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Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

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  • Patricia Catala

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

  • Lorena Gutierrez

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

  • Carmen Écija

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

  • Ángel Serrano del Moral

    (General Surgery and Digestive Surgery Service, Hospital Universitario de Fuenlabrada, 28944 Madrid, Spain)

  • Cecilia Peñacoba

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

Abstract

The objective of this study is to explore the mediator role of cognitive fusion and chronic pain acceptance on the effects that the walking pattern, following an established clinical guideline for physical exercise, can have on fatigue (physical and mental) in patients with chronic pain. The sample consisted of a total of 231 women with fibromyalgia with a mean age of 56.91 years (Standard Deviation SD = 9.58 years, range 30−78 years). The results show a significant indirect effect of the walking pattern on both physical and mental fatigue through cognitive fusion and chronic pain acceptance. Specifically, walking predicted less cognitive fusion, which predicted greater chronic pain acceptance, which, in turn, predicted less mental and physical fatigue (Beta-B- = −0.04, Standard Error SE = 0.02, 95% Confidence Interval 95% CI = [−0.09, −0.02]; B = −0.09, SE = 0.05, 95% CI = [−0.22, −0,15], respectively). It can be concluded that the walking pattern is linked to both physical and mental fatigue through cognitive defusion and chronic pain acceptance. These cognitive abilities would allow fibromyalgia patients to perceive an improvement in both physical and mental fatigue by carrying out the walking pattern. Emphasizing the training of cognitive defusion and pain acceptance would improve the adherence of these patients to walking.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13148-:d:701296
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    References listed on IDEAS

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    1. 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.
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    Cited by:

    1. Cecilia Peñacoba & Carmen Ecija & Lorena Gutiérrez & Patricia Catalá, 2023. "Does Pain Acceptance Contribute to Improved Functionality through Walking in Women with Fibromyalgia? Looking at Depressive Comorbidity," IJERPH, MDPI, vol. 20(6), pages 1-12, March.

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    1. 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.
    2. 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.

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