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Oza S, Kramer A, Ying J, Cushman DM. The relationship between patient-reported and objective measures of physical function among cancer survivors receiving rehabilitation care: A correlation analysis. PM R 2024. [PMID: 38686779 DOI: 10.1002/pmrj.13182] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 01/08/2024] [Accepted: 01/23/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND Physical function is associated with cancer-related quality of life and survival. The correlation of patient-reported and objective measures of physical function has not been quantified previously in the cancer rehabilitation medicine setting. OBJECTIVE To correlate patient-reported physical function with objective measures of physical function. The secondary aim is to correlate fatigue and social participation levels with objective measures of physical function. DESIGN Retrospective. SETTING Tertiary university cancer center. PARTICIPANTS A total of 226 cancer survivors referred to an outpatient cancer rehabilitation medicine clinic. INTERVENTION Not applicable. MAIN OUTCOME MEASURE Correlation of Patient-Reported Outcomes Measurement Information System (PROMIS) Cancer Function Brief 3D Profile domains with objective physical function measured by the 30-second sit-to-stand and hand grip strength. RESULTS Pearson correlation analysis revealed a moderate correlation between patient-reported physical function and the 30-second sit-to-stand test (r = 0.57; p <.001), and a weak correlation of patient-reported physical function and handgrip strength (r = 0.27; p <.001). Multivariable regression modeling controlling for age, gender, and receipt of systemic therapy demonstrated a significant association between patient-reported physical function and the 30-second sit-to-stand test (estimated confidence interval 0.76 [0.60, 0.92], p < .01), in addition to patient-reported function and handgrip strength (estimated 0.22 [0.10, 0.34], p < .01). Multiple myeloma but no other cancer type was inversely associated with lower physical function. CONCLUSIONS Patient-reported physical function correlated moderately with the 30-second sit-to-stand test, whereas hand grip strength demonstrated a weak correlation. The 30-second sit-to-stand test is a suitable substitute for patient-reported physical function. Further work evaluating how measures relate to each other across cancer populations is needed before recommending a standardized set of outcome measures.
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Affiliation(s)
- Sonal Oza
- Department of Rehabilitation Medicine, Emory University, Atlanta, Georgia, USA
| | - Andy Kramer
- Department of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah, USA
| | - Jian Ying
- Department of Family & Preventive Medicine, University of Utah, Salt Lake City, Utah, USA
| | - Daniel M Cushman
- Department of Physical Medicine & Rehabilitation, University of Utah, Salt Lake City, Utah, USA
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Zinchuk MS, Turchinets AM, Tumurov DA, Zhuravlev DV, Bryzgalova JE, Guekht AB. [Modern ideas about the relationship between fibromyalgia and mental disorders]. Zh Nevrol Psikhiatr Im S S Korsakova 2023; 123:7-16. [PMID: 37966434 DOI: 10.17116/jnevro20231231017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2023]
Abstract
Fibromyalgia (FM) is a pain syndrome with a high burden and an understudied etiology and pathogenesis. There is now considerable evidence that FM has a strong bidirectional relationship with psychiatric disorders and is associated with certain personality traits that contribute to the severity of key somatic symptoms and affect overall prognosis. In this article, the authors present data from recent epidemiological and neurobiological studies, discuss the multilevel relationship between FM and psychiatric disorders, and briefly review approaches to the treatment of co-morbid conditions.
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Affiliation(s)
- M S Zinchuk
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - A M Turchinets
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - D A Tumurov
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - D V Zhuravlev
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - J E Bryzgalova
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
| | - A B Guekht
- Research and Clinical Center for Neuropsychiatry, Moscow, Russia
- Pirogov Russian National Research Medical University, Moscow, Russia
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3
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Varallo G, Suso-Ribera C, Ghiggia A, Veneruso M, Cattivelli R, Guerrini Usubini A, Franceschini C, Musetti A, Plazzi G, Fontana JM, Capodaglio P, Castelnuovo G. Catastrophizing, Kinesiophobia, and Acceptance as Mediators of the Relationship Between Perceived Pain Severity, Self-Reported and Performance-Based Physical Function in Women with Fibromyalgia and Obesity. J Pain Res 2022; 15:3017-3029. [PMID: 36186755 PMCID: PMC9525026 DOI: 10.2147/jpr.s370718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 08/18/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose Individuals with fibromyalgia and obesity experience significant impairment in physical functioning. Pain catastrophizing, kinesiophobia, and pain acceptance have all been identified as important factors associated with the level of disability. The objective of this study was to evaluate the role of pain catastrophizing, kinesiophobia, and pain acceptance as mediators of the association between perceived pain severity and physical functioning in individuals with fibromyalgia and obesity. Patients and Methods In this cross-sectional study, 165 women with fibromyalgia and obesity completed self-report questionnaires of perceived pain severity (ie, Numeric Pain Rating Scale), pain catastrophizing (ie, Pain Catastrophizing Scale), kinesiophobia (ie Tampa Scale of Kinesiophobia), pain acceptance (ie, Chronic Pain Acceptance Questionnaire), and perceived physical functioning (ie, Physical Functioning subscale of the Fibromyalgia Impact Questionnaire). In addition, a performance-based test (ie, 6-minute walking test) was conducted to assess objective physical functioning. Two multiple mediation analyses were performed. Results Pain acceptance and kinesiophobia mediated the relationship between pain severity and self-reported physical functioning. Pain catastrophizing and kinesiophobia mediated the relationship between pain severity and performance-based functioning. Conclusion Pain acceptance, kinesiophobia, and pain catastrophizing should be addressed in rehabilitative intervention to improve physical functioning. Interestingly, the subjective and objective aspects of physical functioning are influenced by different factors. Therefore, interventions for women with fibromyalgia and obesity should focus on factors related to both subjective and performance-based physical functioning.
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Affiliation(s)
- Giorgia Varallo
- Department of Medicine and Surgery, University of Parma, Parma, 43121, Italy
| | - Carlos Suso-Ribera
- Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellon de la Plana, 12071, Spain
| | - Ada Ghiggia
- Department of Life Sciences, University of Trieste, Trieste, 34127, Italy
| | - Marco Veneruso
- Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy
| | | | - Anna Guerrini Usubini
- Department of Psychology, Catholic University of Milan, Milan, 20123, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, San Giuseppe Hospital, Verbania, 28824, Italy
| | | | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, 43125, Italy
| | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, 41125, Italy
- IRCCS Istituto delle Scienze Neurologiche di Bologna (ISNB), Bologna, 40139, Italy
| | - Jacopo Maria Fontana
- Istituto Auxologico Italiano IRCCS, Orthopaedic Rehabilitation Unit and Research Laboratory in Biomechanics and Rehabilitation, San Giuseppe Hospital, Verbania, 28824, Italy
- Correspondence: Jacopo Maria Fontana, San Giuseppe Hospital, Strada Cadorna 90, Verbania, 28824, Italy, Tel +39 0323 514 331, Email
| | - Paolo Capodaglio
- Istituto Auxologico Italiano IRCCS, Orthopaedic Rehabilitation Unit and Research Laboratory in Biomechanics and Rehabilitation, San Giuseppe Hospital, Verbania, 28824, Italy
- Department of Surgical Sciences, Physical and Rehabilitation Medicine, University of Turin, Turin, 10121, Italy
| | - Gianluca Castelnuovo
- Department of Psychology, Catholic University of Milan, Milan, 20123, Italy
- Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, San Giuseppe Hospital, Verbania, 28824, Italy
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Valera-Calero JA, Arendt-Nielsen L, Cigarán-Méndez M, Fernández-de-las-Peñas C, Varol U. Network Analysis for Better Understanding the Complex Psycho-Biological Mechanisms behind Fibromyalgia Syndrome. Diagnostics (Basel) 2022; 12:diagnostics12081845. [PMID: 36010196 PMCID: PMC9406816 DOI: 10.3390/diagnostics12081845] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 07/21/2022] [Accepted: 07/29/2022] [Indexed: 11/16/2022] Open
Abstract
The aim of this study was to assess potential associations between sensory, cognitive, health-related, and physical variables in women with fibromyalgia syndrome (FMS) using a network analysis for better understanding the complexity of psycho-biological mechanisms. Demographic, clinical, pressure pain threshold (PPT), health-related, physical, and psychological/cognitive variables were collected in 126 women with FMS. A network analysis was conducted to quantify the adjusted correlations between the modeled variables and to assess the centrality indices (i.e., the degree of connection with other symptoms in the network and the importance in the system modeled as a network. This model showed several local associations between the variables. Multiple positive correlations between PPTs were observed, being the strongest weight between PPTs over the knee and tibialis anterior (ρ: 0.28). Catastrophism was associated with higher hypervigilance (ρ: 0.23) and lower health-related EuroQol-5D (ρ: −0.24). The most central variables were PPT over the tibialis anterior (the highest strength centrality), hand grip (the highest harmonic centrality) and Time Up and Go (the highest betweenness centrality). This study, applying network analysis to understand the complex mechanisms of women with FMS, supports a model where sensory-related, psychological/cognitive, health-related, and physical variables are connected. Implications of the current findings, e.g., developing treatments targeting these mechanisms, are discussed.
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Affiliation(s)
- Juan Antonio Valera-Calero
- VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, 28692 Villanueva de la Cañada, Spain; (J.A.V.-C.); (U.V.)
- Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, 28692 Villanueva de la Cañada, Spain
| | - Lars Arendt-Nielsen
- Center for Neuroplasticity and Pain (CNAP), Sanse-Motorisk Interaktion (SMI), Department of Health Science and Technology, Faculty of Medicine, Aalborg University, 9220 Aalborg, Denmark;
- Department of Medical Gastroenterology, Mech-Sense, Aalborg University Hospital, 9000 Aalborg, Denmark
| | | | - César Fernández-de-las-Peñas
- Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, 28922 Alcorcon, Spain
- Correspondence:
| | - Umut Varol
- VALTRADOFI Research Group, Department of Physiotherapy, Faculty of Health, Universidad Camilo José Cela, 28692 Villanueva de la Cañada, Spain; (J.A.V.-C.); (U.V.)
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How to Promote Online Education through Educational Software—An Analytical Study of Factor Analysis and Structural Equation Modeling with Chinese Users as an Example. SYSTEMS 2022. [DOI: 10.3390/systems10040100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
Online learning has emerged as a fresh method to successfully prevent teacher and student gatherings as well as the propagation of viruses in the context of the ongoing influence of the COVID-19. A problem deserving of consideration is how to increase users’ desire to participate in online learning through online class APPs, identify the variables that affect users’ use of them, and create a useful assessment scale. In this study, user ratings from 68 students who had used an online class APP were collected using the combination of qualitative and quantitative research, and 200 online questionnaires were sent out to complement the interview findings, based on which 328 assessment questionnaires were gathered and 23 valid items were obtained. The influencing elements that had an impact on users’ online learning experiences were identified using factor analysis, and the relationships among the components were investigated using structural equation modeling. Perceived benefits are the main influencing factors, subjective norms and functional quality are the direct factors influencing users’ perceived benefits, and self-efficacy is influenced by subjective norms while promoting the perception of functional quality. The factors influencing users’ use of online class APPs are ultimately identified as perceived benefits, functional quality and self-efficacy. In order to facilitate users’ online learning, user psychological traits, social ties and software functions should be integrated into a cohesive system while designing online class APPs.
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Aldosari AA, Majadah S, Amer KA, Alamri HH, Althomali RN, Alqahtani RF, Alamer RA, Alshehri SZ, Alhayyani RM, Aleman SY, Somaily M. The Association Between Physical Activity Level and Severity of Knee Osteoarthritis: A Single Centre Study in Saudi Arabia. Cureus 2022; 14:e24377. [PMID: 35611031 PMCID: PMC9124548 DOI: 10.7759/cureus.24377] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2022] [Indexed: 11/08/2022] Open
Abstract
Background and aim Knee osteoarthritis (OA) is a disabling joint disease that results in degeneration of the joint cartilage. Many studies demonstrate the risk factors and complications of knee osteoarthritis, but how physical activity impacts the osteoarthritis severity needs to be studied. The study aimed to assess the impact and association of physical activity level with the severity of knee osteoarthritis among patients attending a single center in the Aseer region, southwest Saudi Arabia. Methods An analytical cross-sectional study was conducted targeting all patients clinically diagnosed with knee osteoarthritis in the Aseer region from June 2021 to September 2021. Data was collected using a pre-structured online questionnaire. The questionnaire included patients' socio-demographic data and clinical data on knee osteoarthritis. The level of physical activity was assessed using the International Physical Activity Questionnaire (IPAQ). The severity of knee osteoarthritis was assessed using the index of severity for osteoarthritis of the knee. Results Out of 473 patients clinically diagnosed with knee OA, only 145 patients met our inclusion criteria. Patients' ages ranged from 35 years to 71 years, with a mean age of 44.3 (±12.9) years. A total of 122 (84.1%) patients were females. Sixty-five (44.8%) patients complained of knee OA for less than two years, 46 (31.7%) for two to five years, and 34 (23.4%) were diagnosed for more than five years. A total of 96 (66.2%) had a low level of physical activity, 32 (22.1%) had a moderate level of physical activity, while 17 (11.7%) had a high level of physical activity. Thirty-eight (26.2%) cases complained of extremely severe knee OA, 37 (25.5%) had very severe knee OA, 28 (19.3%) complained of severe knee OA, 36 (24.9%) had mild to moderate knee OA, while six (4.1%) had minimal knee OA. There was a significant beneficial effect of physical activity on the severity of knee OA. Conclusion The study revealed that physical activity, especially at high levels, was associated with lower knee OA severity which means a beneficial effect. Most of the patients included in the study had severe to extremely severe knee OA with low physical activity levels.
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Affiliation(s)
| | - Saeed Majadah
- Department of Medicine, Rheumatology Division, Khamis Mushayt General Hospital, Abha, SAU
| | - Khaled A Amer
- College of Medicine, King Khalid University, Abha, SAU
| | - Hend H Alamri
- College of Medicine, King Khalid University, Abha, SAU
| | | | | | | | | | | | - Shahenda Y Aleman
- Department of Medicine, Rheumatology Division, Khamis Mushayt General Hospital, Abha, SAU
| | - Mansour Somaily
- Department of Medicine, Rheumatology Division, King Khalid University, Abha, SAU
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Sanromán L, Catalá P, Écija C, Suso-Ribera C, San Román J, Peñacoba C. The Role of Walking in the Relationship between Catastrophizing and Fatigue in Women with Fibromyalgia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:4198. [PMID: 35409880 PMCID: PMC8998906 DOI: 10.3390/ijerph19074198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/24/2022] [Revised: 03/11/2022] [Accepted: 03/30/2022] [Indexed: 11/24/2022]
Abstract
Walking is one of the most beneficial treatments for fibromyalgia patients. However, adherence to walking behavior is low due to the initially associated symptoms (including pain and fatigue). Although the association of catastrophism with greater symptoms is known, the results regarding fatigue have not always been consistent. Nevertheless, it is unknown whether the association between catastrophism and fatigue could, in turn, be conditioned by whether the patients walk or not. Therefore, our goal was to explore the moderating effect of walking on the association between catastrophizing and fatigue in patients with fibromyalgia. A cross-sectional study was carried out with 203 women with fibromyalgia. We used the Multidimensional Fatigue Inventory to assess fatigue and the Pain Catastrophizing Scale to assess pain catastrophizing (differentiating between its three dimensions). An ad hoc item was used to evaluate walking (moderator). Lower scores for fatigue and pain catastrophizing were found among patients who walked versus those who did not. Walking moderated the relationship between rumination and fatigue (Beta = 0.16, t = 1.96, p = 0.049) and between magnification and fatigue (Beta = 0.22, t = 21.83, p = 0.047). Helplessness showed no direct or interaction effect for fatigue. Nevertheless, higher rumination and magnification were associated with higher fatigue only in patients who walked. Therefore, to promote adherence to walking and reduce the effects of catastrophizing on fatigue, it seems necessary to manage rumination and magnification among patients who walk.
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Affiliation(s)
- Lucía Sanromán
- Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Spain; (L.S.); (P.C.); (C.É.)
| | - Patricia Catalá
- Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Spain; (L.S.); (P.C.); (C.É.)
| | - Carmen Écija
- Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Spain; (L.S.); (P.C.); (C.É.)
| | - Carlos Suso-Ribera
- Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, 12006 Castellón de la Plana, Spain;
| | - Jesús San Román
- Department of Medical Specialties and Public Health, Rey Juan Carlos University, 28922 Alcorcón, Spain;
| | - Cecilia Peñacoba
- Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Spain; (L.S.); (P.C.); (C.É.)
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Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031513. [PMID: 35162534 PMCID: PMC8835050 DOI: 10.3390/ijerph19031513] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/15/2021] [Revised: 01/21/2022] [Accepted: 01/26/2022] [Indexed: 11/17/2022]
Abstract
Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with fibromyalgia. The sample included 111 women who attended a tertiary health setting. We adapted the Six-Minute Walk Test where participants decided either to stop or continue walking in five voluntary 6 min bouts. Women who were categorized higher in pain-related worrying reported higher preference for pain avoidance goals (t = -2.44, p = 0.02) and performed worse in the walking task (LongRank = 4.21; p = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first (OR = 1.443), second (OR = 1.493), and third (OR = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task (HR = 1.02, [1.0-1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences (ab = -3.25). In interventions targeting adherence in physical activity and exercise, special attention is needed for women who are particularly worried about pain to help decrease their preference for short-term pain avoidance goals relative to long-term goals such as being active through walking.
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Ibraheem W, Mckenzie S, Wilcox-Omubo V, Abdelaty M, Saji SE, Siby R, Alalyani W, Mostafa JA. Pathophysiology and Clinical Implications of Cognitive Dysfunction in Fibromyalgia. Cureus 2021; 13:e19123. [PMID: 34858761 PMCID: PMC8614169 DOI: 10.7759/cureus.19123] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Accepted: 10/29/2021] [Indexed: 11/24/2022] Open
Abstract
Cognitive dysfunction is a complaint of many patients diagnosed with fibromyalgia. Although the main symptoms of the disease are fatigue, widespread musculoskeletal pain, poor sleep quality, and tenderness points, the cognitive symptoms can be more distressing than the pain itself, and negatively affect their lives; however, many healthcare professionals underestimate these cognitive complaints and it is still one of the least researched topics. Proper management of these symptoms at an early stage may have a great impact to improve the mental health, physical function, and overall health of these patients. Hence, this traditional review aimed to look at the previous body of literature in PubMed in the past five years to address the pathophysiology of the cognitive dysfunction in fibromyalgia patients, to find the risk factors of cognitive dysfunction in these patients, to discover the recent modalities for treatment, and to figure out the clinical implications and recent recommendations by researchers on screening, diagnosis, and management of fibromyalgia and its cognitive dysfunction symptoms. This review has shown the various mechanisms of cognitive dysfunction. Some mechanisms are related to disease symptomologies, such as excessive pain perception, and others are related to hormonal and metabolite changes in the brain. Tobacco smoking and high body mass index showed an inverse impact on cognitive dysfunction and quality of life in fibromyalgia. Other risk factors and clinical implications were discussed in detail.
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Affiliation(s)
- Weaam Ibraheem
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Simon Mckenzie
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Victory Wilcox-Omubo
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Mohamed Abdelaty
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Sandra E Saji
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Rosemary Siby
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Wafaa Alalyani
- Medical Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
| | - Jihan A Mostafa
- Psychiatry, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA
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Pastor-Mira MÁ, López-Roig S, Martínez-Zaragoza F, Toribio E, Nardi-Rodríguez A, Peñacoba C. Motivational Determinants of Objective Physical Activity in Women with Fibromyalgia Who Attended Rehabilitation Settings. J Clin Med 2021; 10:jcm10235547. [PMID: 34884246 PMCID: PMC8658437 DOI: 10.3390/jcm10235547] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Revised: 11/21/2021] [Accepted: 11/23/2021] [Indexed: 12/12/2022] Open
Abstract
Being physically active has positive effects on fibromyalgia functioning. However, promoting an active lifestyle in these patients continues to be a relevant clinical challenge. Our aim was to test a motivational model to explain light (LPA) and moderate-vigorous physical activity (MVPA). A cross-sectional prospective study was conducted at a tertiary level of care. Participants completed sociodemographic, clinical, motivational (physical activity self-efficacy and goal preferences) and behavioral measures (activity avoidance). LPA and MVPA were measured with triaxial accelerometers, starting the same day of the aforementioned assessment. Out of 211 women, 183 completed this measure. Structural models were performed. Our results show that the best fit indices (CFI = 0.97, SRMR = 0.04) showed a model with direct influence of PA self-efficacy on MVPA (p < 0.01) and indirect influence on LPA (p < 0.001). LPA received the influence of PA self-efficacy mainly through activity avoidance (p < 0.01). Clinical variables did not have any effect on PA intensities. Thus, the motivational variables showed different paths to explain two PA intensities. Targeting PA self-efficacy in rehabilitation settings is needed to enhance both daily LPA and MVPA intensities.
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Affiliation(s)
- María-Ángeles Pastor-Mira
- Department of Behavioral Sciences and Health, Miguel Hernández University, 03550 Alicante, Spain; (M.-Á.P.-M.); (F.M.-Z.); (A.N.-R.)
| | - Sofía López-Roig
- Department of Behavioral Sciences and Health, Miguel Hernández University, 03550 Alicante, Spain; (M.-Á.P.-M.); (F.M.-Z.); (A.N.-R.)
- Correspondence:
| | - Fermín Martínez-Zaragoza
- Department of Behavioral Sciences and Health, Miguel Hernández University, 03550 Alicante, Spain; (M.-Á.P.-M.); (F.M.-Z.); (A.N.-R.)
| | - Eva Toribio
- Fibromyalgia Unit, Hospital of San Vicente del Raspeig, 03690 Alicante, Spain;
| | - Ainara Nardi-Rodríguez
- Department of Behavioral Sciences and Health, Miguel Hernández University, 03550 Alicante, Spain; (M.-Á.P.-M.); (F.M.-Z.); (A.N.-R.)
| | - Cecilia Peñacoba
- Department of Psychology, Rey Juan Carlos University, 28922 Madrid, Spain;
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Angst F, Benz T, Lehmann S, Sandor P, Wagner S. Common and Contrasting Characteristics of the Chronic Soft-Tissue Pain Conditions Fibromyalgia and Lipedema. J Pain Res 2021; 14:2931-2941. [PMID: 34557035 PMCID: PMC8455517 DOI: 10.2147/jpr.s315736] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 08/04/2021] [Indexed: 12/15/2022] Open
Abstract
Objective To examine the common and specific characteristics of fibromyalgia and lipedema, two chronic soft-tissue pain syndromes without curative therapy options. Methods Diseases’ characteristics were compared using the findings of extensive literature and the empiric data from two cohorts, both fulfilling standardized diagnostic criteria. Outcome was measured by various socio-demographics, the generic Short Form 36 (SF-36), the Fibromyalgia Severity Questionnaire (FSQ), and the 6-minute walk distance (6MWD). Empiric SF-36 data were compared to specific population-based norms and between the diagnostic groups, using standardized mean differences (SMD). Results Female participants with fibromyalgia (n = 77) and lipedema (n = 112) showed comparable education levels and living situations. Lipedema cases were, on average, 3.9 years younger and BMI 6.3kg/m2 more obese. Women with fibromyalgia smoked more, did less sport, had more comorbidities, and worked less. Compared to the norms, health in fibromyalgia was worse than expected by SMD = –1.60 to –2.35 and in lipedema by –0.44 to –0.82 on the SF-36. The score differences between the two conditions ranged from SMD = –0.96 to –1.34 (all p < 0.001) on the SF-36 and the FSQ. For the inpatients (n = 77 fibromyalgia, n = 38 lipedema), the 6MWD was comparable (SMD = –0.09, p = 0.640). These findings were consistent with detailed data from the literature reviewed. Discussion Fibromyalgia and lipedema share characteristics of clinical phenomenology and comorbid conditions. Disease perception is more pronounced in fibromyalgia than in lipedema, especially in social and role dysfunction, whereas the walking distance was similar for both syndromes. This difference may be explicable by limited coping skills in fibromyalgia.
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Affiliation(s)
- Felix Angst
- Research Department, Rehaklinik Bad Zurzach, Bad Zurzach, Switzerland
| | - Thomas Benz
- Research Department, Rehaklinik Bad Zurzach, Bad Zurzach, Switzerland.,ZHAW Zurich University of Applied Sciences, School of Health Professions, Institute of Physiotherapy, Winterthur, Switzerland
| | - Susanne Lehmann
- Research Department, Rehaklinik Bad Zurzach, Bad Zurzach, Switzerland
| | - Peter Sandor
- Research Department, Rehaklinik Bad Zurzach, Bad Zurzach, Switzerland
| | - Stephan Wagner
- Department of Angiology, Rehaklinik Bad Zurzach, Bad Zurzach, Switzerland
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Psychometric properties of the Cognitive Fusion Questionnaire in females with fibromyalgia. CURRENT PSYCHOLOGY 2021. [DOI: 10.1007/s12144-021-02214-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
AbstractCognitive fusion, or the degree to which a person is entangled with their thoughts and takes them literally, is considered a normal yet detrimental cognitive process associated with diverse negative outcomes across healthy and disordered functioning, including in fibromyalgia. Given the relevance of this cognitive process, the aim of the present study is to generate empirical evidence on the reliability and validity of the Cognitive Fusion Questionnaire (CFQ) in a sample of Spanish females with fibromyalgia. In this cross-sectional study, 230 Spanish females diagnosed with fibromyalgia (mean age 56.89 years; SD = 8.96) were assessed on cognitive fusion, pain catastrophizing, personality traits, positive and negative affect, anxiety symptoms, depressive symptoms and disease severity. Confirmatory factor analysis, reliability and validity analyses were performed. The CFQ showed a unidimensional structure, adequate temporal stability and good internal consistency. In addition, convergent and discriminant validity were found with respect to dispositional, pain-related, affective, mood and anxious measures; as well as incremental and criterion validity in the prediction of psychological symptoms or the disease severity status. The CFQ has been revealed as a solid and valid measure in the evaluation of cognitive fusion in Spanish females suffering from fibromyalgia, and may also be useful in clinical contexts due to the relationships it has shown with important outcomes. Limitations and future directions are also discussed.
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13
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The Role of Pain Catastrophizing and Pain Acceptance in Performance-Based and Self-Reported Physical Functioning in Individuals with Fibromyalgia and Obesity. J Pers Med 2021; 11:jpm11080810. [PMID: 34442454 PMCID: PMC8401554 DOI: 10.3390/jpm11080810] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 08/11/2021] [Accepted: 08/17/2021] [Indexed: 12/11/2022] Open
Abstract
Impaired physical functioning is one of the most critical consequences associated with fibromyalgia, especially when there is comorbid obesity. Psychological factors are known to contribute to perceived (i.e., subjective) physical functioning. However, physical function is a multidimensional concept encompassing both subjective and objective functioning. The contribution of psychological factors to performance-based (i.e., objective) functioning is unclear. This study aims to investigate the contribution of pain catastrophizing and pain acceptance to both self-reported and performance-based physical functioning. In this cross-sectional study, 160 participants completed self-report measures of pain catastrophizing, pain acceptance, and pain severity. A self-report measure and a performance-based test were used to assess physical functioning. Higher pain catastrophizing and lower pain acceptance were associated with poorer physical functioning at both self-reported and performance-based levels. Our results are consistent with previous evidence on the association between pain catastrophizing and pain acceptance with self-reported physical functioning. This study contributes to the current literature by providing novel insights into the role of psychological factors in performance-based physical functioning. Multidisciplinary interventions that address pain catastrophizing and pain acceptance are recommended and might be effective to improve both perceived and performance-based functioning in women with FM and obesity.
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Rodríguez-Roca B, Urcola-Pardo F, Anguas-Gracia A, Subirón-Valera AB, Gasch-Gallén Á, Antón-Solanas I, Gascón-Catalán AM. Impact of Reducing Sitting Time in Women with Fibromyalgia and Obesity: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18126237. [PMID: 34207661 PMCID: PMC8296136 DOI: 10.3390/ijerph18126237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Revised: 06/03/2021] [Accepted: 06/07/2021] [Indexed: 11/16/2022]
Abstract
BACKGROUND Sitting time has negative effects on health, increasing the risk of obesity, osteoporosis, diabetes, and cancer. Thus, primary health care education interventions aimed to reduce sitting time and sedentary behavior could have beneficial effects on people's health and wellbeing. The purpose of this study was to assess the effectiveness of an intervention based on reducing sitting time to decrease cardiometabolic risk on a sample of women diagnosed with fibromyalgia and moderate obesity. METHODS Randomized controlled trial to evaluate the effectiveness of an intervention to decrease cardiometabolic risk in 84 participants. Sedentary behavior was monitored using an accelerometer before and at 3-month follow-up. RESULTS Compared with the control group, body mass index decreased, and the number of steps taken increased, in the intervention group 3 months after the intervention. No significant differences were found in the rest of the variables measured. CONCLUSION The intervention group decreased sitting time after the intervention. Group activities and support from primary care may be useful to improve treatment adherence. RCT registration: NCT01729936.
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Affiliation(s)
- Beatriz Rodríguez-Roca
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
| | - Fernando Urcola-Pardo
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
- Research Group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, 50009 Zaragoza, Spain
| | - Ana Anguas-Gracia
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
- Research Group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, 50009 Zaragoza, Spain
- Research Group Safety and Care (GIISA0021), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Ana Belén Subirón-Valera
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
- Research Group Water and Environmental Health (B43_20R), University Institute of Research in Environmental Science of Aragón, University of Zaragoza, 50009 Zaragoza, Spain
- Research Group Sector III Healthcare (GIIS081), Institute of Research of Aragón, 50009 Zaragoza, Spain
| | - Ángel Gasch-Gallén
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
- Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, 50009 Zaragoza, Spain
- Correspondence: (Á.G.-G.); (I.A.-S.)
| | - Isabel Antón-Solanas
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
- Research Group Nursing Research in Primary Care in Aragón (GENIAPA) (GIIS094), Institute of Research of Aragón, 50009 Zaragoza, Spain
- Correspondence: (Á.G.-G.); (I.A.-S.)
| | - Ana M. Gascón-Catalán
- Department of Physiatry and Nursing, Faculty of Health Sciences, University of Zaragoza, C/Domingo Miral s/n, 50009 Zaragoza, Spain; (B.R.-R.); (F.U.-P.); (A.A.-G.); (A.B.S.-V.); (A.M.G.-C.)
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15
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Ecija C, Catala P, López-Roig S, Pastor-Mira MÁ, Gallardo C, Peñacoba C. Are Pacing Patterns Really Based on Value Goals? Exploring the Contextual Role of Pain Acceptance and Pain Catastrophizing in Women with Fibromyalgia. J Clin Psychol Med Settings 2021; 28:734-745. [PMID: 33538933 DOI: 10.1007/s10880-021-09762-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/08/2021] [Indexed: 01/02/2023]
Abstract
Pain catastrophizing and pain acceptance have been associated with functioning in fibromyalgia. In relation to activity patterns, pacing has been defined as a helpful pattern to regulate activities in the context of value-based goals, but results regarding whether it is adaptive or not are controversial. This study analyzes the moderating role of pain acceptance between pain catastrophizing and pacing in 231 women with fibromyalgia. Moderation analyses were conducted with model 1 from the PROCESS Macro version 3.4. The results showed a clear moderating effect of pain acceptance. At low levels of pain acceptance, catastrophizing and pacing patterns maintained significant and positive associations. However, at high levels of pain acceptance, pacing was independent of catastrophizing. Far from considering pacing patterns as functional or dysfunctional per se, our results suggest that women with low pain acceptance carry out pacing influenced by catastrophizing independently of their goal pursuit, while patients who accept their pain may use pacing as a regulatory mechanism according to their goals.
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Affiliation(s)
- Carmen Ecija
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Patricia Catala
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Sofía López-Roig
- Department of Behavioral Sciences and Health, Miguel Hernández University, Campus de Sant Joan, Alicante, Spain
| | - María Ángeles Pastor-Mira
- Department of Behavioral Sciences and Health, Miguel Hernández University, Campus de Sant Joan, Alicante, Spain
| | - Carmen Gallardo
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Cecilia Peñacoba
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain.
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16
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Beaudoin FL, Zhai W, Merchant RC, Clark MA, Kurz MC, Hendry P, Swor RA, Peak D, Pearson C, Domeier R, Ortiz C, McLean SA. Persistent and Widespread Pain Among Blacks Six Weeks after MVC: Emergency Department-based Cohort Study. West J Emerg Med 2020; 22:139-147. [PMID: 33856293 PMCID: PMC7972399 DOI: 10.5811/westjem.2020.8.47450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2020] [Accepted: 08/12/2020] [Indexed: 11/11/2022] Open
Abstract
INTRODUCTION Blacks in the United States experience greater persistent pain than non-Hispanic Whites across a range of medical conditions, but to our knowledge no longitudinal studies have examined the risk factors or incidence of persistent pain among Blacks experiencing common traumatic stress exposures such as after a motor vehicle collision (MVC). We evaluated the incidence and predictors of moderate to severe axial musculoskeletal pain (MSAP) and widespread pain six weeks after a MVC in a large cohort of Black adults presenting to the emergency department (ED) for care. METHODS This prospective, multi-center, cohort study enrolled Black adults who presented to one of 13 EDs across the US within 24 hours of a MVC and were discharged home after their evaluation. Data were collected at the ED visit via patient interview and self-report surveys at six weeks after the ED visit via internet-based, self-report survey, or telephone interview. We assessed MSAP pain at ED visit and persistence at six weeks. Multivariable models examined factors associated with MSAP persistence at six weeks post-MVC. RESULTS Among 787 participants, less than 1% reported no pain in the ED after their MVC, while 79.8 (95% confidence interval [CI], 77.1 - 82.2) reported MSAP and 28.3 (95% CI, 25.5 - 31.3) had widespread pain. At six weeks, 67% (95% CI, 64, 70%) had MSAP and 31% (95% CI, 28, 34%) had widespread pain. ED characteristics predicting MSAP at six weeks post-MVC (area under the curve = 0.74; 95% CI, 0.72, 0.74) were older age, peritraumatic dissociation, moderate to severe pain in the ED, feeling uncertain about recovery, and symptoms of depression. CONCLUSION These data indicate that Blacks presenting to the ED for evaluation after MVCs are at high risk for persistent and widespread musculoskeletal pain. Preventive interventions are needed to improve outcomes for this high-risk group.
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Affiliation(s)
- Francesca L Beaudoin
- Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Wanting Zhai
- Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Roland C Merchant
- Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Melissa A Clark
- Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Michael C Kurz
- University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Phyllis Hendry
- University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Robert A Swor
- Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - David Peak
- Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Claire Pearson
- Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Robert Domeier
- St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Christine Ortiz
- Rhode Island Hospital, Department of Emergency Medicine, Providence, Rhode Island.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
| | - Samuel A McLean
- University of North Carolina - Chapel Hill, Department of Anesthesiology and Emergency Medicine, Chapel Hill, North Carolina.,Warren Alpert Medical School of Brown University, Department of Emergency Medicine, Providence, Rhode Island.,St. Joseph Mercy Hospital, Department of Emergency Medicine, Ypsilanti, Michigan.,Warren Alpert Medical School of Brown University, Department of Biostatistics, Providence, Rhode Island.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Warren Alpert Medical School of Brown University, Department of Obstetrics and Gynecology, Providence, Rhode Island.,University of Alabama School of Medicine, Department of Emergency Medicine, Birmingham, Alabama.,University of Florida College of Medicine - Jacksonville, Department of Emergency Medicine, Jacksonville, Florida.,Oakland University William Beaumont School of Medicine, Department of Emergency Medicine, Royal Oak, Michigan.,Harvard Medical School, Department of Emergency Medicine, Boston, Massachusetts.,Wayne State University School of Medicine, Department of Emergency Medicine, Detroit, Michigan
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17
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Sheila B, Octavio LR, Patricia C, Dolores B, Lilian V, Cecilia P. Perfectionism and Pain Intensity in Women with Fibromyalgia: Its Influence on Activity Avoidance from The Contextual Perspective. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17228442. [PMID: 33202698 PMCID: PMC7698249 DOI: 10.3390/ijerph17228442] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Revised: 11/06/2020] [Accepted: 11/11/2020] [Indexed: 12/25/2022]
Abstract
Given the scarcity of studies regarding perfectionism from a contextual perspective, this study aims to analyze its role in the relationship between pain and activity avoidance and its differential effect among patients with different fibromyalgia severity. A cross-sectional study with 228 women with fibromyalgia classified into two disease severity groups (low/moderate vs. high) was carried out. Moderation analyses were conducted; perfectionism was used as moderator, pain (in high and low pain situations) as independent variable, and activity avoidance as the outcome. Among the high disease severity group, analyses showed direct contributions of perfectionism (p < 0.001) but not of pain (p > 0.05); moderation effects were found in high pain situations (p = 0.002) (for low levels of perfectionism, a positive association was found between pain intensity and avoidance). Among the low severity group, direct effects of perfectionism (p < 0.05) and pain intensity (p = 0.04) were found (although the latter only for high pain situations); moderation effects were found in high pain situations (p = 0.018) (for high levels of perfectionism a positive and significant association was found between pain intensity and avoidance). Perfectionism has been found to be a key variable in the differential relationship between pain intensity (in high pain situations) and activity avoidance in groups with high and low disease severity.
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Affiliation(s)
- Blanco Sheila
- Department of Psychology, Universidad Rey Juan Carlos, 28933 Madrid, Spain; (B.S.); (L.-R.O.); (C.P.); (V.L.)
| | - Luque-Reca Octavio
- Department of Psychology, Universidad Rey Juan Carlos, 28933 Madrid, Spain; (B.S.); (L.-R.O.); (C.P.); (V.L.)
| | - Catala Patricia
- Department of Psychology, Universidad Rey Juan Carlos, 28933 Madrid, Spain; (B.S.); (L.-R.O.); (C.P.); (V.L.)
| | - Bedmar Dolores
- Pain Unit, Hospital Universitario de Fuenlabrada, 28944 Fuenlabrada, Madrid, Spain;
| | - Velasco Lilian
- Department of Psychology, Universidad Rey Juan Carlos, 28933 Madrid, Spain; (B.S.); (L.-R.O.); (C.P.); (V.L.)
| | - Peñacoba Cecilia
- Department of Psychology, Universidad Rey Juan Carlos, 28933 Madrid, Spain; (B.S.); (L.-R.O.); (C.P.); (V.L.)
- Correspondence: ; Tel.: +34-91-488-88-64
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18
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Collado-Mateo D, Olivares PR, Adsuar JC, Gusi N. Impact of fibromyalgia on sexual function in women. J Back Musculoskelet Rehabil 2020; 33:355-361. [PMID: 29562491 DOI: 10.3233/bmr-170970] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND The prevalence of sexual problems is very high among women with fibromyalgia. OBJECTIVE To evaluate the prevalence of sexual problems in women with FM and the potential association among physical activity, quality of life and sexual function. We aimed to contribute in the understanding of the relationships between sexual function and the symptoms of FM. METHODS The sample of this cross-sectional study comprised 113 women with FM and 116 age-matched women without FM. Sexual function was assessed using the 15D questionnaire. Health-related quality of life (using EQ-5D-5L and 15D questionnaires), impact of fibromyalgia and physical activity were also assessed. RESULTS The prevalence of sexual problems among women with fibromyalgia was 76%, while it was 15% in healthy controls. This prevalence was even higher among those aged 50 or over. Sexual function was significantly associated with quality of life, distance walked, impact of fibromyalgia and four of the symptoms: depression, anxiety, tenderness and memory problems. CONCLUSION More than three out of four women with fibromyalgia have any kind of sexual problem. Depression, anxiety and tenderness seems to be the most relevant symptoms associated with sexual function. Physical activity may be protective and reduce the risk of having sexual problems.
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Affiliation(s)
- D Collado-Mateo
- Faculty of Sport Science, University of Extremadura, Cáceres, Spain
| | - P R Olivares
- Instituto de Actividad Física y Salud, Universidad Autónoma de Chile, Talca, Chile
| | - J C Adsuar
- Faculty of Sport Science, University of Extremadura, Cáceres, Spain
| | - N Gusi
- Faculty of Sport Science, University of Extremadura, Cáceres, Spain
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19
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Izquierdo-Alventosa R, Inglés M, Cortés-Amador S, Gimeno-Mallench L, Chirivella-Garrido J, Kropotov J, Serra-Añó P. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103634. [PMID: 32455853 PMCID: PMC7277480 DOI: 10.3390/ijerph17103634] [Citation(s) in RCA: 43] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/16/2020] [Accepted: 05/18/2020] [Indexed: 12/21/2022]
Abstract
Fibromyalgia (FM) is a chronic syndrome characterized by widespread pain and other physical and psychological features. In this study, we aimed to analyze the effect of a low-intensity physical exercise (PE) program, combining endurance training and coordination, on psychological aspects (i.e., pain catastrophizing, anxiety, depression, stress), pain perception (i.e., pain acceptance, pressure pain threshold (PPT), and quality of life and physical conditioning (i.e., self-perceived functional capacity, endurance and functional capacity, power and velocity) in women with FM. For this purpose, a randomized controlled trial was carried out. Thirty-two women with FM were randomly allocated to a PE group (PEG, n = 16), performing an eight-week low-intensity PE program and a control group (CG, n = 16). Pain catastrophizing, anxiety, depression, stress, pain acceptance, PPT, quality of life, self-perceived functional capacity, endurance and functional capacity, power, and velocity were assessed before and after the intervention. We observed a significant improvement in all studied variables in the PEG after the intervention (p < 0.05). In contrast, the CG showed no improvements in any variable, which further displayed poorer values for PPT (p < 0.05). In conclusion, a low-intensity combined PE program, including endurance training and coordination, improves psychological variables, pain perception, quality of life, and physical conditioning in women with FM.
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Affiliation(s)
- Ruth Izquierdo-Alventosa
- Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain; (R.I.-A.); (S.C.-A.); (P.S.-A.)
| | - Marta Inglés
- Freshage Research Group, Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), 46010 València, Spain
- Correspondence: ; Tel.: +34-963-98-38-55
| | - Sara Cortés-Amador
- Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain; (R.I.-A.); (S.C.-A.); (P.S.-A.)
| | - Lucia Gimeno-Mallench
- Freshage Research Group, Department of Physiology, Faculty of Medicine, Universitat de València, Centro de Investigación Biomédica en Red Fragilidad y Envejecimiento Saludable (CIBERFES-ISCIII), Fundación Investigación del Hospital Clínico Universitario de Valencia (INCLIVA), 46010 València, Spain;
| | | | - Juri Kropotov
- N.P. Bechtereva Institute of Human Brain, Russian Academy of Science, 197022 St. Petersburg, Russia;
| | - Pilar Serra-Añó
- Unidad de Biomecánica Clínica (UBIC Research Group), Department of Physiotherapy, Faculty of Physiotherapy, Universitat de València, 46010 València, Spain; (R.I.-A.); (S.C.-A.); (P.S.-A.)
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20
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Girela-Rejón MJ, Gavilán-Carrera B, Aparicio-Ortega E, Borges-Cosic M, García-Rodríguez IC, Delgado-Fernández M, Estévez-López F. Is type of work associated with physical activity and sedentary behaviour in women with fibromyalgia? A cross-sectional study from the al-Ándalus project. BMJ Open 2020; 10:e034697. [PMID: 32350014 PMCID: PMC7213859 DOI: 10.1136/bmjopen-2019-034697] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
OBJECTIVES To analyse the association between the type of work (productive vs reproductive work) and the levels of physical activity and sedentary behaviour in women with fibromyalgia. METHOD This cross-sectional study involved 258 women with fibromyalgia from southern Spain. Of them, 55% performed reproductive work (unpaid, associated with caregiving and domestic roles) exclusively, while 45% had productive job (remunerated, that results in goods or services). Physical activity of light, moderate and vigorous intensity in the leisure time, at home, at work, and totally were measured through the leisure time physical activity instrument and with the physical activity at home and work instrument, respectively. Sedentary behaviour was measured by the Sedentary Behaviour Questionnaire. RESULTS After adjusting for age, fat percentage, education level and marital status, the multivariate analysis of covariance model informed the existence of significant differences between type of work groups (p<0.001). Women with productive work engaged in more light physical activity at work (mean difference =448.52 min; 95 % CI 179.66 to 717.38; p=0.001), and total physical activity of light (809.72 min; 535.91 to 1085.53; p<0.001) and moderate (299.78 min; 97.31 to 502.25; p=0.004) intensity. Women with reproductive work engaged in more light physical activity at home (379.14; 175.64 to 582.64; p<0.001). Leisure time physical activity and sedentary behaviour were similar in both groups (p>0.05 for all comparisons). CONCLUSIONS Women with productive work had greater levels of physical activity compared with those who only did reproductive work, except for physical activity at home. Having productive work might facilitate movement of women with fibromyalgia towards a more active lifestyle.
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Affiliation(s)
- Maria José Girela-Rejón
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Didactic of Corporal Expression, Faculty of Education Sciences, University of Granada, Granada, Spain
| | - Blanca Gavilán-Carrera
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, University of Granada, Granada, Spain
| | - Esther Aparicio-Ortega
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, University of Granada, Granada, Spain
| | - Milkana Borges-Cosic
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, University of Granada, Granada, Spain
| | - Inmaculada C García-Rodríguez
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, University of Granada, Granada, Spain
| | - Manuel Delgado-Fernández
- Physical Activity for HEaLth Promotion research group (PA-HELP), Sport and Health University Research Institute (iMUDS), Department of Physical Education and Sports, University of Granada, Granada, Spain
| | - Fernando Estévez-López
- Department of Child and Adolescent Psychiatry/Psychology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
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21
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Lazaridou A, Martel MO, Cornelius M, Franceschelli O, Campbell C, Smith M, Haythornthwaite JA, Wright JR, Edwards RR. The Association Between Daily Physical Activity and Pain Among Patients with Knee Osteoarthritis: The Moderating Role of Pain Catastrophizing. PAIN MEDICINE 2020; 20:916-924. [PMID: 30016486 DOI: 10.1093/pm/pny129] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The primary objective of this study was to examine the day-to-day association between physical activity and pain intensity among a sample of patients with knee osteoarthritis (KOA) and the potential moderation of this association by negative cognitive processes. METHODS In this micro-longitudinal daily diary study, KOA patients (N = 121) completed questionnaires assessing pain (Brief Pain Inventory) and psychosocial functioning (pain catrophizing scale, WOMAC McMaster Universities Osteoarthritis Index function, Patient-Reported Outcomes Measurement Information System [PROMIS; anxiety and depression], the Godin-Shephard Leisure-Time Physical Activity questionnaire, the six-minute walking test) and were then asked to report their levels of physical activity and pain intensity once per day for a period of seven days using an electronic diary. RESULTS Multilevel modeling analyses indicated that day-to-day increases in physical activity were associated with heightened levels of pain intensity (B = 0.13 SE = 0.03, P < 0.001). In addition, it was revealed that the association between physical activity and pain intensity was moderated by catastrophizing (B = -0.01 SE = 0.002, P < 0.05), with patients scoring higher in catastrophizing showing a relatively stronger link between day-to-day physical activity and increased knee pain. This effect was specific to catastrophizing, as depression and anxiety did not moderate the activity-pain relationship (P > 0.05). CONCLUSIONS Our findings suggest that increases in daily physical activity are associated with concurrent increases in KOA patients' levels of knee pain, particularly among patients reporting higher levels of pain catastrophizing. These results may have clinical implications for the design and testing of interventions targeted at reducing catastrophizing and increasing physical activity among patients with chronic osteoarthritis pain.
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Affiliation(s)
- Asimina Lazaridou
- Department of Anesthesiology, Perioperative, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital, USA
| | - Marc O Martel
- Department of Anesthesiology, Perioperative, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital, USA
| | - Marise Cornelius
- Department of Anesthesiology, Perioperative, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital, USA
| | - Olivia Franceschelli
- Department of Anesthesiology, Perioperative, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital, USA
| | - Claudia Campbell
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Michael Smith
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - Jennifer A Haythornthwaite
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - John R Wright
- Department of Orthopedic Surgery, Harvard Medical School, Brigham & Women's Hospital, Chestnut Hill, Massachusetts, USA
| | - Robert R Edwards
- Department of Anesthesiology, Perioperative, Perioperative & Pain Medicine, Harvard Medical School, Brigham & Women's Hospital, USA
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22
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Coelho-Júnior HJ, Calvani R, Picca A, Gonçalves IO, Landi F, Bernabei R, Cesari M, Uchida MC, Marzetti E. Protein-Related Dietary Parameters and Frailty Status in Older Community-Dwellers across Different Frailty Instruments. Nutrients 2020; 12:nu12020508. [PMID: 32079345 PMCID: PMC7071300 DOI: 10.3390/nu12020508] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2020] [Revised: 02/12/2020] [Accepted: 02/12/2020] [Indexed: 12/22/2022] Open
Abstract
The present study investigated the associations between frailty status and (a) daily protein intake, (b) daily body weight-adjusted protein intake, (c) branched-chain amino acid (BCAA) consumption, (d) evenness of protein distribution across main meals, (e) number of daily meals providing at least 30 g of protein, and (f) number of daily meals providing at least 0.4 g protein/kg of body weight in community-dwelling older adults. The relationship between frailty status and protein-related dietary parameters was explored across different frailty assessment tools. Two hundred older adults were enrolled in the study. Participant frailty status was determined according to a modified Fried’s frailty phenotype (mFP), the FRAIL scale, and the Study of Osteoporotic Fracture (SOF) index. Diet was assessed by 24-h dietary recall, while diet composition was estimated using a nutritional software. A frailty instrument-dependent relationship was observed between frailty status and protein-related dietary parameters. Protein consumption was associated with frailty status only in participants identified as frail according to the mFP. In addition, protein and BCAA intake was found to be greater in robust and pre-frail participants relative to their frail counterparts. Our findings suggest that the association between frailty and protein-related dietary parameters is tool dependent. Specifically, protein and BCAA consumption appears to be lower only in older adults identified as frail by the mFP.
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Affiliation(s)
- Hélio J. Coelho-Júnior
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, 083-851 Campinas-SP, Brazil;
- Mãe Mariana Nursing Home, Rehabilitation unit, 08562-460 Poá-SP, Brazil
- Correspondence: (H.J.C.-J.); (E.M.); Tel.: +39-06-3015-5559 (H.J.C.-J.)
| | - Riccardo Calvani
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Anna Picca
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Ivan O. Gonçalves
- Center of Health Sciences, University of Mogi das Cruzes, 08780-911 Mogi das Cruzes, Brazil;
| | - Francesco Landi
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Roberto Bernabei
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
| | - Matteo Cesari
- Department of Clinical Sciences and Community Health, Università di Milano, 20133 Milan, Italy
- Geriatric Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy
| | - Marco C. Uchida
- Applied Kinesiology Laboratory-LCA, School of Physical Education, University of Campinas, 083-851 Campinas-SP, Brazil;
| | - Emanuele Marzetti
- Università Cattolica del Sacro Cuore, 00168 Rome, Italy; (R.C.); (F.L.)
- Fondazione Policlinico Universitario “Agostino Gemelli” IRCCS, 00168 Rome, Italy
- Correspondence: (H.J.C.-J.); (E.M.); Tel.: +39-06-3015-5559 (H.J.C.-J.)
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Zulfiqar MH, Shamdas M, Bashir A, Douglas S, Murray PI. Longitudinal Study Investigating the Relationship between Disease Activity and Psychological Status of Patients with Behçet’s Disease. Ocul Immunol Inflamm 2019; 28:613-621. [PMID: 31393210 DOI: 10.1080/09273948.2019.1616770] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Affiliation(s)
- Mehwaish H. Zulfiqar
- Birmingham National Centre of Excellence for Behçet’s Syndrome, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
- Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK
| | - Mohith Shamdas
- Birmingham National Centre of Excellence for Behçet’s Syndrome, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
- Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK
| | - Abida Bashir
- Birmingham National Centre of Excellence for Behçet’s Syndrome, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
| | - Sarah Douglas
- Birmingham National Centre of Excellence for Behçet’s Syndrome, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
| | - Philip I. Murray
- Birmingham National Centre of Excellence for Behçet’s Syndrome, Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK
- Academic Unit of Ophthalmology, Institute of Inflammation and Ageing, University of Birmingham, Birmingham, UK
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Rowe CA, Sirois FM, Toussaint L, Kohls N, Nöfer E, Offenbächer M, Hirsch JK. Health beliefs, attitudes, and health-related quality of life in persons with fibromyalgia: mediating role of treatment adherence. PSYCHOL HEALTH MED 2019; 24:962-977. [PMID: 30724586 DOI: 10.1080/13548506.2019.1576913] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Fibromyalgia is a chronic illness characterized by pain and fatigue. Persons with fibromyalgia experience increased the risk for poor mental and physical health-related quality of life, which may be dependent on multiple factors, including health beliefs, such as confidence in physicians and the health-care system, and health behaviors, such as treatment adherence. Respondents with fibromyalgia (n = 409) were recruited nationally, via support organizations, and completed self-report measures: Multidimensional Health Profile - Health Functioning Index (MHP-H), Short-Form-36 Health Survey (SF-36v2), and Medical Outcomes Study (MOS) Measure of Patient Adherence - General Adherence Items. In mediation models, belief in the healthcare system and health-care personnel, and health efficacy exerted an indirect effect through treatment adherence on mental and physical quality of life. Adaptive health beliefs and attitudes were related to greater treatment adherence and, in turn, to a better quality of life. Maladaptive health beliefs and mistrusting attitudes about physician-level and systemic-level healthcare provision are negatively related to both treatment adherence and consequent physical and mental health-related quality of life in persons with fibromyalgia. Future randomized controlled trials are needed to determine if therapeutic strategies to alter health values might improve adherence and self-rated health.
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Affiliation(s)
| | - Fuschia M Sirois
- b Department of Psychology , University of Sheffield , Sheffield , UK
| | - Loren Toussaint
- c Department of Psychology , Luther University , IA , Decorah , US
| | - Niko Kohls
- d Department of Integrative Health Promotion , Coburg University of Applied Sciences and Arts , Coburg , Germany
| | - Eberhard Nöfer
- d Department of Integrative Health Promotion , Coburg University of Applied Sciences and Arts , Coburg , Germany
| | | | - Jameson K Hirsch
- f Department of Psychology , East Tennessee State University , Johnson City , TN , USA
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25
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Clinical, psychological features and quality of life of fibromyalgia patients: a cross-sectional study of Chinese sample. Clin Rheumatol 2017; 37:527-537. [PMID: 29027043 DOI: 10.1007/s10067-017-3872-6] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Revised: 09/26/2017] [Accepted: 10/05/2017] [Indexed: 01/09/2023]
Abstract
This study aimed to determine the clinical, psychological features, and quality of life in Chinese fibromyalgia (FM) patients who fulfilled the American College of Rheumatology (ACR) 2010 FM classification criteria at initial diagnosis. A cross-sectional study was carried out in the Chinese People's Liberation Army (PLA) General Hospital. A hundred and seven Chinese FM patients (86 females, 21 males) were included. Eighty-six patients completed the questionnaires. Descriptive, differences, and correlation analyses were performed. The results showed that Chinese FM patients started their diseases at a median age of 37 years, with a male-to-female ratio of 1:4.1. Most patients were diagnosed about 2 years after symptoms onset. Nearly 60 % (59.81%) patients had less than college education, 58.88% did not have a full-time job, and 41.12% had low-back pain. Out of 86 patients, 58 (67.4%) had anxiety and 75 (87.2%) had depression. FM patients had poor quality of life in each aspect and deficient social support. The level of pain for the past 7 days was strongly correlated with patient global impression of severity (PGI-S; r = 0.651, p < 0.001) and patient global impression of bother (PGI-B; r = 0.628, p < 0.001). PGI-B was correlated with seven subscales of short-form health survey (SF-36). The study demonstrated the clinical, psychological features of Chinese patients. The diagnosis was delayed for about 2 years. Most of the patients had anxiety and depression, had poor quality of life, and lacked proper social support. PGI-B might be a simple measurement to evaluate patients' quality of life.
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