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Background: Fibromyalgia (FM) is a chronic pain syndrome that is accompanied by notable psychological distress. However, little research has been done on how the psychopathological profi le of FM patients may infl uence their functional status. Method: Using the Symptom Checklist90-Revised the study examined the psychopathological dimensions of 181 women with FM, and the role of psychopathology as a moderator of the relationship between physical symptoms and impairment of functioning. Results: FM patients exhibited T-scores above the cutoff point (≥ 60) in all dimensions, and 76.2% were identifi ed as “clinical cases”. Somatization was a signifi cant predictor of pain intensity, somatization and obsessioncompulsion contributed signifi cantly to predicting poor sleep quality, while somatization, depression and anxiety were signifi cant predictors of impairment. Psychopathology was a statistically signifi cant moderator that increased the impact of poor sleep quality on impairment. Conclusions: The dysfunctional psychological style is key in the impairment associated with FM. The evaluation of psychopathological profi les can allow the early identifi cation of the patients who are most vulnerable to impaired functioning due to the presence of possible psychopathology, as well facilitating therapeutic adaptations. (AU)

Antecedentes: la fibromialgia (FM) es un síndrome de dolor crónico que se acompaña de importante malestar psicológico. Sin embargo, se ha investigado poco cómo el perfi l psicopatológico de los pacientes con FM puede infl uir en su estado funcional. Método: utilizando el Cuestionario de Síntomas-90- Revisado, se examinaron las dimensiones psicopatológicas de 181 mujeres con FM, y el papel de la psicopatología como moderador de la relación entre síntomas físicos y deterioro del funcionamiento. Resultados: las pacientes presentaron puntuaciones-T superiores al punto de corte (≥ 60) en todas las dimensiones, siendo el 76,2% de ellas identifi cadas como “caso clínico”. La somatización fue un predictor signifi cativo de la intensidad del dolor, la somatización y la obsesión-compulsión contribuyeron signifi cativamente a predecir la mala calidad del sueño, y la somatización, la depresión y la ansiedad fueron predictores signifi cativos del deterioro. La psicopatología fue un moderador estadísticamente signifi cativo que intensifi có el impacto de la mala calidad del sueño sobre el deterioro. Conclusiones: el estilo psicológico disfuncional es clave en el deterioro asociado a la FM. La evaluación del perfil psicopatológico puede permitir la identifi cación precoz de los pacientes más vulnerables al deterioro funcional debido a la presencia de posible psicopatología, así como facilitar las adaptaciones terapéuticas. (AU)

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Abstract This study assesses the relationship between food satisfaction and family satisfaction and their relationships to university student life satisfaction, while also exploring the moderating role of the place of student residence, student self-health perception and the importance students assign to food in relation to well-being. A survey was applied to a convenience sample of 269 university students. The questionnaire included: the Satisfaction with Life Scale, Satisfaction with Food-related Life, the family subscale of the Multidimensional Students' Life Satisfaction Scale and the first item of the Health-related Quality of Life Index. Having controlled for gender and socioeconomic status, it was found that a student's life satisfaction was significantly related to food satisfaction and, to a lesser extent, family satisfaction. Food satisfaction was positively and significantly related to family satisfaction. A moderating role of student residence was not found. Student health self-perception was found to moderate the relationship between family and life satisfaction, whereas the importance assigned to food in relation to well-being was found to moderate the relationship between food and student life satisfaction. These findings suggest that, in order to increase student life satisfaction, it is important to improve family satisfaction for those students who have a negative health self-perception. Likewise, improving food satisfaction is relevant for those students who gave low importance to food in regard to their well-being.

Resumen El objetivo de este estudio fue evaluar la relación entre la satisfacción con la alimentación y la satisfacción familiar, sus relaciones con la satisfacción con la vida de estudiantes universitarios y explorar el rol moderador del lugar donde el estudiante vive, su autopercepción de la salud y de la importancia asignada a la alimentación para el bienestar. Se aplicó una encuesta a una muestra por conveniencia de 269 estudiantes universitarios. El cuestionario incluyó la Escala de Satisfacción con la Vida, Satisfacción con la Alimentación, la subescala de Familia de la Escala Multidimensional de Satisfacción con la Vida de Estudiantes y el primer ítem del Índice de Calidad de Vida Relacionado con la Salud. Habiendo controlado por género y nivel socioeconómico, se encontró que la satisfacción con la vida del estudiante se relacionó significativamente con la satisfacción con la alimentación y, en menor medida, con su satisfacción familiar. La satisfacción con la alimentación se relacionó positiva y significativamente con la satisfacción familiar. No se encontró un rol moderador del lugar donde el estudiante vive. La autopercepción de salud del estudiante moderaría la relación entre la satisfacción con la vida y la familia, mientras la importancia asignada a la alimentación para el bienestar moderaría la relación entre la satisfacción con la vida y la alimentación. Estos resultados sugieren que para incrementar la satisfacción con la vida de los estudiantes, es importante mejorar la satisfacción con la familia en los estudiantes que tienen una mala autopercepción de salud, mientras que mejorar la satisfacción con la alimentación es relevante en los estudiantes que asignan baja importancia a la alimentación para su bienestar.

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Objective: optimism is an important variable that has consistently been shown to affect adjustment to quality of life in chronic diseases. This study aims to clarify if dispositional optimism exerts a moderating or a mediating influence on the personality traits-quality of life association, in Portuguese chronic patients. Methods: multiple regression models were used to test the moderation and mediation effects of dispositional optimism in quality of life. A sample of 729 patients was recruited in Portugal's main hospitals and completed self-reported questionnaires assessing socio-demographic and clinical variables, personality, dispositional optimism, quality of life (QoL) and subjective well-being (SWB). Results: the results of the regression models showed that dispositional optimism did not moderate the relationships between personality traits and quality of life. After controlling for gender, age, education level and severity of disease perception, the effects of personality traits on QoL and in SWB were mediated by dispositional optimism (partially and completely), except for the links between neuroticism/openness to experience and physical health. Conclusion: dispositional optimism is more likely to play a mediating, rather than a moderating role in personality traits-quality of life pathway in Portuguese chronic patients, suggesting that "the expectation that good things will happen" contributes to a better quality of life and subjective well-being. .

Objetivo: o otimismo tem sido demonstrado como uma variável importante no ajustamento da qualidade de vida de pessoas com doenças crônicas. O estudo tem como objetivo verificar se o otimismo exerce um efeito moderador ou mediador entre os traços de personalidade e a qualidade de vida, em portugueses com doenças crônicas. Métodos: os modelos de regressão linear múltipla foram usados para avaliar o efeito de moderação e mediação do otimismo na qualidade de vida. A amostra, constituída por 729 doentes, recrutados nos principais hospitais de Portugal responderam a questionários de autorresposta avaliando questões sócio-demográficas e clínicas, personalidade, otimismo disposicional, qualidade de vida e bem-estar subjetivo. Resultados: os resultados encontrados mostraram que o otimismo disposicional não exerce um papel moderador entre os traços de personalidade e a qualidade de vida. Controlando por idade, sexo, nível de escolaridade e percepção da severidade da doença, o efeito dos traços de personalidade na qualidade de vida e no bem-estar subjetivo foi mediado pelo otimismo (parcial e total), expecto para as associações, neuroticismo/abertura à experiência e à saúde física. Conclusão: o otimismo disposicional exerce apenas um papel mediador entre os traços de personalidade e qualidade de vida, em pessoas com doenças crônicas, sugerindo que 'a expectativa de que coisas boas vão acontecer' contribui para uma melhor qualidade de vida e melhor bem-estar subjetivo. .

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