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Does Pain Acceptance Contribute to Improved Functionality through Walking in Women with Fibromyalgia? Looking at Depressive Comorbidity

Author

Listed:
  • Cecilia Peñacoba

    (Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Madrid, Spain)

  • Carmen Ecija

    (Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Madrid, Spain)

  • Lorena Gutiérrez

    (Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Madrid, Spain)

  • Patricia Catalá

    (Departamento de Psicología, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, 28922 Madrid, Spain)

Abstract

In the last decade, research has pointed to physical exercise as an effective treatment in fibromyalgia patients. Some studies have highlighted the role of acceptance and commitment therapy in optimizing the benefits of exercise in patients. However, given the high comorbidity in fibromyalgia, it is necessary to value its possible influence on the effect of certain variables, such as acceptance, on the benefits of treatments, such as physical exercise. Our aim is to test the role of acceptance in the benefits of walking over functional limitation, further assessing whether this model is equally valid, considering depressive symptomatology as an additional differential diagnosis. A cross-sectional study with a convenience sample through contacting Spanish fibromyalgia associations was carried out. A total of 231 women with fibromyalgia (mean age 56.91 years) participated in the study. Data were analyzed with the Process program (Model 4, Model 58, Model 7). The results highlight the role of acceptance as a mediator between walking and functional limitation (B = −1.86, SE = 0.93, 95% CI = [−3.83, −0.15]). This model, when depression is incorporated as a moderator, is significant only in patients without depression, revealing the need for personalized treatments in fibromyalgia, considering their most prevalent comorbidity.

Suggested Citation

  • 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.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:6:p:5005-:d:1095065
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    References listed on IDEAS

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    1. 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.
    2. Ruth Izquierdo-Alventosa & Marta Inglés & Sara Cortés-Amador & Lucia Gimeno-Mallench & Javier Chirivella-Garrido & Juri Kropotov & Pilar Serra-Añó, 2020. "Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial," IJERPH, MDPI, vol. 17(10), pages 1-15, May.
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