Modifiable Psychological Factors Affecting Functioning in Fibromyalgia
Objective: To examine the role of several interrelated, potentially modifiable psychological factors (i.e., mindfulness and catastrophizing) in influencing patient-reported functioning. Methods: In this cross-sectional study, 107 patients with fibromyalgia completed self-report assessments of pain s...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-02-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/4/803 |
| _version_ | 1797396333781319680 |
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| author | Myrella Paschali Asimina Lazaridou Theodoros Paschalis Vitaly Napadow Robert R. Edwards |
| author_facet | Myrella Paschali Asimina Lazaridou Theodoros Paschalis Vitaly Napadow Robert R. Edwards |
| author_sort | Myrella Paschali |
| collection | DOAJ |
| description | Objective: To examine the role of several interrelated, potentially modifiable psychological factors (i.e., mindfulness and catastrophizing) in influencing patient-reported functioning. Methods: In this cross-sectional study, 107 patients with fibromyalgia completed self-report assessments of pain severity, functioning and impact of symptoms, mindfulness, and pain catastrophizing. Linear regression and bootstrapping mediation analyses were performed to assess the relationships between these factors. Results: Pain intensity was significantly and positively associated with pain catastrophizing and impact of fibromyalgia on functioning. Linear regression analyses indicated that pain intensity, catastrophizing, and mindfulness affect functioning in fibromyalgia. Follow-up mediation analysis revealed a significant indirect effect of pain catastrophizing on the relationship between pain intensity and fibromyalgia functioning. Conclusion: Individuals with fibromyalgia who have higher levels of pain and catastrophizing, and lower levels of mindfulness, are more likely to experience impaired functioning. Our findings suggest that pain catastrophizing appears to be an especially important variable contributing to reduced functioning in women with fibromyalgia. Therefore, catastrophizing-reducing treatments (e.g., cognitive behavioral therapy) are likely to have direct, beneficial impacts on functioning. |
| first_indexed | 2024-03-09T00:48:45Z |
| format | Article |
| id | doaj.art-8f4ea7dbf5ab4ad0a34636c409d43afb |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T00:48:45Z |
| publishDate | 2021-02-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-8f4ea7dbf5ab4ad0a34636c409d43afb2023-12-11T17:19:50ZengMDPI AGJournal of Clinical Medicine2077-03832021-02-0110480310.3390/jcm10040803Modifiable Psychological Factors Affecting Functioning in FibromyalgiaMyrella Paschali0Asimina Lazaridou1Theodoros Paschalis2Vitaly Napadow3Robert R. Edwards4Department of Anesthesiology, Harvard Medical School, Brigham & Women’s Hospital, 850 Boylston St, Suite 302, Chestnut Hill, MA 02467, USADepartment of Anesthesiology, Harvard Medical School, Brigham & Women’s Hospital, 850 Boylston St, Suite 302, Chestnut Hill, MA 02467, USADepartment of Medicine, Addenbrookes Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, UKMGH/MIT/HMS Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital and Harvard Medical School, Charlestown, Boston, MA 02129, USADepartment of Anesthesiology, Harvard Medical School, Brigham & Women’s Hospital, 850 Boylston St, Suite 302, Chestnut Hill, MA 02467, USAObjective: To examine the role of several interrelated, potentially modifiable psychological factors (i.e., mindfulness and catastrophizing) in influencing patient-reported functioning. Methods: In this cross-sectional study, 107 patients with fibromyalgia completed self-report assessments of pain severity, functioning and impact of symptoms, mindfulness, and pain catastrophizing. Linear regression and bootstrapping mediation analyses were performed to assess the relationships between these factors. Results: Pain intensity was significantly and positively associated with pain catastrophizing and impact of fibromyalgia on functioning. Linear regression analyses indicated that pain intensity, catastrophizing, and mindfulness affect functioning in fibromyalgia. Follow-up mediation analysis revealed a significant indirect effect of pain catastrophizing on the relationship between pain intensity and fibromyalgia functioning. Conclusion: Individuals with fibromyalgia who have higher levels of pain and catastrophizing, and lower levels of mindfulness, are more likely to experience impaired functioning. Our findings suggest that pain catastrophizing appears to be an especially important variable contributing to reduced functioning in women with fibromyalgia. Therefore, catastrophizing-reducing treatments (e.g., cognitive behavioral therapy) are likely to have direct, beneficial impacts on functioning.https://www.mdpi.com/2077-0383/10/4/803fibromyalgiapsychological factorsfunctionfunctioningcatastrophizing |
| spellingShingle | Myrella Paschali Asimina Lazaridou Theodoros Paschalis Vitaly Napadow Robert R. Edwards Modifiable Psychological Factors Affecting Functioning in Fibromyalgia Journal of Clinical Medicine fibromyalgia psychological factors function functioning catastrophizing |
| title | Modifiable Psychological Factors Affecting Functioning in Fibromyalgia |
| title_full | Modifiable Psychological Factors Affecting Functioning in Fibromyalgia |
| title_fullStr | Modifiable Psychological Factors Affecting Functioning in Fibromyalgia |
| title_full_unstemmed | Modifiable Psychological Factors Affecting Functioning in Fibromyalgia |
| title_short | Modifiable Psychological Factors Affecting Functioning in Fibromyalgia |
| title_sort | modifiable psychological factors affecting functioning in fibromyalgia |
| topic | fibromyalgia psychological factors function functioning catastrophizing |
| url | https://www.mdpi.com/2077-0383/10/4/803 |
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