Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling
Differences in fibromyalgia impact on functioning exist and appear to be influenced by numerous factors, including symptomatology severity, as well as the cognitive profile of the individual. The contribution of these elements, however, tends to be explored in a fragmented manner. To address this is...
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doaj-e474532ccd904ab4b17688422cd34f5e2020-11-25T03:41:04ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0191763176310.3390/jcm9061763Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation ModelingCarmen Écija0Octavio Luque-Reca1Carlos Suso-Ribera2Patricia Catala3Cecilia Peñacoba4Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Madrid, SpainDepartment of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Madrid, SpainDepartment of Basic and Clinical Psychology and Psychobiology, Jaume I University, 12071 Castelló de la Plana, Castelló, SpainDepartment of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Madrid, SpainDepartment of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Madrid, SpainDifferences in fibromyalgia impact on functioning exist and appear to be influenced by numerous factors, including symptomatology severity, as well as the cognitive profile of the individual. The contribution of these elements, however, tends to be explored in a fragmented manner. To address this issue, we tested a comprehensive structural equation model in which associations of cognitive fusion and pain catastrophizing with function limitations are investigated through fibromyalgia symptomatology (i.e., fatigue, pain severity, and depression) in 231 women with fibromyalgia. In the model, cognitive fusion and two catastrophizing components (magnification and helplessness) were associated with poorer functioning indirectly through fibromyalgia symptomatology. Only the rumination component of catastrophizing had a direct association with functional limitations. All fibromyalgia symptoms were linked to increased functional limitations. A parsimonious model with significant associations only obtained an excellent fit (S-B <i>χ</i><sup>2</sup> = 774.191, df = 543, <i>p</i> < 0.001; CFI = 0.943; RMSEA = 0.043; CAIC = −2724.04) and accounted for 50% of the variance of functional limitations. These results suggest that the relationship between psychological cognitive processes, fibromyalgia symptomatology, and functional limitations is complex and support the need for comprehensive models such as the present. The findings are discussed in the context of personalized psychological treatments (i.e., the need to address certain cognitive processes according to the problematic symptomatology or outcome).https://www.mdpi.com/2077-0383/9/6/1763fibromyalgia syndromecognitive factorsphysical symptomschronic paindepressive symptomsfunction limitations |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carmen Écija Octavio Luque-Reca Carlos Suso-Ribera Patricia Catala Cecilia Peñacoba |
spellingShingle |
Carmen Écija Octavio Luque-Reca Carlos Suso-Ribera Patricia Catala Cecilia Peñacoba Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling Journal of Clinical Medicine fibromyalgia syndrome cognitive factors physical symptoms chronic pain depressive symptoms function limitations |
author_facet |
Carmen Écija Octavio Luque-Reca Carlos Suso-Ribera Patricia Catala Cecilia Peñacoba |
author_sort |
Carmen Écija |
title |
Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling |
title_short |
Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling |
title_full |
Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling |
title_fullStr |
Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling |
title_full_unstemmed |
Associations of Cognitive Fusion and Pain Catastrophizing with Fibromyalgia Impact through Fatigue, Pain Severity, and Depression: An Exploratory Study Using Structural Equation Modeling |
title_sort |
associations of cognitive fusion and pain catastrophizing with fibromyalgia impact through fatigue, pain severity, and depression: an exploratory study using structural equation modeling |
publisher |
MDPI AG |
series |
Journal of Clinical Medicine |
issn |
2077-0383 |
publishDate |
2020-06-01 |
description |
Differences in fibromyalgia impact on functioning exist and appear to be influenced by numerous factors, including symptomatology severity, as well as the cognitive profile of the individual. The contribution of these elements, however, tends to be explored in a fragmented manner. To address this issue, we tested a comprehensive structural equation model in which associations of cognitive fusion and pain catastrophizing with function limitations are investigated through fibromyalgia symptomatology (i.e., fatigue, pain severity, and depression) in 231 women with fibromyalgia. In the model, cognitive fusion and two catastrophizing components (magnification and helplessness) were associated with poorer functioning indirectly through fibromyalgia symptomatology. Only the rumination component of catastrophizing had a direct association with functional limitations. All fibromyalgia symptoms were linked to increased functional limitations. A parsimonious model with significant associations only obtained an excellent fit (S-B <i>χ</i><sup>2</sup> = 774.191, df = 543, <i>p</i> < 0.001; CFI = 0.943; RMSEA = 0.043; CAIC = −2724.04) and accounted for 50% of the variance of functional limitations. These results suggest that the relationship between psychological cognitive processes, fibromyalgia symptomatology, and functional limitations is complex and support the need for comprehensive models such as the present. The findings are discussed in the context of personalized psychological treatments (i.e., the need to address certain cognitive processes according to the problematic symptomatology or outcome). |
topic |
fibromyalgia syndrome cognitive factors physical symptoms chronic pain depressive symptoms function limitations |
url |
https://www.mdpi.com/2077-0383/9/6/1763 |
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