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Quality of Life Research

Erschienen in:

29.02.2020

Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia

verfasst von: Carmen M. Galvez-Sánchez, Casandra I. Montoro, Stefan Duschek, Gustavo A. Reyes del Paso

Erschienen in: Quality of Life Research | Ausgabe 7/2020

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Abstract

Background

Patients with fibromyalgia syndrome (FMS) usually display a decrease in health-related quality of life (HRQoL). This decrease in HRQoL is related to clinical pain, anxiety, and depression. This cross-sectional study analyzes the mediating role of pain-coping strategies (especially catastrophizing) in the negative relationships of pain, anxiety, depression, and HRQoL in FMS.

Methods

One hundred and thirteen women with FMS and 63 healthy women were assessed using the Short-Form Health Survey (SF-36). Participants completed self-report questionnaires to evaluate clinical pain, anxiety, depression, and pain-coping strategies.

Results

Pain catastrophizing was inversely associated with the physical function, general health perception, vitality, emotional role, mental health, the physical and mental general components, and the global index of HRQoL, with percentages of variance explained ranging between 9 and 18%. Cognitive distraction showed a positive association with the physical function, general health perception, vitality, emotional role, mental health, physical component, and global index of HRQoL, with percentages of variance explained ranging between 4 and 7%. Mediation analysis showed that catastrophizing mediates the negative influence of clinical pain and trait-anxiety on the physical function, general health perception, vitality, mental health, and global index of HRQoL. No mediating effect of pain catastrophizing on the relation between depression and HRQoL was observed.

Conclusions

Patients with FMS exhibited markedly lower HRQoL than healthy individuals. While pain catastrophizing was inversely related to several domains of HRQL, associations were positive for cognitive distraction. Catastrophizing mediates the negative influence of clinical pain and trait-anxiety on HRQoL. Therefore, cognitive behavioral treatments focused on adaptive management and control of catastrophizing and negative emotional states may be helpful.

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Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., et al. (1990). The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. Arthritis & Rheumatism,33, 160–172. https://doi.org/10.1002/art.1780330203.CrossRef

Galvez-Sánchez, C. M., Montoro, C. I., Duschek, S., & Reyes del Paso, G. A. (2019). Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia. Journal of Affective Disorders. https://doi.org/10.1016/j.jad.2020.01.129.CrossRef

Jeong-Won, L., Kyung-Eun, L., Dong-Jin, P., Seong-Ho, K., Seong-Su, N., Ji-Hyun, L., et al. (2017). Determinants of quality of life in patients with fibromyalgia: A structural equation modeling approach. PLoS ONE,12, 1186–1199. https://doi.org/10.1371/journal.pone.0171186.CrossRef

Perrot, S., Vicaut, E., Servant, D., & Ravaud, P. (2011). Prevalence of fibromyalgia in France: A multi-step study research combining national screening and clinical confirmation: The DEFI study (determination of epidemiology of fibromyalgia). BMC Musculoskeletal Disorder,12, 224–233. https://doi.org/10.1186/1471-2474-12-224.CrossRef

Guyatt, G. H., Feeny, D. H., & Patrick, D. (1993). Measuring health-related quality of life. Annals of International Medicine,118, 622–629.CrossRef

Jensen, M., Turner, J., Romano, J., & Karoly, P. (1991). Coping with chronic pain: A critical review of the literature. Pain,47, 249–283. https://doi.org/10.1016/0304-3959(91)90216-K.CrossRefPubMed

Aparicio, A. V., Ortega, F. B., Carbonell-Baeza, A., Camiletti, D., Ruiz, J. R., & Delgado-Fernández, M. (2011). Relationship of weight status with mental and physical health in female fibromyalgia patients. Obesity Facts,6, 443–448. https://doi.org/10.1159/000335293.CrossRef

Buskila, D., Neumann, L., Alhoashle, A., & Bu-Shakra, M. (2000). Fibromyalgia syndrome in men. Seminars in Arthritis and Rheumatism,30, 47–51. https://doi.org/10.1053/sarh.2000.8363.CrossRefPubMed

Wolfe, F., Hawley, D. J., Goldenberg, D. L., Russell, I. J., Buskila, D., & Neumann, L. (2000). The assessment of functional impairment in fibromyalgia (FM): Rasch analyses of 5 functional scales and the development of the FM Health Assessment Questionnaire. Journal of Rheumatology,27, 1989–1999.PubMed

10.

Andréll, P., Schultz, T., Mannerkorpi, K., Nordeman, L., Börjesson, M., & Mannheimer, C. (2014). Health-related quality of life in fibromyalgia and refractory angina pectoris: A comparison between two non-malignant pain disorders. Journal of Rehabilitation Medicine,46, 341–347. https://doi.org/10.2340/16501977-1279.CrossRefPubMed

11.

Cardona-Arias, J., León-Mira, V., & Cardona-Tapias, A. A. (2012). Calidad de vida relacionada con la salud en adultos con fibromialgia. Revista Colombiana de Reumatología,20, 19–29.CrossRef

12.

Branco, J. C., Rodrigues, A. M., Gouveia, N., Eusébio, M., Ramiro, S., Machado, P. M., et al. (2016). Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: Results from EpiReumaPt—A national health survey. RMD Open,19, 166–176. https://doi.org/10.1136/rmdopen-2015-000166.CrossRef

13.

Brikman, S., Furer, V., Wollman, J., Borok, S., Matz, H., Polachek, A., et al. (2016). The effect of the presence of fibromyalgia on common clinical disease activity indices in patients with psoriatic arthritis: A cross-sectional study. Journal of Rheumatology,43, 49–54. https://doi.org/10.3899/jrheum.151491.CrossRef

14.

Turkyilmaz, A., Kurt, E. E., Karkucak, M., & Capkin, E. (2012). Sociodemographic characteristics, clinical signs and quality of life in patients with fibromyalgia. Eurasian Journal of Medicine,44, 88–93. https://doi.org/10.5152/eajm.2012.21.CrossRefPubMed

15.

Elli, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuar.

16.

Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy,1, 5–37.

17.

Sullivan, M. J., Thorn, B., Haythornthwaite, J. A., Keefe, F., Martin, M., Bradley, L. A., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain,17, 52–64.CrossRef

18.

Severeijns, R., Van den Hout, M. A., Vlaeyen, J. W. S., & Picavet, S. J. (2002). Pain catastrophizing and general health status in a large Dutch community sample. Pain,99, 367–376.CrossRef

19.

Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment,7, 524–532.CrossRef

20.

Börsbo, B., Gerdle, B., & Peolsson, M. (2010). Impact of the interaction between self-efficacy, symptoms and catastrophizing on disability, quality of life and health in chronic pain patients. Disability and Rehabilitation,32, 1387–1396. https://doi.org/10.3109/09638280903419269.CrossRefPubMed

21.

Edwards, R. R., Haythornthwaite, J. A., Sullivan, M. J., & Fillingim, R. B. (2004). Catastrophizing as a mediator of sex differences in pain: Differential effects for daily pain versus laboratory-induced pain. Pain,111, 335–341.CrossRef

22.

García-Campayo, J., Rodero, B., Alda, M., Sobradiel, N., Montero, J., & Moreno, S. (2008). Validación de la versión española de la escala de la catastrofización ante el dolor en la fibromialgia. Medicina Clínica,131, 487–492.CrossRef

23.

Rodero, B., García-Campayo, J., Casanueva, B., & Buriel, Y. (2009). Tratamientos no farmacológicos en fibromialgia: Una revisión actual. Revista de Psicopatología Psicología Clínica,14, 137–151. https://doi.org/10.5944/rppc.vol.14.num.3.2009.4074.CrossRef

24.

Ovayolu, N., Ovayolu, O., & Karadag, G. (2011). Health-related quality of life in ankylosing spondylitis, fibromyalgia syndrome and rheumatoid arthritis: a comparison with a selected simple of healthy individuals. Clinical Rheumatology,30, 655–664. https://doi.org/10.1007/s10067-010-1604-2.CrossRefPubMed

25.

Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004). Psychological aspects of persistent pain: Current state of the science. Journal of Pain,5, 195–211.CrossRef

26.

Peters, M. L., Vlaeyen, J. W., & van Drunen, C. (2000). Do fibromyalgia patients display hypervigilance for innocuous somatosensory stimuli? Application of a body scanning reaction time paradigm. Pain,86, 283–292.CrossRef

27.

Gracely, R. H., Petzke, F., Wolf, J. M., & Clauw, D. J. (2002). Functional magnetic resonance imaging evidence of augmented pain processing in fibromyalgia. Arthritis & Rheumatism,46, 1333–1343. https://doi.org/10.1002/art.10225.CrossRef

28.

Gracely, R. H., Geisser, M. E., Giesecke, T., Grant, M. A. B., Petzke, F., Williams, D. A., et al. (2004). Pain catastrophizing and neural responses to pain among persons with fibromyalgia. Brain,127, 835–843. https://doi.org/10.1093/brain/awh098.CrossRefPubMed

29.

Montoro Aguilar, C. I., Duschek, S., & Reyes del Paso, G. A. (2018). An exploratory analysis of the influence of personality and emotional factors on cerebral blood flow responses during painful stimulation in fibromyalgia. Scandinavian Journal of Psychology,59, 301–310. https://doi.org/10.1111/sjop.12434.CrossRefPubMed

30.

Edwards, R. R., Bingham, C. O., Bathon, J., & Haythornthwaite, J. A. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis & Rheumatism,55, 325–332.CrossRef

31.

Toth, C., Brady, S., & Hatfield, M. (2014). The importance of catastrophizing for successful pharmacological treatment of peripheral neuropathic pain. Journal of Pain Research,7, 327–338. https://doi.org/10.2147/JPR.S56883.CrossRefPubMedPubMedCentral

32.

Van Wilgen, C. P., van Ittersum, M. W., Kaptein, A. A., & van Wijhe, M. (2008). Illness perceptions in patients with fibromyalgia and their relationship to quality of life and catastrophizing. Arthritis & Rheumatism,58, 3618–3626. https://doi.org/10.1002/art.23959.CrossRef

33.

Martin, M. Y., Bradley, L. A., Alexander, R. W., Alarcón, G. S., Triana-Alexander, M., Aaron, L. A., et al. (1996). Coping strategies predict disability in patients with primary fibromyalgia. Pain,68, 45–53. https://doi.org/10.1016/S0304-3959(96)03179-X.CrossRefPubMed

34.

Almansa, M. P., Sánchez, A. I., Miró, E., Medina, A., & Lami, M. J. (2011). The relationship between the fear-avoidance model of pain and personality traits in fibromyalgia patients. Journal of Clinical Psychology in Medical Settings,18, 380–391. https://doi.org/10.1007/s10880-011-9263-2.CrossRef

35.

Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing: A critical review. Expert Review of Neurotherapeutics,9, 745–758. https://doi.org/10.1586/ERN.09.34.CrossRefPubMedPubMedCentral

36.

Burckhardt, C. S., Clark, S. R., O’Reilly, C. A., & Bennett, R. A. (1997). Pain-coping strategies of women with fibromyalgia: Relationship to pain, fatigue, and quality of life. Journal of Musculoskeletal Pain,5, 21–41. https://doi.org/10.1300/J094v05n03_02.CrossRef

37.

Radat, F., & Koleck, M. (2011). Pain and depression: Cognitive and behavioural mediators of a frequent association. Encephale,37, 172–179. https://doi.org/10.1016/j.encep.2010.08.013.CrossRefPubMed

38.

Raak, R., Hurtig, I., & Wahren, L. K. (2003). Coping strategies and life satisfaction in subgrouped fibromyalgia patients. Biological Research for Nursing,4, 93–202. https://doi.org/10.1177/1099800402239622.CrossRef

39.

Herken, H., Gursoy, S., Yetkin, O., Virit, O., & Esgi, K. (2001). Personality characteristics and depression levels in female patients with fibromyalgia syndrome. Journal of International Medicine,8, 41–44.

40.

Houdenhove, B. V., & Luyten, P. (2006). Stress, depression and fibromyalgia. Acta Neurológica Bélgica,106, 149–156.PubMed

41.

Montoro, C. I., & Reyes del Paso, G. A. (2015). Personality and fibromyalgia: Relationships with clinical, emotional, and functional variables. Personality and Individual Differences,85, 236–244. https://doi.org/10.1016/j.paid.2015.05.017.CrossRef

42.

Galvez-Sánchez, C. M., Reyes Del Paso, G. A., & Duschek, S. (2018). Cognitive impairments in fibromyalgia syndrome: Associations with positive and negative affect, alexithymia, pain catastrophizing and self-esteem. Frontiers in Psychology,22, 377. https://doi.org/10.3389/fpsyg.2018.00377.CrossRef

43.

Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of Psychiatric Research,24, 323–334.CrossRef

44.

Taylor, S. S., Davis, M. C., Yeung, E. W., Zautra, A. J., & Tennen, H. A. (2017). Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia. Journal of Behavioral Medicine,40, 458–467.CrossRef

45.

Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research,62, 600–610. https://doi.org/10.1002/acr.20140.CrossRef

46.

First, M., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1999). Entrevista clínica estructurada para los trastornos del eje I del DSM-IV: SCIDI versión clínica. Barcelona: Madsson.

47.

Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care,30, 473–483.CrossRef

48.

Alonso, J., Prieto, L., & Antó, J. M. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): Un instrumento para la medida de los resultados clínicos. Medicina Clínica,104, 771–776.PubMed

49.

Spielberger, C. D., Gorsuch, R., & Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologist.

50.

Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Manual del Cuestionario de Ansiedad Estado/Rasgo (STAI). Madrid: TEA Ediciones.

51.

Beck, A. T., Ward, C. H., & Mendelson, M. (1961). Inventory for measuring depression. Archives of General Psychiatry,4, 561–571. https://doi.org/10.1001/archpsyc.1961.01710120031004.CrossRefPubMed

52.

Vázquez, C., & Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck de 1978 en pacientes con trastornos psicológicos. Clínica y Salud,1, 59–81.

53.

Melzack, R. (1975). The McGill pain questionnaire: Major properties and scoring methods. Pain,1, 277–299. https://doi.org/10.1016/0304-3959(75)90044-5.CrossRef

54.

Lázaro, C., Bosch, F., Torrubia, R., & Baños, J. E. (1994). The development of a Spanish questionnaire for assessing pain: Preliminary data concerning reliability and validity. European Journal of Psychological Assessment,10, 145–151.

55.

Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain,17, 33–44.CrossRef

56.

Rodriguez, L., Cano, E. J., & Blanco, A. (2004). Evaluación de las estrategias de afrontamiento de dolor crónico. Actas Españolas de Psiquiatría,32, 82–91.

57.

Hair, J., Anderson, R., Tatham, R., & Black, W. (2000). Análisis multivariante. Madrid: Prentice Hall.

58.

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers,36, 717–731.CrossRef

59.

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, Instruments, & Computers,40, 879–891.CrossRef

60.

Malin, K., & Littlejohn, G. (2012). Neuroticism in young women with fibromyalgia links to key clinical features. Pain Research and Treatment. https://doi.org/10.1155/2012/730741.CrossRefPubMedPubMedCentral

61.

Geisser, M. E., & Roth, R. S. (1998). Knowledge of and agreement with pain diagnosis: Relation to pain beliefs, pain severity, disability, and psychological distress. Journal Occupational Rehabilitation,8, 73–88. https://doi.org/10.1023/A:1023060616201.CrossRef

62.

Geisser, M. E., Casey, K. L., Brucksch, C. B., Ribbens, C. M., Appleton, B. B., & Crofford, L. J. (2003). Perception of noxious and innocuous heat stimulation among healthy women and women with fibromyalgia: Association with mood, somatic focus, and catastrophizing. Pain,102, 243–250.CrossRef

63.

Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review,96, 234–254.CrossRef

64.

Duschek, S., Mannhart, T., Winkelmann, A., Merzoug, K., Werner, N. S., Schuepbach, D., et al. (2012). Cerebral blood flow dynamics during pain processing in patients with fibromyalgia syndrome. Psychosomatic Medicine,74, 802–809. https://doi.org/10.1097/PSY.0b013e3182676d08.CrossRefPubMed

65.

Montoya, P., Pauli, P., Batra, A., & Wiedemann, G. (2005). Altered processing of pain-related information in patients with fibromyalgia. European Journal of Pain,9, 293–303.CrossRef

66.

Hassett, A. L., Cone, J. D., Patella, S. J., & Sigal, L. H. (2000). The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis & Rheumatism,43, 2493–2500.CrossRef

67.

Rusu, A. C., & Hülsebusch, J. (2018). Cognitive bias research and depression in chronic pain. Schmerz,32, 236–242. https://doi.org/10.1007/s00482-018-0289-3.CrossRefPubMed

68.

Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Turna & D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale: ErIbaum.

69.

Eysenck, M. W. (2013). Anxiety: The cognitive perspective. London: Psychology Press.CrossRef

70.

Michael, E. S., & Burns, J. W. (2004). Catastrophizing and pain sensitivity among chronic pain patients: Moderating effects of sensory and affect focus. Annals of Behavioral Medicine,27, 185–194. https://doi.org/10.1207/s15324796abm2703_6.CrossRefPubMed

71.

Kelley, G., Kelley, K., Hootman, J., & Jones, D. (2010). Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health,10, 198.CrossRef

72.

Alok, R., Das, S. K., Agarwal, G. G., Tiwari, S Ch, Salwahan, L., & Srivastava, R. (2014). Problem-focused coping and self-efficacy as correlates of quality of life and severity of fibromyalgia in primary fibromyalgia patients. Journal of Clinical Rheumatology,20, 314–316. https://doi.org/10.1371/journal.pone.0171186.CrossRefPubMed

73.

Biccheri, E., Roussiau, N., & Mambet-Doué, C. (2016). Fibromyalgia, spirituality, coping and quality of life. Journal of Religion & Health,55, 1189–1197.CrossRef

74.

Bernardy, K., Klose, P., Welsch, P., & Häuser, W. (2018). Efficacy, acceptability and safety of cognitive behavioral therapies in fibromyalgia syndrome: A systematic review and meta-analysis of randomized controlled trials. European Journal of Pain,22, 242–260. https://doi.org/10.1002/ejp.112.1.CrossRefPubMed

75.

Lazaridou, A., Kim, J., Cahalan, C. M., Loggia, M. L., Franceschelli, O., Berna, C., et al. (2017). Effects of cognitive-behavioral therapy (CBT) on brain connectivity supporting catastrophizing in fibromyalgia. Clinical Journal of Pain,33, 215–221. https://doi.org/10.1097/AJP.0000000000000422.CrossRefPubMed

76.

Luciano, J. V., D'Amico, F., Feliu-Soler, A., McCracken, L. M., Aguado, J., Peñarrubia-María, M. T., et al. (2017). Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomized controlled trial conducted in Spain (EFFIGACT Study). Journal of Pain,18, 868–880. https://doi.org/10.1016/j.jpain.2017.03.001.CrossRefPubMed

77.

Simister, H. D., Tkachuk, G. A., Shay, B. L., Vincent, N., Pear, J. J., & Skrabek, R. Q. (2018). Randomized controlled trial of online acceptance and commitment therapy for fibromyalgia. Journal of Pain,S1526–5900, 30084–30091. https://doi.org/10.1016/j.jpain.2018.02.004.CrossRef

78.

Nelson, P. J., & Tucker, S. (2006). Developing an intervention to alter catastrophizing in persons with fibromyalgia. Journal of Orthopedic Nursing,25, 205–214.PubMed

79.

Hernández-Petro, A., & Cardona-Arias, J. (2014). Sistematización de las investigaciones sobre calidad de vida relacionada con la salud en fibromialgia, 2004-2014. Archivos de Medicina,10, 22–34. https://doi.org/10.3823/1233.CrossRef

80.

Bernard, A. L., Prince, A., & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis Care & Research,13, 42–50.CrossRef

Titel: Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia
verfasst von: Carmen M. Galvez-Sánchez
Casandra I. Montoro
Stefan Duschek
Gustavo A. Reyes del Paso
Publikationsdatum: 29.02.2020
Verlag: Springer International Publishing
Erschienen in: Quality of Life Research / Ausgabe 7/2020
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-020-02457-x

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Abstract

Background

Methods

Results

Conclusions

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