View in EDS HTML Full Text PDF Full Text

Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain‐Related Cognitive Features.

Saved in:
Bibliographic Details
Title: Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain‐Related Cognitive Features.
Authors: Angarita‐Osorio, Natalia, Pérez‐Aranda, Adrián, Feliu‐Soler, Albert, Andrés‐Rodríguez, Laura, Borràs, Xavier, Suso‐Ribera, Carlos, Slim, Mahmoud, Herrera‐Mercadal, Paola, Fernández‐Vergel, Rita, Blanco, Mª Elena, Luciano, Juan V.
Source: Pain Practice. Mar2020, Vol. 20 Issue 3, p255-261. 7p. 2 Charts.
Subjects: Chronic pain & psychology, Diagnosis of mental depression, Anxiety, Cognitive testing, Fibromyalgia, Labor productivity, Medical care costs, Psychological resilience, Sick leave, Psychological stress, Comorbidity, Logistic regression analysis, Membership, Severity of illness index, Attitudes toward illness
Geographic Terms: Spain
Abstract: Background: Fibromyalgia (FM) is a prevalent and highly disabling chronic pain syndrome. However, differences among patients regarding how pain impacts on daily life are remarkable. The main aim of this study was to identify clinical and pain‐related cognitive variables characterizing patients reporting high adaptability despite experiencing severe chronic pain. Methods: Two hundred and eighty‐three Spanish patients with FM with high levels of pain were classified into 2 groups: (1) those reporting low impact of the syndrome, and (2) those with moderate‐to‐high impact. Perceived stress, anxiety, and depressive symptoms along with pain catastrophizing, psychological inflexibility, and perceived control over pain were evaluated. Differences in sociodemographics, years with FM, past/current major depressive disorder comorbidity, and health‐related economic costs (ie, medications, use of medical services, lost productivity due to sick leave) were also assessed. Stepwise logistic regression analyses predicting group membership from clinical variables and pain‐related cognitive processes as predictors were performed. Results: Lower stress, anxiety, and depressive symptoms, along with reduced pain catastrophism, psychological inflexibility, and perceived control over pain, were found in the low‐impact group. Significant predictors of group membership (low‐impact vs. moderate‐to‐high impact) in regression analyses were "cognitive fusion" (psychological inflexibility), "helplessness" (pain catastrophizing), and depressive symptomatology, together with pain intensity and other FM symptoms. Conclusions: The present study provides further evidence on resilience resources in chronic pain by identifying some variables (ie, reduced depressive symptomatology, pain catastrophizing, and psychological inflexibility) differentially characterizing a profile of patients with FM who are especially able to adapt to high levels of pain. [ABSTRACT FROM AUTHOR]
Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
Full text is not displayed to guests.
FullText Links:
  – Type: pdflink
Text:
  Availability: 1
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 142138367
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain‐Related Cognitive Features.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Angarita‐Osorio%2C+Natalia%22">Angarita‐Osorio, Natalia</searchLink><br /><searchLink fieldCode="AR" term="%22Pérez‐Aranda%2C+Adrián%22">Pérez‐Aranda, Adrián</searchLink><br /><searchLink fieldCode="AR" term="%22Feliu‐Soler%2C+Albert%22">Feliu‐Soler, Albert</searchLink><br /><searchLink fieldCode="AR" term="%22Andrés‐Rodríguez%2C+Laura%22">Andrés‐Rodríguez, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Borràs%2C+Xavier%22">Borràs, Xavier</searchLink><br /><searchLink fieldCode="AR" term="%22Suso‐Ribera%2C+Carlos%22">Suso‐Ribera, Carlos</searchLink><br /><searchLink fieldCode="AR" term="%22Slim%2C+Mahmoud%22">Slim, Mahmoud</searchLink><br /><searchLink fieldCode="AR" term="%22Herrera‐Mercadal%2C+Paola%22">Herrera‐Mercadal, Paola</searchLink><br /><searchLink fieldCode="AR" term="%22Fernández‐Vergel%2C+Rita%22">Fernández‐Vergel, Rita</searchLink><br /><searchLink fieldCode="AR" term="%22Blanco%2C+Mª+Elena%22">Blanco, Mª Elena</searchLink><br /><searchLink fieldCode="AR" term="%22Luciano%2C+Juan+V%2E%22">Luciano, Juan V.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Pain+Practice%22">Pain Practice</searchLink>. Mar2020, Vol. 20 Issue 3, p255-261. 7p. 2 Charts.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Chronic+pain+%26+psychology%22">Chronic pain & psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+mental+depression%22">Diagnosis of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+testing%22">Cognitive testing</searchLink><br /><searchLink fieldCode="DE" term="%22Fibromyalgia%22">Fibromyalgia</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+productivity%22">Labor productivity</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+resilience%22">Psychological resilience</searchLink><br /><searchLink fieldCode="DE" term="%22Sick+leave%22">Sick leave</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+stress%22">Psychological stress</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Membership%22">Membership</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+toward+illness%22">Attitudes toward illness</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Fibromyalgia (FM) is a prevalent and highly disabling chronic pain syndrome. However, differences among patients regarding how pain impacts on daily life are remarkable. The main aim of this study was to identify clinical and pain‐related cognitive variables characterizing patients reporting high adaptability despite experiencing severe chronic pain. Methods: Two hundred and eighty‐three Spanish patients with FM with high levels of pain were classified into 2 groups: (1) those reporting low impact of the syndrome, and (2) those with moderate‐to‐high impact. Perceived stress, anxiety, and depressive symptoms along with pain catastrophizing, psychological inflexibility, and perceived control over pain were evaluated. Differences in sociodemographics, years with FM, past/current major depressive disorder comorbidity, and health‐related economic costs (ie, medications, use of medical services, lost productivity due to sick leave) were also assessed. Stepwise logistic regression analyses predicting group membership from clinical variables and pain‐related cognitive processes as predictors were performed. Results: Lower stress, anxiety, and depressive symptoms, along with reduced pain catastrophism, psychological inflexibility, and perceived control over pain, were found in the low‐impact group. Significant predictors of group membership (low‐impact vs. moderate‐to‐high impact) in regression analyses were "cognitive fusion" (psychological inflexibility), "helplessness" (pain catastrophizing), and depressive symptomatology, together with pain intensity and other FM symptoms. Conclusions: The present study provides further evidence on resilience resources in chronic pain by identifying some variables (ie, reduced depressive symptomatology, pain catastrophizing, and psychological inflexibility) differentially characterizing a profile of patients with FM who are especially able to adapt to high levels of pain. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Pain Practice is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=142138367
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/papr.12847
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 7
        StartPage: 255
    Subjects:
      – SubjectFull: Chronic pain & psychology
        Type: general
      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Anxiety
        Type: general
      – SubjectFull: Cognitive testing
        Type: general
      – SubjectFull: Fibromyalgia
        Type: general
      – SubjectFull: Labor productivity
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Psychological resilience
        Type: general
      – SubjectFull: Sick leave
        Type: general
      – SubjectFull: Psychological stress
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Membership
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Attitudes toward illness
        Type: general
      – SubjectFull: Spain
        Type: general
    Titles:
      – TitleFull: Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain‐Related Cognitive Features.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Angarita‐Osorio, Natalia
      – PersonEntity:
          Name:
            NameFull: Pérez‐Aranda, Adrián
      – PersonEntity:
          Name:
            NameFull: Feliu‐Soler, Albert
      – PersonEntity:
          Name:
            NameFull: Andrés‐Rodríguez, Laura
      – PersonEntity:
          Name:
            NameFull: Borràs, Xavier
      – PersonEntity:
          Name:
            NameFull: Suso‐Ribera, Carlos
      – PersonEntity:
          Name:
            NameFull: Slim, Mahmoud
      – PersonEntity:
          Name:
            NameFull: Herrera‐Mercadal, Paola
      – PersonEntity:
          Name:
            NameFull: Fernández‐Vergel, Rita
      – PersonEntity:
          Name:
            NameFull: Blanco, Mª Elena
      – PersonEntity:
          Name:
            NameFull: Luciano, Juan V.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 03
              Text: Mar2020
              Type: published
              Y: 2020
          Identifiers:
            – Type: issn-print
              Value: 15307085
          Numbering:
            – Type: volume
              Value: 20
            – Type: issue
              Value: 3
          Titles:
            – TitleFull: Pain Practice
              Type: main
ResultId 1