Exploring the Comorbidity Between Personality and Musculoskeletal Disorders Among Adults: A Scoping Review

Overview

Journal Front Psychiatry

Specialty Psychiatry

Date 2023 Feb 23

PMID 36819943

Authors

Shae E Quirk

Heli Koivumaa-Honkanen

Bianca E Kavanagh

Risto J Honkanen

Jeremi Heikkinen

Lana J Williams

Affiliations

Soon will be listed here.

Abstract

Introduction: There is growing awareness of the comorbidity between mental and musculoskeletal disorders (MSDs) and their associated burden. We aimed to explore what is known regarding the existing epidemiological clinical-and population- based literature on the comorbidity between personality disorders (PDs) and MSDs specifically. In addition, we aimed to investigate their associated burden by examining a range of outcomes including morbidity/mortality, patient- and clinical-reported outcomes, work-related outcomes, hospital admissions, and financial costs. Finally, we sought to identify gaps in the literature and provide recommendations for further research.

Methods: Studies with participants 15 years of age were eligible. Categorical PDs/features (DSM-III/IV/5 or ICD 9/10), identified by a health care professional, medical records, diagnostic interviews, or self-administered questionnaires. The definitions/groupings of MSDs were guided by the ICD-10 including conditions of the back, joints, and soft tissue, and disorders of bone density and structure. Published peer-reviewed and gray literature were considered. Eligible study designs were cohort, case-control, and cross-sectional studies, and existing reviews of observational studies. Identification and selection of articles, data extraction and the presentation of the results was conducted according to the Joanna Briggs Institute methodological guidance and the PRISMA extension for scoping reviews.

Results: In total, 57 articles were eligible including 10 reviews and 47 individual studies. Across clinical and population settings, we detected evidence of comorbidity between PDs and chronic back/neck/spine conditions, arthritis, and fibromyalgia, and emerging evidence of associations between PDs and reduced bone mineral density. In terms of knowledge gaps, the burden associated with PDs and MSDs is poorly understood, as is their underlying mechanisms.

Discussion: This scoping review might prompt further research into PDs and MSDs as separate groups of disorders, along with their comorbidity and the mechanisms that may link them.

Systematic Review Registration: https://osf.io/mxbr2/registrations.

Citing Articles

A systematic review of personality and musculoskeletal disorders: evidence from general population studies.

Quirk S, Koivumaa-Honkanen H, Honkanen R, Mohebbi M, Stuart A, Heikkinen J Front Psychiatry. 2024; 15:1288874.

PMID: 38835544 PMC: 11148376. DOI: 10.3389/fpsyt.2024.1288874.

Suicide Ideation Among Transgender and Gender Diverse Adolescents: The Role of Parental Invalidation of Adolescents' Gender Identity.

Esposito E, Ellerkamp H, Eisenberg A, Handley E, Glenn C Res Child Adolesc Psychopathol. 2024; 52(9):1329-1342.

PMID: 38767739 DOI: 10.1007/s10802-024-01203-y.

Associations between personality and musculoskeletal disorders in the general population: A systematic review protocol.

Quirk S, Koivumaa-Honkanen H, Honkanen R, Mohebbi M, Kavanagh B, Heikkinen J Front Psychiatry. 2023; 13:1079162.

PMID: 36762294 PMC: 9905843. DOI: 10.3389/fpsyt.2022.1079162.

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