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Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia

Author

Listed:
  • Cecilia Peñacoba

    (Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922 Alcorcón, Madrid, Spain
    Both authors contributed equally to this work and should be considered as co-first authors.)

  • Maria Ángeles Pastor-Mira

    (Department of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, Spain
    Both authors contributed equally to this work and should be considered as co-first authors.)

  • Carlos Suso-Ribera

    (Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Vicent Sos Baynat, 15, 12006 Castellón de la Plana, Castellón, Spain)

  • Patricia Catalá

    (Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922 Alcorcón, Madrid, Spain)

  • Ainara Nardi-Rodríguez

    (Department of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, Spain)

  • Sofía López-Roig

    (Department of Behavioural Sciences and Health, Miguel Hernández University, Crtra Alicante-Valencia, km.8,7, 03550 San Juan, Alicante, Spain)

Abstract

Background: The psychological flexibility model states that activity patterns are not deemed to be intrinsically functional or dysfunctional; it is considered that underlying factors, such as personal goals and contextual factors, are what will determine their effects on disability. Pain catastrophizing has frequently been associated with several important pain-related outcomes. Despite its recent conceptualization within affective–motivational approaches, its moderating role between activity patterns and dysfunction has not been analyzed. Methods: This study analyzes the moderating role of pain catastrophizing and its dimensions (Pain Catastrophizing Scale) between activity patterns (Activity Patterns Scale) and disease impact (Fibromyalgia Impact Questionnaire—Revised) in 491 women with fibromyalgia. Results: Activity avoidance ( p < 0.001), excessive persistence ( p < 0.001) and pacing ( p < 0.01) patterns were positively associated with fibromyalgia impact. Helplessness shows a moderating role between pain avoidance (B = 0.100, t =2.30, p = 0.021, [0.01, 0.18]), excessive persistence (B = −0.09, t = −2.24, p = 0.02, [−0.18, −0.01]), pain persistence (B = −0.10, t = −2.04, p = 0.04, [−0.19, −0.004]) and functioning. Conclusion: Helplessness (within pain catastrophizing) is a relevant variable within psychological flexibility models applied to activity patterns. Specifically, pain avoidance is especially dysfunctional in patients with high helplessness. To improve excessive persistence and pain persistence, it is necessary to reduce helplessness before regulating activity patterns.

Suggested Citation

  • Cecilia Peñacoba & Maria Ángeles Pastor-Mira & Carlos Suso-Ribera & Patricia Catalá & Ainara Nardi-Rodríguez & Sofía López-Roig, 2021. "Activity Patterns and Functioning. A Contextual–Functional Approach to Pain Catastrophizing in Women with Fibromyalgia," IJERPH, MDPI, vol. 18(10), pages 1-18, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:10:p:5394-:d:557172
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    References listed on IDEAS

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    1. Joyce Oi Suet Cheng & Sheung-Tak Cheng, 2019. "Effectiveness of physical and cognitive-behavioural intervention programmes for chronic musculoskeletal pain in adults: A systematic review and meta-analysis of randomised controlled trials," PLOS ONE, Public Library of Science, vol. 14(10), pages 1-30, October.
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    Cited by:

    1. Lucía Sanromán & Patricia Catalá & Carmen Écija & Carlos Suso-Ribera & Jesús San Román & Cecilia Peñacoba, 2022. "The Role of Walking in the Relationship between Catastrophizing and Fatigue in Women with Fibromyalgia," IJERPH, MDPI, vol. 19(7), pages 1-13, April.
    2. Patricia Catalá & Cecilia Peñacoba & Sofía López-Roig & María Angeles Pastor-Mira, 2022. "Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?," IJERPH, MDPI, vol. 20(1), pages 1-9, December.
    3. Patricia Catala & Lorena Gutierrez & Carmen Écija & Ángel Serrano del Moral & Cecilia Peñacoba, 2021. "Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?," IJERPH, MDPI, vol. 18(24), pages 1-9, December.

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