Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia

IntroductionPain, distress, and activities of daily living impact the lives of those with chronic pain. This study investigated distress (depressive symptoms, anxiety) on the relationship between pain (intensity and pain interference) and activities of daily living in individuals with fibromyalgia w...

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Main Authors: Caitlin Gower, Jennifer Trevitt, Barbara J. Cherry, Laura Zettel-Watson
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.1033936/full
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author Caitlin Gower
Caitlin Gower
Jennifer Trevitt
Jennifer Trevitt
Barbara J. Cherry
Barbara J. Cherry
Barbara J. Cherry
Laura Zettel-Watson
Laura Zettel-Watson
Laura Zettel-Watson
author_facet Caitlin Gower
Caitlin Gower
Jennifer Trevitt
Jennifer Trevitt
Barbara J. Cherry
Barbara J. Cherry
Barbara J. Cherry
Laura Zettel-Watson
Laura Zettel-Watson
Laura Zettel-Watson
author_sort Caitlin Gower
collection DOAJ
description IntroductionPain, distress, and activities of daily living impact the lives of those with chronic pain. This study investigated distress (depressive symptoms, anxiety) on the relationship between pain (intensity and pain interference) and activities of daily living in individuals with fibromyalgia while controlling for age.MethodsThe current cross-sectional investigation focused on data from 123 men and women with fibromyalgia. Pain intensity, pain interference and anxiety were measured on 0-10 Likert type scales from the National Fibromyalgia Assessment Questionnaire. Depressive symptoms were assessed using the Beck Depression Inventory II. Activities of daily living (basic, instrumental) were measured with the Physical Activity Inventory Scale.ResultsIt was hypothesized that the relationships between pain intensity and pain interference and activities of daily living in individuals with fibromyalgia would be mediated by the construct of distress while controlling for age. Mediation significantly occurred in both models as predicted. However, those who were older reported lower levels of pain intensity and distress than their younger counterparts, which may be related to time since diagnosis or other factors.DiscussionResults of this study suggest that individuals with chronic pain conditions would benefit from treatment options which address distress, specifically depressive symptoms and anxiety.
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spelling doaj.art-a6363269ae1f4db687e3e2a33485a3892022-12-22T03:53:15ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-12-01910.3389/fmed.2022.10339361033936Distress as a mediator for pain and activities of daily living in older adults with fibromyalgiaCaitlin Gower0Caitlin Gower1Jennifer Trevitt2Jennifer Trevitt3Barbara J. Cherry4Barbara J. Cherry5Barbara J. Cherry6Laura Zettel-Watson7Laura Zettel-Watson8Laura Zettel-Watson9Fibromyalgia and Chronic Pain Center, California State University, Fullerton, Fullerton, CA, United StatesDepartment of Psychology, California State University, Fullerton, Fullerton, CA, United StatesFibromyalgia and Chronic Pain Center, California State University, Fullerton, Fullerton, CA, United StatesDepartment of Psychology, California State University, Fullerton, Fullerton, CA, United StatesFibromyalgia and Chronic Pain Center, California State University, Fullerton, Fullerton, CA, United StatesDepartment of Psychology, California State University, Fullerton, Fullerton, CA, United StatesAging Studies Academic Program, California State University, Fullerton, Fullerton, CA, United StatesFibromyalgia and Chronic Pain Center, California State University, Fullerton, Fullerton, CA, United StatesDepartment of Psychology, California State University, Fullerton, Fullerton, CA, United StatesAging Studies Academic Program, California State University, Fullerton, Fullerton, CA, United StatesIntroductionPain, distress, and activities of daily living impact the lives of those with chronic pain. This study investigated distress (depressive symptoms, anxiety) on the relationship between pain (intensity and pain interference) and activities of daily living in individuals with fibromyalgia while controlling for age.MethodsThe current cross-sectional investigation focused on data from 123 men and women with fibromyalgia. Pain intensity, pain interference and anxiety were measured on 0-10 Likert type scales from the National Fibromyalgia Assessment Questionnaire. Depressive symptoms were assessed using the Beck Depression Inventory II. Activities of daily living (basic, instrumental) were measured with the Physical Activity Inventory Scale.ResultsIt was hypothesized that the relationships between pain intensity and pain interference and activities of daily living in individuals with fibromyalgia would be mediated by the construct of distress while controlling for age. Mediation significantly occurred in both models as predicted. However, those who were older reported lower levels of pain intensity and distress than their younger counterparts, which may be related to time since diagnosis or other factors.DiscussionResults of this study suggest that individuals with chronic pain conditions would benefit from treatment options which address distress, specifically depressive symptoms and anxiety.https://www.frontiersin.org/articles/10.3389/fmed.2022.1033936/fulldepressionfibromyalgiaanxietychronic painmediationdistress
spellingShingle Caitlin Gower
Caitlin Gower
Jennifer Trevitt
Jennifer Trevitt
Barbara J. Cherry
Barbara J. Cherry
Barbara J. Cherry
Laura Zettel-Watson
Laura Zettel-Watson
Laura Zettel-Watson
Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
Frontiers in Medicine
depression
fibromyalgia
anxiety
chronic pain
mediation
distress
title Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
title_full Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
title_fullStr Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
title_full_unstemmed Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
title_short Distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
title_sort distress as a mediator for pain and activities of daily living in older adults with fibromyalgia
topic depression
fibromyalgia
anxiety
chronic pain
mediation
distress
url https://www.frontiersin.org/articles/10.3389/fmed.2022.1033936/full
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