Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia
Background: 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 catastrophi...
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doaj-ada9a5818f0f4595b2405da30dd89c342021-06-01T00:24:07ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-05-01185394539410.3390/ijerph18105394Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with FibromyalgiaCecilia Peñacoba0Maria Ángeles Pastor-Mira1Carlos Suso-Ribera2Patricia Catalá3Ainara Nardi-Rodríguez4Sofía López-Roig5Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922 Alcorcón, Madrid, SpainDepartment of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, SpainDepartment of Basic and Clinical Psychology and Psychobiology, Jaume I University, Vicent Sos Baynat, 15, 12006 Castellón de la Plana, Castellón, SpainDepartment of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922 Alcorcón, Madrid, SpainDepartment of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, SpainDepartment of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, SpainBackground: 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 (<i>p</i> < 0.001), excessive persistence (<i>p</i> < 0.001) and pacing (<i>p</i> < 0.01) patterns were positively associated with fibromyalgia impact. Helplessness shows a moderating role between pain avoidance (B = 0.100, t =2.30, <i>p</i> = 0.021, [0.01, 0.18]), excessive persistence (B = −0.09, t = −2.24, <i>p</i> = 0.02, [−0.18, −0.01]), pain persistence (B = −0.10, t = −2.04, <i>p</i> = 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.https://www.mdpi.com/1660-4601/18/10/5394fibromyalgiapsychological flexibilityactivity patternsfunctioningpain catastrophizingchronic pain |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Cecilia Peñacoba Maria Ángeles Pastor-Mira Carlos Suso-Ribera Patricia Catalá Ainara Nardi-Rodríguez Sofía López-Roig |
spellingShingle |
Cecilia Peñacoba Maria Ángeles Pastor-Mira Carlos Suso-Ribera Patricia Catalá Ainara Nardi-Rodríguez Sofía López-Roig Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia International Journal of Environmental Research and Public Health fibromyalgia psychological flexibility activity patterns functioning pain catastrophizing chronic pain |
author_facet |
Cecilia Peñacoba Maria Ángeles Pastor-Mira Carlos Suso-Ribera Patricia Catalá Ainara Nardi-Rodríguez Sofía López-Roig |
author_sort |
Cecilia Peñacoba |
title |
Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia |
title_short |
Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia |
title_full |
Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia |
title_fullStr |
Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia |
title_full_unstemmed |
Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia |
title_sort |
activity patterns and functioning. a contextual–functional approach to pain catastrophizing in women with fibromyalgia |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-05-01 |
description |
Background: 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 (<i>p</i> < 0.001), excessive persistence (<i>p</i> < 0.001) and pacing (<i>p</i> < 0.01) patterns were positively associated with fibromyalgia impact. Helplessness shows a moderating role between pain avoidance (B = 0.100, t =2.30, <i>p</i> = 0.021, [0.01, 0.18]), excessive persistence (B = −0.09, t = −2.24, <i>p</i> = 0.02, [−0.18, −0.01]), pain persistence (B = −0.10, t = −2.04, <i>p</i> = 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. |
topic |
fibromyalgia psychological flexibility activity patterns functioning pain catastrophizing chronic pain |
url |
https://www.mdpi.com/1660-4601/18/10/5394 |
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