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Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?

Background: Aerobic exercise has a beneficial impact on physical and mental health. However, patients with fibromyalgia do not always report perceiving these improvements. Objective: The aim of this study was to examine whether catastrophic thinking moderated the effects of perceived pain severity o...

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Autores principales: Catalá, Patricia, Peñacoba, Cecilia, López-Roig, Sofía, Pastor-Mira, María Angeles
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819620/
https://www.ncbi.nlm.nih.gov/pubmed/36612511
http://dx.doi.org/10.3390/ijerph20010190
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author Catalá, Patricia
Peñacoba, Cecilia
López-Roig, Sofía
Pastor-Mira, María Angeles
author_facet Catalá, Patricia
Peñacoba, Cecilia
López-Roig, Sofía
Pastor-Mira, María Angeles
author_sort Catalá, Patricia
collection PubMed
description Background: Aerobic exercise has a beneficial impact on physical and mental health. However, patients with fibromyalgia do not always report perceiving these improvements. Objective: The aim of this study was to examine whether catastrophic thinking moderated the effects of perceived pain severity once an active and regular lifestyle had been established on functional limitation in chronic pain patients, in particular in fibromyalgia patients. Methods: The sample consisted of a total of 491 women with fibromyalgia diagnosed according to the criteria of the American College of Rheumatology. Participants completed an ad-hoc item about lifestyle related to walking pattern, the Brief Pain Inventory, the Pain Catastrophization Scale, and the Fibromyalgia Impact Questionnaire-Revised. To examine the relationship between the variables, a moderate mediation analysis was performed through the macro PROCESS (model 14). Results: The relationship 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). Furthermore, it was found that the mediating effect of pain severity was moderated by catastrophic thinking (Index = −0.014, SE = 0.007, 95% CI [0.002, 0.030]). Conclusions: The positive effect of walking on functionality through the reduction of pain levels is favored when patients present low catastrophizing, which affects the relevance of including interventions focused on the reduction of catastrophizing in the prescription of physical exercise in patients with fibromyalgia as the treatment of choice.
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spelling pubmed-98196202023-01-07 Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute? Catalá, Patricia Peñacoba, Cecilia López-Roig, Sofía Pastor-Mira, María Angeles Int J Environ Res Public Health Article Background: Aerobic exercise has a beneficial impact on physical and mental health. However, patients with fibromyalgia do not always report perceiving these improvements. Objective: The aim of this study was to examine whether catastrophic thinking moderated the effects of perceived pain severity once an active and regular lifestyle had been established on functional limitation in chronic pain patients, in particular in fibromyalgia patients. Methods: The sample consisted of a total of 491 women with fibromyalgia diagnosed according to the criteria of the American College of Rheumatology. Participants completed an ad-hoc item about lifestyle related to walking pattern, the Brief Pain Inventory, the Pain Catastrophization Scale, and the Fibromyalgia Impact Questionnaire-Revised. To examine the relationship between the variables, a moderate mediation analysis was performed through the macro PROCESS (model 14). Results: The relationship 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). Furthermore, it was found that the mediating effect of pain severity was moderated by catastrophic thinking (Index = −0.014, SE = 0.007, 95% CI [0.002, 0.030]). Conclusions: The positive effect of walking on functionality through the reduction of pain levels is favored when patients present low catastrophizing, which affects the relevance of including interventions focused on the reduction of catastrophizing in the prescription of physical exercise in patients with fibromyalgia as the treatment of choice. MDPI 2022-12-23 /pmc/articles/PMC9819620/ /pubmed/36612511 http://dx.doi.org/10.3390/ijerph20010190 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
Catalá, Patricia
Peñacoba, Cecilia
López-Roig, Sofía
Pastor-Mira, María Angeles
Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title_full Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title_fullStr Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title_full_unstemmed Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title_short Effects of Walking as Physical Exercise on Functional Limitation through Pain in Patients with Fibromyalgia—How Does Catastrophic Thinking Contribute?
title_sort effects of walking as physical exercise on functional limitation through pain in patients with fibromyalgia—how does catastrophic thinking contribute?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9819620/
https://www.ncbi.nlm.nih.gov/pubmed/36612511
http://dx.doi.org/10.3390/ijerph20010190
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