Carmen M Galvez-Sánchez1,2, Casandra I Montoro3, Stefan Duschek4, Gustavo A Reyes Del Paso3. 1. Department of Psychology, University of Jaén, Jaén, Spain. cgalvez@ujaen.es. 2. 017 Psychology Department, Jaén University, Building C5, 23071, Jaén, Spain. cgalvez@ujaen.es. 3. Department of Psychology, University of Jaén, Jaén, Spain. 4. Department of Psychology, Medical Informatics and Technology, University for Health Sciences, Hall in Tirol, Austria.
Abstract
BACKGROUND: Patients with fibromyalgia syndrome (FMS) usually display a decrease in health-related quality of life (HRQoL). This decrease in HRQoL is related to clinical pain, anxiety, and depression. This cross-sectional study analyzes the mediating role of pain-coping strategies (especially catastrophizing) in the negative relationships of pain, anxiety, depression, and HRQoL in FMS. METHODS: One hundred and thirteen women with FMS and 63 healthy women were assessed using the Short-Form Health Survey (SF-36). Participants completed self-report questionnaires to evaluate clinical pain, anxiety, depression, and pain-coping strategies. RESULTS: Pain catastrophizing was inversely associated with the physical function, general health perception, vitality, emotional role, mental health, the physical and mental general components, and the global index of HRQoL, with percentages of variance explained ranging between 9 and 18%. Cognitive distraction showed a positive association with the physical function, general health perception, vitality, emotional role, mental health, physical component, and global index of HRQoL, with percentages of variance explained ranging between 4 and 7%. Mediation analysis showed that catastrophizing mediates the negative influence of clinical pain and trait-anxiety on the physical function, general health perception, vitality, mental health, and global index of HRQoL. No mediating effect of pain catastrophizing on the relation between depression and HRQoL was observed. CONCLUSIONS: Patients with FMS exhibited markedly lower HRQoL than healthy individuals. While pain catastrophizing was inversely related to several domains of HRQL, associations were positive for cognitive distraction. Catastrophizing mediates the negative influence of clinical pain and trait-anxiety on HRQoL. Therefore, cognitive behavioral treatments focused on adaptive management and control of catastrophizing and negative emotional states may be helpful.
BACKGROUND:Patients with fibromyalgia syndrome (FMS) usually display a decrease in health-related quality of life (HRQoL). This decrease in HRQoL is related to clinical pain, anxiety, and depression. This cross-sectional study analyzes the mediating role of pain-coping strategies (especially catastrophizing) in the negative relationships of pain, anxiety, depression, and HRQoL in FMS. METHODS: One hundred and thirteen women with FMS and 63 healthy women were assessed using the Short-Form Health Survey (SF-36). Participants completed self-report questionnaires to evaluate clinical pain, anxiety, depression, and pain-coping strategies. RESULTS:Pain catastrophizing was inversely associated with the physical function, general health perception, vitality, emotional role, mental health, the physical and mental general components, and the global index of HRQoL, with percentages of variance explained ranging between 9 and 18%. Cognitive distraction showed a positive association with the physical function, general health perception, vitality, emotional role, mental health, physical component, and global index of HRQoL, with percentages of variance explained ranging between 4 and 7%. Mediation analysis showed that catastrophizing mediates the negative influence of clinical pain and trait-anxiety on the physical function, general health perception, vitality, mental health, and global index of HRQoL. No mediating effect of pain catastrophizing on the relation between depression and HRQoL was observed. CONCLUSIONS:Patients with FMS exhibited markedly lower HRQoL than healthy individuals. While pain catastrophizing was inversely related to several domains of HRQL, associations were positive for cognitive distraction. Catastrophizing mediates the negative influence of clinical pain and trait-anxiety on HRQoL. Therefore, cognitive behavioral treatments focused on adaptive management and control of catastrophizing and negative emotional states may be helpful.
Entities:
Keywords:
Anxiety; Catastrophizing; Clinical pain; Coping strategies; Depression; Health-related quality of life
Authors: Dmitry M Davydov; Carmen M Galvez-Sánchez; Casandra Isabel Montoro; Cristina Muñoz Ladrón de Guevara; Gustavo A Reyes Del Paso Journal: Sci Rep Date: 2021-10-13 Impact factor: 4.379
Authors: Carmen M Galvez-Sánchez; Gustavo A Reyes Del Paso; Stefan Duschek; Casandra I Montoro Journal: J Clin Med Date: 2022-02-05 Impact factor: 4.241
Authors: María Ángeles Pastor-Mira; Sofía López-Roig; Eva Toribio; Fermín Martínez-Zaragoza; Ainara Nardi-Rodríguez; Cecilia Peñacoba Journal: Int J Environ Res Public Health Date: 2022-01-28 Impact factor: 3.390
Authors: Lidia Amaro-Díaz; Casandra I Montoro; Laura R Fischer-Jbali; Carmen M Galvez-Sánchez Journal: J Clin Med Date: 2022-06-07 Impact factor: 4.964