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Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?

Aim: This study analyzed whether the contribution of several factors associated with walking adherence in fibromyalgia (FM) patients varies across pain severity levels. Methods: Participants were 228 women with FM (mean age 57 years; SD = 8.49). Results: Bivariate analyses replicated the expected as...

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Autores principales: Catala, Patricia, Écija, Carmen, Serrano del Moral, Angel, Perez Viejo, Estibalitz, Peñacoba, Cecilia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778611/
https://www.ncbi.nlm.nih.gov/pubmed/36554334
http://dx.doi.org/10.3390/ijerph192416453
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author Catala, Patricia
Écija, Carmen
Serrano del Moral, Angel
Perez Viejo, Estibalitz
Peñacoba, Cecilia
author_facet Catala, Patricia
Écija, Carmen
Serrano del Moral, Angel
Perez Viejo, Estibalitz
Peñacoba, Cecilia
author_sort Catala, Patricia
collection PubMed
description Aim: This study analyzed whether the contribution of several factors associated with walking adherence in fibromyalgia (FM) patients varies across pain severity levels. Methods: Participants were 228 women with FM (mean age 57 years; SD = 8.49). Results: Bivariate analyses replicated the expected association between predictors (FM impact, anxiety, depression, catastrophizing, and cognitive fusion) and poorer adherence to walking. Multivariate analyses showed a negative contribution of FM impact, catastrophizing, and depression on walking adherence after controlling for pain levels (all p < 0.01). A moderation effect of pain severity in the relationship between predictors and adherence to walking was only found for cognitive fusion (B = −0.01, t = −2.02, p = 0.040). Specifically, cognitive fusion only contributed to poor walking adherence at moderate and severe pain levels, but not when pain was mild. The contribution of the remaining predictors was not moderated by pain levels, which means that they contributed to walking adherence irrespective of the pain severity of the patient. Pain severity did not contribute to walking adherence when controlling for the predictors. Conclusion: Clinical implications are discussed from the perspective of personalized interventions and preferable target interventions when attempting to increase adherence to walking in this population.
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spelling pubmed-97786112022-12-23 Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter? Catala, Patricia Écija, Carmen Serrano del Moral, Angel Perez Viejo, Estibalitz Peñacoba, Cecilia Int J Environ Res Public Health Article Aim: This study analyzed whether the contribution of several factors associated with walking adherence in fibromyalgia (FM) patients varies across pain severity levels. Methods: Participants were 228 women with FM (mean age 57 years; SD = 8.49). Results: Bivariate analyses replicated the expected association between predictors (FM impact, anxiety, depression, catastrophizing, and cognitive fusion) and poorer adherence to walking. Multivariate analyses showed a negative contribution of FM impact, catastrophizing, and depression on walking adherence after controlling for pain levels (all p < 0.01). A moderation effect of pain severity in the relationship between predictors and adherence to walking was only found for cognitive fusion (B = −0.01, t = −2.02, p = 0.040). Specifically, cognitive fusion only contributed to poor walking adherence at moderate and severe pain levels, but not when pain was mild. The contribution of the remaining predictors was not moderated by pain levels, which means that they contributed to walking adherence irrespective of the pain severity of the patient. Pain severity did not contribute to walking adherence when controlling for the predictors. Conclusion: Clinical implications are discussed from the perspective of personalized interventions and preferable target interventions when attempting to increase adherence to walking in this population. MDPI 2022-12-08 /pmc/articles/PMC9778611/ /pubmed/36554334 http://dx.doi.org/10.3390/ijerph192416453 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Catala, Patricia
Écija, Carmen
Serrano del Moral, Angel
Perez Viejo, Estibalitz
Peñacoba, Cecilia
Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title_full Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title_fullStr Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title_full_unstemmed Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title_short Predicting Adherence to Walking from Anxiety, Depression, Disease Impact, Catastrophizing, and Cognitive Fusion in Patients with Fibromyalgia: Does Pain Severity Matter?
title_sort predicting adherence to walking from anxiety, depression, disease impact, catastrophizing, and cognitive fusion in patients with fibromyalgia: does pain severity matter?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9778611/
https://www.ncbi.nlm.nih.gov/pubmed/36554334
http://dx.doi.org/10.3390/ijerph192416453
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