Physical and psychological paths toward less severe fibromyalgia: A structural equation model

Pulido-Martos, Manuel; Luque-Reca, Octavio; Segura‐Jiménez, Víctor; Álvarez‐Gallardo, Inmaculada C.; Soriano‐Maldonado, Alberto; Acosta‐Manzano, Pedro; Gavilán‐Carrera, Blanca; McVeigh, JG; Geenen, Rinie; Fernández, Manuel Delgado; Estévez‐López, Fernando

doi:10.1016/j.rehab.2019.06.017

Cited by 57 publications

(37 citation statements)

References 36 publications

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“…Thus, additional research is needed to evaluate a larger number of both positive and negative psychological factors in the same sample to determine which plays the most important roles and determine if as a group these factors can explain more mediation effects than single or subsets of these variables. According to this point, two recent studies in people with fibromyalgia have shown how high resilience and low pain catastrophizing reduced fibromyalgia severity via low distress [ 67 ] and how high cognitive fusion and high pain catastrophizing increased functional limitations via fibromyalgia symptoms (depression, pain, and physical fatigue) [ 68 ].…”

Section: Discussionmentioning

confidence: 99%

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Martínez-Calderón

Flores-Cortes

Clavero-Cano

et al. 2020

JCM

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This study aimed to test the cross-sectional mediating and moderating role that positive psychological factors play in the association between pain intensity and pain interference in individuals with chronic musculoskeletal pain. A descriptive cross-sectional study using mediation analyses was conducted, including 186 individuals with chronic musculoskeletal pain. We conducted cross-sectional mediation and moderation analyses to determine whether the positive psychological factors mediated or moderated the association between pain intensity and pain interference. Pain acceptance, pain self-efficacy, and optimism were all significantly and weakly related to pain interference when controlling for pain intensity. Pain self-efficacy and pain acceptance partially mediated the association between pain intensity and pain interference. On the other hand, the multiple mediation model did not show significant effects. The three positive psychological factors were not found to significantly moderate the association between pain intensity and pain interference. The findings suggest that in chronic musculoskeletal pain patients, the treatments may focus on [i] what they are capable of doing to manage the pain (i.e., pain self-efficacy) and [ii] being better able to accept the pain as pain waxes and wanes might be also particularly helpful. However, these results must be tested in longitudinal studies before drawing any causal conclusion.

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Section: Discussionmentioning

confidence: 99%

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Martínez-Calderón

Flores-Cortes

Clavero-Cano

et al. 2020

JCM

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“…Despite the fact that in recent years some studies have explored the complex relationships between the different aspects and symptoms of the disease [14,23], it is still necessary to deepen both the explanatory mechanisms that affect its severity and the most appropriate treatments to minimize its main symptoms. According to clinical practice guidelines, there are various forms of treatment for FM, from patient education, drug treatment, physical therapy, and psychology, to some alternative therapies such as yoga, taichi, or acupuncture [24].…”

Section: Introductionmentioning

confidence: 99%

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Nadal-Nicolás

Rubio-Arias

Martínez-Olcina

et al. 2020

IJERPH

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Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia (n = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was “treated” with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia (p < 0.001). Correlations showed a relationship between fatigue and sleep variables (R = 0.411; p = 0.046) and pain variables with the POMS anger-hostility subscale (R = 0.436; p = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety.

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“…In fibromyalgia, subjective well-being is known to be important for better health [4][5][6][7]. Identifying determinants of subjective well-being that can be altered, such as physical activity, sedentary behaviour, and physical fitness, represents potential areas to optimize treatment regimens [7,44].…”

Section: Discussionmentioning

confidence: 99%

“…Subjective well-being is people's evaluation of their own life on affective (positive and negative) and cognitive (satisfaction with life) dimensions [2,3]. In particular, positive affect is indicated to be a key determinant of adaptation to fibromyalgia [4][5][6][7]. Finding modifiable factors that are related to subjective wellbeing would be valuable for improving intervention programs in fibromyalgia.…”

Section: Introductionmentioning

confidence: 99%

Objective and subjective measures of physical functioning in women with fibromyalgia: what type of measure is associated most clearly with subjective well-being?

Munguía‐Izquierdo

Pulido-Martos

Acosta

et al. 2019

Disability and Rehabilitation

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Purpose: To find modifiable factors that are related to subjective well-being would be valuable for improving interventions in fibromyalgia. Physical activity, sedentary behaviour, and physical fitness may represent potential areas to optimize treatment regimens. In fibromyalgia, there is a discordance between clinical observations and patient-reported outcomes (objective and subjective assessments). Therefore, the present study aims at analyzing the associations of objective and subjective evaluations of physical activity, sedentary behaviour, and physical fitness with subjective well-being and determine if and how objective and subjective associations differ. Methods: In this population-based cross-sectional study participated 375 women with fibromyalgia from the al-Andalus project (Spain). Physical activity, sedentary behaviour, and physical fitness were objectively (accelerometers and performance testing) and subjectively (questionnaires) measured. Participants selfreported their levels of positive affect, negative affect, and life satisfaction. Results: In the most conservative multivariate analysis, we found independent associations of the objective measures of physical activity with positive affect and life satisfaction and sedentary behaviour with positive affect. No such relationship was seen with subjective measures of the same behaviours. Moreover, we observed that objective and subjective physical fitness evaluations were independent of each other related to subjective well-being. Conclusions: Independent associations of the objective measures (but not the subjective assessments) of physical activity with positive affect and life satisfaction, and of sedentary behaviour with positive affect were observed. However, objective measures and subjective appraisals of physical fitness appear to be independently related to well-being, which should be considered when developing physical exercise interventions for fibromyalgia. ä IMPLICATIONS FOR REHABILITATION The analysis of concurrent associations of objective and subjective evaluations of physical functioning with subjective well-being offers indications for modifiable targets in rehabilitation that can improve well-being in fibromyalgia. Exercise-based rehabilitation may help women with fibromyalgia to improve subjective well-being, particularly positive affect. Rehabilitation should focus on both the objective physical performance of women with fibromyalgia and on their perceptions of what they can do physically. When rehabilitation aims at enhancing positive affect or life satisfaction by changing the lifestyle of women with fibromyalgia, physical activity and sedentary behaviour should be objectively monitored.

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Physical and psychological paths toward less severe fibromyalgia: A structural equation model

Cited by 57 publications

References 36 publications

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

The Role of Positive Psychological Factors in the Association between Pain Intensity and Pain Interference in Individuals with Chronic Musculoskeletal Pain: A Cross-Sectional Study

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Objective and subjective measures of physical functioning in women with fibromyalgia: what type of measure is associated most clearly with subjective well-being?

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