Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia

<p>Abstract</p> <p>Background</p> <p>Fibromyalgia (FM) is a prevalent and disabling disorder characterized by a history of widespread pain for at least three months. Pain is considered a complex experience in which affective and cognitive aspects are crucial for prognos...

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Main Authors: Roca Miquel, Andrés Eva, Luciano Juan V, Lopez-del-Hoyo Yolanda, Maurel Sara, Rodero Baltasar, Bergos Raquel, Ruiz-Lancina Yolanda, García-Campayo Javier
Format: Article
Language:English
Published: BMC 2011-01-01
Series:BMC Musculoskeletal Disorders
Online Access:http://www.biomedcentral.com/1471-2474/12/4
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author Roca Miquel
Andrés Eva
Luciano Juan V
Lopez-del-Hoyo Yolanda
Maurel Sara
Rodero Baltasar
Bergos Raquel
Ruiz-Lancina Yolanda
García-Campayo Javier
author_facet Roca Miquel
Andrés Eva
Luciano Juan V
Lopez-del-Hoyo Yolanda
Maurel Sara
Rodero Baltasar
Bergos Raquel
Ruiz-Lancina Yolanda
García-Campayo Javier
author_sort Roca Miquel
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Fibromyalgia (FM) is a prevalent and disabling disorder characterized by a history of widespread pain for at least three months. Pain is considered a complex experience in which affective and cognitive aspects are crucial for prognosis. The aim of this study is to assess the importance of pain-related psychological constructs on function and pain in patients with FM.</p> <p>Methods</p> <p>Design</p> <p>Multicentric, naturalistic, one-year follow-up study.</p> <p><it>Setting and study sample</it>. Patients will be recruited from primary care health centres in the region of Aragon, Spain. Patients considered for inclusion are those aged 18-65 years, able to understand Spanish, who fulfil criteria for primary FM according to the American College of Rheumatology, with no previous psychological treatment.</p> <p>Measurements</p> <p>The variables measured will be the following: main variables (pain assessed with a visual analogue scale and with sphygmomanometer and general function assessed with Fibromyalgia Impact Questionnaire, and), psychological constructs (pain catastrophizing, pain acceptance, mental defeat, psychological inflexibility, perceived injustice, mindfulness, and positive and negative affect), and secondary variables (sociodemographic variables, anxiety and depression assessed with Hospital Anxiety and Depression Scale, and psychiatric interview assessed with MINI). Assessments will be carried at baseline and at one-year follow-up.</p> <p>Main outcome</p> <p>Pain Visual Analogue Scale.</p> <p>Analysis</p> <p>The existence of differences in socio-demographic, main outcome and other variables regarding pain-related psychological constructs will be analysed using Chi Square test for qualitative variables, or Student <it>t </it>test or variance analysis, respectively, for variables fulfilling the normality hypothesis. To assess the predictive value of pain-related psychological construct on main outcome variables at one-year follow-up, use will be made of a logistic regression analysis adjusted for socio-demographic and clinical variables. A Spearman Rho non-parametric correlation matrix will be developed to determine possible overlapping between pain-related psychological constructs.</p> <p>Discussion</p> <p>In recent years, the relevance of cognitive and affective aspects for the treatment of chronic pain, not only in FM but also in other chronic pain diseases, has been widely acknowledged. However, the relative importance of these psychological constructs, the relationship and possible overlapping between them, or the exact meaning of them in pain are not enough known.</p>
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spelling doaj.art-c29ba13f25db476ea350939c27cd2f652022-12-22T01:25:08ZengBMCBMC Musculoskeletal Disorders1471-24742011-01-01121410.1186/1471-2474-12-4Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgiaRoca MiquelAndrés EvaLuciano Juan VLopez-del-Hoyo YolandaMaurel SaraRodero BaltasarBergos RaquelRuiz-Lancina YolandaGarcía-Campayo Javier<p>Abstract</p> <p>Background</p> <p>Fibromyalgia (FM) is a prevalent and disabling disorder characterized by a history of widespread pain for at least three months. Pain is considered a complex experience in which affective and cognitive aspects are crucial for prognosis. The aim of this study is to assess the importance of pain-related psychological constructs on function and pain in patients with FM.</p> <p>Methods</p> <p>Design</p> <p>Multicentric, naturalistic, one-year follow-up study.</p> <p><it>Setting and study sample</it>. Patients will be recruited from primary care health centres in the region of Aragon, Spain. Patients considered for inclusion are those aged 18-65 years, able to understand Spanish, who fulfil criteria for primary FM according to the American College of Rheumatology, with no previous psychological treatment.</p> <p>Measurements</p> <p>The variables measured will be the following: main variables (pain assessed with a visual analogue scale and with sphygmomanometer and general function assessed with Fibromyalgia Impact Questionnaire, and), psychological constructs (pain catastrophizing, pain acceptance, mental defeat, psychological inflexibility, perceived injustice, mindfulness, and positive and negative affect), and secondary variables (sociodemographic variables, anxiety and depression assessed with Hospital Anxiety and Depression Scale, and psychiatric interview assessed with MINI). Assessments will be carried at baseline and at one-year follow-up.</p> <p>Main outcome</p> <p>Pain Visual Analogue Scale.</p> <p>Analysis</p> <p>The existence of differences in socio-demographic, main outcome and other variables regarding pain-related psychological constructs will be analysed using Chi Square test for qualitative variables, or Student <it>t </it>test or variance analysis, respectively, for variables fulfilling the normality hypothesis. To assess the predictive value of pain-related psychological construct on main outcome variables at one-year follow-up, use will be made of a logistic regression analysis adjusted for socio-demographic and clinical variables. A Spearman Rho non-parametric correlation matrix will be developed to determine possible overlapping between pain-related psychological constructs.</p> <p>Discussion</p> <p>In recent years, the relevance of cognitive and affective aspects for the treatment of chronic pain, not only in FM but also in other chronic pain diseases, has been widely acknowledged. However, the relative importance of these psychological constructs, the relationship and possible overlapping between them, or the exact meaning of them in pain are not enough known.</p>http://www.biomedcentral.com/1471-2474/12/4
spellingShingle Roca Miquel
Andrés Eva
Luciano Juan V
Lopez-del-Hoyo Yolanda
Maurel Sara
Rodero Baltasar
Bergos Raquel
Ruiz-Lancina Yolanda
García-Campayo Javier
Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
BMC Musculoskeletal Disorders
title Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
title_full Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
title_fullStr Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
title_full_unstemmed Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
title_short Correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
title_sort correlational analysis and predictive validity of psychological constructs related with pain in fibromyalgia
url http://www.biomedcentral.com/1471-2474/12/4
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