Activity patterns and functioning. A contextual–functional approach to pain catastrophizing in women with fibromyalgia
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Títol
Activity patterns and functioning. A contextual–functional approach to pain catastrophizing in women with fibromyalgiaAutoria
Data de publicació
2021-05-18Editor
MDPIISSN
1660-4601Cita bibliogràfica
Peñacoba, C.; Pastor-Mira, M.Á.; Suso-Ribera, C.; Catalá, P.; Nardi-Rodríguez, A.; López-Roig, S. Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia. Int. J. Environ. Res. Public Health 2021, 18, 5394. https:// doi.org/10.3390/ijerph18105394Tipus de document
info:eu-repo/semantics/articleVersió
info:eu-repo/semantics/publishedVersionParaules clau / Matèries
Resum
The psychological flexibility model states that activity patterns are not
deemed to be intrinsically functional or dysfunctional; it is considered that underlying factors, such
as personal goals and contextual ... [+]
The psychological flexibility model states that activity patterns are not
deemed to be intrinsically functional or dysfunctional; it is considered that underlying factors, such
as personal goals and contextual factors, are what will determine their effects on disability. Pain catastrophizing has frequently been associated with several important pain-related outcomes. Despite its
recent conceptualization within affective–motivational approaches, its moderating role between activity patterns and dysfunction has not been analyzed. Methods: This study analyzes the moderating
role of pain catastrophizing and its dimensions (Pain Catastrophizing Scale) between activity patterns
(Activity Patterns Scale) and disease impact (Fibromyalgia Impact Questionnaire—Revised) in 491
women with fibromyalgia. Results: Activity avoidance (p < 0.001), excessive persistence (p < 0.001)
and pacing (p < 0.01) patterns were positively associated with fibromyalgia impact. Helplessness
shows a moderating role between pain avoidance (B = 0.100, t =2.30, p = 0.021, [0.01, 0.18]), excessive
persistence (B = −0.09, t = −2.24, p = 0.02, [−0.18, −0.01]), pain persistence (B = −0.10, t = −2.04,
p = 0.04, [−0.19, −0.004]) and functioning. Conclusion: Helplessness (within pain catastrophizing)
is a relevant variable within psychological flexibility models applied to activity patterns. Specifically, pain avoidance is especially dysfunctional in patients with high helplessness. To improve
excessive persistence and pain persistence, it is necessary to reduce helplessness before regulating
activity patterns. [-]
Publicat a
International Journal of Environmental Research and Public Health. Vol. 18, Iss. 10, Núm. 5394 (May-2 2021)Entitat finançadora
Ministerio de Economía y Competitividad (MINECO) | Instituto de Salud Carlos III | Fondo Europeo de Desarrollo Regional (FEDER)
Codi del projecte o subvenció
PSI2016-79566-C2-1-R | PI17/00858
Títol del projecte o subvenció
Health Research Fund (Fondo de Investigación en Salud)
Drets d'accés
info:eu-repo/semantics/openAccess
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