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

2021 ◽  
Vol 18 (10) ◽  
pp. 5394
Author(s):  
Cecilia Peñacoba ◽  
Maria Ángeles Pastor-Mira ◽  
Carlos Suso-Ribera ◽  
Patricia Catalá ◽  
Ainara Nardi-Rodríguez ◽  
...  
Keyword(s):  
Pain Catastrophizing ◽  
Activity Patterns ◽  
Fibromyalgia Impact Questionnaire ◽  
Psychological Flexibility ◽  
Relevant Variable ◽  
Activity Avoidance ◽  
Disease Impact ◽  
Motivational Approaches ◽  
Moderating Role

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.

Is Perfectionism Always Dysfunctional? Looking into Its Interaction with Activity Patterns in Women with Fibromyalgia

2020 ◽  
pp. 105477382097327
Author(s):  
Carmen Ecija ◽  
Patricia Catala ◽  
Lucia Sanroman ◽  
Sofía Lopez-Roig ◽  
M. Ángeles Pastor-Mira ◽  
...  
Keyword(s):  
Clinical Setting ◽  
Contextual Factors ◽  
Activity Patterns ◽  
Functional Limitation ◽  
Task Persistence ◽  
Activity Avoidance ◽  
Moderating Role ◽  
And Task ◽  
Process Macro

The intrinsically adaptive or maladaptive nature of certain activity patterns in fibromyalgia (FM) has been put into question. The role of contextual factors related to their influence on functional limitation is required. Perfectionism complicates the ability to cope of these patients. The aim of the study has been to analyze the moderating role of perfectionism between activity patterns and functional limitation. The sample were 228 women with FM. Moderation analyses were conducted with the PROCESS Macro. Activity avoidance and excessive persistence were associated with poorer functionality, regardless of perfectionism. Pain avoidance and task persistence were more strongly associated with FM impact in women with high or moderate levels of perfectionism. In a clinical setting adapting the recommendations given to patients according to their level of perfectionism would be justified. Pain avoidance might be inadvisable at high levels of perfectionism, and task persistence is recommendable especially when perfectionism is high.

scholarly journals A Network Analysis of Potential Antecedents and Consequences of Pain-Related Activity Avoidance and Activity Engagement in Adolescents

Pain Medicine ◽  
2019 ◽  
Author(s):  
Melanie Beeckman ◽  
Laura E Simons ◽  
Sean Hughes ◽  
Tom Loeys ◽  
Liesbet Goubert
Keyword(s):  
Pain Intensity ◽  
Pain Catastrophizing ◽  
Psychological Flexibility ◽  
Pediatric Pain ◽  
Related Activity ◽  
Activity Engagement ◽  
Activity Avoidance ◽  
Engagement Behavior ◽  
Antecedents And Consequences

Abstract Objective This study sets out to identify potential daily antecedents and consequences of pain-related activity avoidance and engagement behavior in adolescents with chronic pain. Methods Adolescents (N = 65, Mage = 14.41) completed baseline self-reports and a diary for 14 days. Afternoon and evening reports were used to infer a network structure of within-day associations between pain intensity, pain-related fear, pain catastrophizing, affect, and pain-related activity avoidance and engagement behavior. Baseline psychological flexibility was examined as a potential resilience factor. Results Activity avoidance in the evening was predicted by pain-related fear and avoidance earlier that afternoon. Activity engagement was predicted by positive affect and activity engagement in the afternoon. Pain-related behavior in the afternoon was not related to subsequent changes in pain intensity, pain-related fear, pain catastrophizing, or affect. Pain-related fear in the afternoon was predictive of increased levels of pain and pain catastrophizing in the evening. Both pain-related fear and pain catastrophizing in the evening were predicted by negative affect in the afternoon. Psychological flexibility was associated with lower levels of daily activity avoidance and buffered the negative association between pain intensity and subsequent activity engagement. Conclusions This study provides insight into unique factors that trigger and maintain activity avoidance and engagement and into the role of psychological flexibility in pediatric pain. Future work should focus on both risk and resilience factors and examine the role of psychological flexibility in chronic pediatric pain in greater detail.

scholarly journals The Association Between Daily Physical Activity and Pain Among Patients with Knee Osteoarthritis: The Moderating Role of Pain Catastrophizing

Pain Medicine ◽  
2018 ◽  
Vol 20 (5) ◽  
pp. 916-924 ◽  
Author(s):  
Asimina Lazaridou ◽  
Marc O Martel ◽  
Marise Cornelius ◽  
Olivia Franceschelli ◽  
Claudia Campbell ◽  
...  
Keyword(s):  
Physical Activity ◽  
Knee Osteoarthritis ◽  
Pain Catastrophizing ◽  
Daily Physical Activity ◽  
Moderating Role

scholarly journals The influence of cognitions, emotions and behavioral factors on treatment outcomes in musculoskeletal shoulder pain: a systematic review

2019 ◽  
Vol 33 (6) ◽  
pp. 980-991 ◽  
Author(s):  
Liesbet De Baets ◽  
Thomas Matheve ◽  
Mira Meeus ◽  
Filip Struyf ◽  
Annick Timmermans
Keyword(s):  
Surgical Treatment ◽  
Shoulder Pain ◽  
Self Efficacy ◽  
Pain Catastrophizing ◽  
Behavioral Factors ◽  
Fear Avoidance ◽  
Mediating Role ◽  
Predictive Role ◽  
Moderating Role

Objective: To examine the predictive, moderating and mediating role of cognitive, emotional and behavioral factors on pain and disability following shoulder treatment. Data sources: Electronic databases (PubMed, Web of Science, Embase and PsycINFO) were searched until 14 January 2019. Study selection: Studies including persons with musculoskeletal shoulder pain that describe the predictive, moderating or mediating role of baseline cognitive, emotional or behavioral factors on pain or disability following treatment were selected. Results: A total of 23 articles, describing 21 studies and involving 3769 participants, were included. Three studies had a high risk of bias. There was no predictive role of baseline depression, anxiety, coping, somatization or distress on pain or disability across types of shoulder treatment. No predictive role of fear-avoidance beliefs was identified in patients receiving physiotherapy, which contrasted to the results found when surgical treatment was applied. Baseline catastrophizing was also not predictive for pain or disability in patients receiving physiotherapy. After conservative medical treatments, results on the predictive role of catastrophizing were inconclusive. Treatment expectations and baseline self-efficacy predicted pain and disability in patients receiving physiotherapy, which was not the case in patients receiving conservative medical treatment. Finally, there was a moderating role for optimism in the relationship between pain catastrophizing and disability in patients receiving physiotherapy. Conclusion: There is evidence that expectations of recovery and self-efficacy have a predictive role and optimism a moderating role on pain and/or disability following physiotherapy for musculoskeletal shoulder pain. After surgical treatment, fear-avoidance is a predictor of pain and disability.

scholarly journals Pain Catastrophizing Mediates the Relationship Between Self-Reported Strenuous Exercise Involvement and Pain Ratings: Moderating Role of Anxiety Sensitivity

2009 ◽  
Vol 71 (9) ◽  
pp. 1018-1025 ◽  
Author(s):  
Burel R. Goodin ◽  
Lynanne M. McGuire ◽  
Laura M. Stapleton ◽  
Noel B. Quinn ◽  
Lacy A. Fabian ◽  
...  
Keyword(s):  
Anxiety Sensitivity ◽  
Pain Catastrophizing ◽  
Strenuous Exercise ◽  
Pain Ratings ◽  
The Relationship ◽  
Moderating Role

scholarly journals Adult Attachment and Approaches to Activity Engagement in Chronic Pain

2014 ◽  
Vol 19 (6) ◽  
pp. 317-327 ◽  
Author(s):  
Nicole E Andrews ◽  
Pamela J Meredith ◽  
Jenny Strong ◽  
Genevieve F Donohue
Keyword(s):  
Chronic Pain ◽  
Psychological Functioning ◽  
Pain Catastrophizing ◽  
Activity Patterns ◽  
Activity Engagement ◽  
Mediation Analyses ◽  
Mediating Role ◽  
Activity Avoidance ◽  
Pain Cognitions ◽  
Preoccupied Attachment

BACKGROUND: The way in which individuals with chronic pain habitually approach activity engagement has been shown to impact daily functioning, with both avoidance of one’s daily activities and overactivity (activity engagement that significantly exacerbates pain) associated with more pain, higher levels of physical disability and poorer psychological functioning.OBJECTIVE: To provide insight into the development of maladaptive habitual approaches to activity engagement in chronic pain by applying an attachment theory framework.METHODS: A sample of 164 adults with chronic pain completed selfreport measures of attachment, approach to activity and pain cognitions. Mediation analyses were undertaken to examine the direct association between attachment variables and maladaptive approaches to activity, and to test for the mediating role of pain cognitions (catastrophizing and thought suppression).RESULTS: Results demonstrated that higher levels of secure attachment were associated with lower levels of activity avoidance, which was fully mediated by lower levels of pain catastrophizing; higher levels of preoccupied or fearful attachment were directly associated with higher levels overactivity; higher levels of preoccupied attachment were associated with higher levels of activity avoidance, which was partially mediated by higher levels of pain catastrophizing; and higher levels of fearful attachment were indirectly associated with higher levels of activity avoidance through higher levels of catastrophizing.CONCLUSIONS: These results provide preliminary support for the suggestion that insecure attachment may be a source of vulnerability to the development of disabling activity patterns in chronic pain.

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