psychological flexibility has been found to buffer the impact of pain on quality of life, sleep disturbance and physical activity levels, suggesting its potential role as a resilience factor in the face of chronic pain. Despite growing recognition of the importance of psychological flexibility in rheumatic diseases, several challenges remain in translating this knowledge into clinical practice. Limited awareness among healthcare providers, lack of standardized assessment tools and barriers to implementing psychosocial interventions pose significant obstacles to integrating psychological flexibility into routine care for patients with rheumatic diseases. Moreover, the heterogeneity of rheumatic conditions and individual differences in pain experience underscore the need for personalized approaches that consider patients' unique psychological profiles and treatment preferences [3,4].

Moreover, further research is warranted to elucidate the mechanisms underlying the relationship between personality, pain and rheumatic diseases, particularly with regard to the specific pathways through which psychological flexibility influences pain-related outcomes. Longitudinal studies examining the trajectory of psychological flexibility and its impact on pain management over time could provide valuable insights into the dynamic nature of these associations and inform the development of targeted interventions aimed at enhancing psychological flexibility and mitigating the impact of chronic pain in rheumatic diseases. In addition to research endeavors, efforts to enhance education and training for healthcare professionals in psychosocial aspects of rheumatic diseases are essential for promoting holistic care and addressing the diverse needs of patients. Integrating psychological assessment tools and evidence-based interventions into clinical practice settings can empower healthcare providers to identify patients at risk for maladaptive pain coping strategies and tailor treatment approaches accordingly. Moreover, fostering collaboration between rheumatologists, pain specialists, psychologists and other allied healthcare professionals is crucial for implementing comprehensive, multidisciplinary care models that address both the physical and psychological aspects of rheumatic diseases [5].

Conclusion

In conclusion, personality traits, pain perception and psychological flexibility intersect in complex ways within the context of rheumatic diseases, influencing patients' pain experience, coping strategies and treatment outcomes. Psychological flexibility emerges as a promising target for intervention, offering a framework for promoting adaptive responses to pain and enhancing overall well-being among individuals with rheumatic diseases. By fostering greater awareness of the role of personality factors in pain management, integrating psychological flexibility-based interventions into multidisciplinary care and adopting personalized approaches tailored to patients' individual needs, healthcare providers can optimize outcomes and improve quality of life for patients living with rheumatic diseases.

Acknowledgment

None.

Conflict of Interest

No conflict of interest.

References

1. Treede, Rolf-Detlef, Winfried Rief, Antonia Barke and Qasim Aziz, et al. "Chronic pain as a symptom or a disease: The IASP classification of chronic pain for the International Classification of Diseases (ICD-11)." Pain 160 (2019): 19-27.

Google Scholar, Crossref, Indexed at

2. Van Damme, Stefaan, Susanne Becker and Dimitri Van der Linden. "Tired of pain? Toward a better understanding of fatigue in chronic pain." Pain 159 (2018): 7-10.

Google Scholar, Crossref, Indexed at

3. Kaiser, Tim, Philipp Herzog, Ulrich Voderholzer and Eva‐Lotta Brakemeier. "Unraveling the comorbidity of depression and anxiety in a large inpatient sample: Network analysis to examine bridge symptoms." Depression Anxiety 38 (2021): 307-317.

Google Scholar, Crossref, Indexed at

4. Naylor, Brooke, Simon Boag and Sylvia Maria Gustin. "New evidence for a pain personality? A critical review of the last 120 years of pain and personality." Scand J Pain 17 (2017): 58-67.

Google Scholar, Crossref, Indexed at

5. Bucourt, Emilie, Virginie Martaillé, Denis Mulleman and Philippe Goupille, et al. "Comparison of the Big Five personality traits in fibromyalgia and other rheumatic diseases." Joint Bone Spine 84 (2017): 203-207.

Google Scholar, Crossref, Indexed at