Catastrophic Thinking Reduced Perceived Benefits of Physical Activity in Patients with Fibromyalgia

Kenneth Palmer

The positive suffering-cutting down impact of walking on operation in clients with fibromyalgia was favored when sufferers offered minimal catastrophizing, according to a examine posted in International Journal of Environmental Investigation and Public Health.1 Intervention strategies that target on the reduction of catastrophic thinking in addition to bodily exercising may possibly be advantageous for this patient inhabitants.

“Not all clients with fibromyalgia report perceiving advancements in their bodily wellness immediately after performing the exercise,” investigators pointed out. “This discrepancy could be due to the severity of ache experienced by the clients, which has been demonstrated to predict practical limitation in a prior analyze. Using into account that generalized chronic agony is the central symptom of fibromyalgia and that it prospects to alterations in the individual’s ability to perform bodily, it is feasible that this mediates the connection involving going for walks habits, enhancements in useful limitation, and the affect of the illness in normal.”

Investigators assessed regardless of whether catastrophic wondering moderated the consequences of perceived agony severity in people with long-term discomfort working with a sample of 491 grownup females with a fibromyalgia analysis according to the American Higher education of Rheumatology requirements. Members enrolled in the cross-sectional research finished the Fibromyalgia Impact Questionnaire-Revised (FIQ-R), the Soreness Catastrophization Scale (PCS), the Transient Pain Inventory (to review the severity of suffering), the Spanish model of the Medical center Anxiety and Depression Scale (HADS), and an advert-hoc product about way of life concerning walking sample (common strolling). The strolling pattern was described as a minimum amount day by day walking time of 30 minutes at least 2 days a week in section thanks to the really sedentary specific populace as nicely as difficulties in adhering to physical workout in this individual populace. A moderate mediation analysis analyzed the marriage concerning variables.

The imply age of members was 53.89 a long time (SD = 9.25), 75% were in a stable relationship, and 24% claimed college-degree education. Walking habits was negatively correlated with catastrophic pondering, useful limitation, suffering intensity, and depression (p < 0.001). Pain intensity was positively correlated with anxiety, depression, and catastrophizing (p < 0.05). Catastrophizing was also linked to anxiety and depression (p < 0.05). Sociodemographic and clinical variables, except for age, were not associated with functional limitation scores.

The association between the performance of the recommended walking pattern and functional limitation was mediated by the severity of pain (B = -5.19, SE = 1.59, t = -3.25, 95% CI = [-4.06, -0.28], p <0.001). Additionally, the mediating effect of pain severity was moderated by catastrophizing (Index = -0.014, SE = 0.007, 95% CI [0.002, 0.030]).

The cross-sectional study design could not deduce cause and effect relationships between pain severity, pain catastrophizing, walking behavior, and functional limitation. Generalizability was limited because the sample only consisted of female patients with fibromyalgia. Bias in the responses is possible as evaluations were self-reported, which could affect results. Lastly, the study only included catastrophism as the main cognitive process. Other psychosocial factors, such as cognitive fusion, motivation, and acceptance, should be included in future research.

“We can conclude that this study presents relevant results both for the clinical setting and for the field of current research,” investigators emphasized. “Specifically, we found that adhering to the walking pattern was significantly associated with functionality through pain. In addition, the positive effect of walking on limitation, through the decrease in pain levels, is favored when patients have low levels of catastrophization.”

Reference:

Catalá P, Peñacoba C, López-Roig S, Pastor-Mira MA. Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia-How Does Catastrophic Thinking Contribute?. Int J Environ Res Public Health. 202220(1):190. Published 2022 Dec 23. doi:10.3390/ijerph20010190

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