期刊
BIOMEDICINES
卷 11, 期 1, 页码 -出版社
MDPI
DOI: 10.3390/biomedicines11010154
关键词
fibromyalgia; sedentarism; conflict goals; pain catastrophizing; motivational interventions; moderated-mediation model
This study aimed to assess the impact of pain-avoidance goals and pain catastrophizing on pain perception in women with fibromyalgia after a 6-minute walking test. The results showed that pain-avoidance goals mediated the relationship between sedentary behavior and pain, and pain catastrophizing moderated the relationship between preference for pain-avoidance goals and pain perception. Higher levels of pain catastrophizing contributed to increased pain perceptions after completing the test.
Background: Fibromyalgia is characterized by chronic pain and fatigue that triggers a functional disability caused by the lack of activity. Pain catastrophizing may contribute to avoiding activity with the intention of managing pain levels. Based on the sedentary behavior with fibromyalgia, the present study assessed the preference of pain-avoidance goals and pain catastrophizing as mediator and moderator variables, respectively, that influence pain perception after a 6-min-walking test. Methods: The sample was composed of 76 women with fibromyalgia (mean age = 55.05, SD = 7.70). Previous sedentary behavior, preference for pain-avoidance goals, and pain catastrophizing were evaluated before starting the walking-test. Subsequently, pain perception was evaluated. Results: A significant moderated-mediation model was found in which pain-avoidance goals mediated the relationship between sedentarism and pain after a walking-test, and pain catastrophizing moderated the relationship between the preference for pain-avoidance goals and pain perception. Specifically, high levels of pain catastrophizing contributed to increased pain perceptions after completing the test (B = 0.570, p = 0.03, CI 95% (0.09, 0.11)]. Conclusions: The results suggest that motivational interventions can improve the symptoms because their objectives are focused on managing conflict goals. These interventions should focus on catastrophic cognitions considering that pain catastrophizing is deemed to be one of the major inhibitors of physical activity in fibromyalgia.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据