The Activity Patterns Scale: An Analysis of its Construct Validity in Women With Fibromyalgia.
Journal
The Clinical journal of pain
ISSN: 1536-5409
Titre abrégé: Clin J Pain
Pays: United States
ID NLM: 8507389
Informations de publication
Date de publication:
01 12 2021
01 12 2021
Historique:
received:
13
04
2021
accepted:
24
08
2021
pubmed:
7
9
2021
medline:
30
11
2021
entrez:
6
9
2021
Statut:
ppublish
Résumé
Avoidance, persistence, and pacing are activity patterns that have different adaptive effects in chronic pain patients. Some inconsistent findings have been explained from a contextual perspective that underlines the purpose of the activity. In this way, avoidance, persistence, and pacing are multidimensional constructs, nuanced by their goals. This multidimensionality has been supported with a new instrument, the Activity Patterns Scale, in heterogeneous chronic pain samples. Owing to the clinical implications of this conceptualization, the complexity of the activity patterns and their relationships with health outcomes in fibromyalgia (FM), our aim was to explore the construct validity of this scale in this pain problem, testing its internal structure and the relationships with other constructs. The sample included 702 women with diagnosis of FM from tertiary (53.3%) and community settings (46.7%). Confirmatory factor analysis was conducted to test different factor structures of the activity patterns and Pearson correlation to explore the relationships with health outcomes and psychosocial variables. A 6-factor structure showed acceptable fit indices (standardized root mean square residual=0.062; root mean-square error of approximation=0.066; comparative fit index=0.908). The highest significant relationships for health outcomes was between activity avoidance and FM impact (r=0.36) and excessive persistence and negative affect (r=0.41). Avoidance and persistence activity patterns are shown as multidimensional constructs but not pacing. The ongoing pain in these women may make it difficult to regulate their activity taking into account other goals not contingent on pain fluctuations.
Identifiants
pubmed: 34483231
doi: 10.1097/AJP.0000000000000980
pii: 00002508-202112000-00004
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
887-897Informations de copyright
Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
This work was supported by Ministerio de Economía y Competitividad (grant reference PSI2016-79566-C2-1-R) and by Fondo de Investigación en Salud from the Instituto de Salud Carlos III cofinanced by the European Union through the Fondo Europeo de Desarrollo Regional (FEDER) (grant reference PI17/00858), Spain. The authors declare no conflict of interest.
Références
Racine M, Galán S, De La Vega R, et al. Pain-related activity management patterns and function in patients with fibromyalgia syndrome. Clin J Pain. 2018;34:122–129.
Racine M, Sánchez-Rodríguez E, De La Vega R, et al. Pain-related activity management patterns as predictors of treatment outcomes in patients with fibromyalgia syndrome. Pain Med (United States). 2020;21:E191–E200.
Crombez G, Eccleston C, Van Damme S, et al. Fear-avoidance model of chronic pain. Clin J Pain. 2012;28:475–483.
Hasenbring MI, Verbunt JA. Fear-avoidance and endurance-related responses to pain: new models of behavior and their consequences for clinical practice. Clin J Pain. 2010;26:747–753.
Andrews NE, Strong J, Meredith PJ. Activity pacing, avoidance, endurance, and associations with patient functioning in chronic pain: a systematic review and meta-analysis. Arch Phys Med Rehabil. 2012;93:2109–2121.e7.
Cane D, Nielson WR, McCarthy M, et al. Pain-related activity patterns: measurement, interrelationships, and associations with psychosocial functioning. Clin J Pain. 2013;29:435–442.
Hasenbring MI, Andrews NE, Ebenbichler G. Overactivity in chronic pain, the role of pain-related endurance and neuromuscular activity: an interdisciplinary, narrative review. Clin J Pain. 2020;36:162–171.
Antcliff D, Campbell M, Woby S, et al. Activity pacing is associated with better and worse symptoms for patients with long-term conditions. Clin J Pain. 2017;33:205–214.
Hasenbring MI, Hallner D, Rusu AC. Fear-avoidance- and endurance-related responses to pain: development and validation of the Avoidance-Endurance Questionnaire (AEQ). Eur J Pain. 2009;13:620–628.
Hadzic R, Sharpe L, Wood BM. The relationship between pacing and avoidance in chronic pain: a systematic review and meta-analysis. J Pain. 2017;18:1165–1173.
Nielson WR, Jensen MP, Karsdorp PA, et al. A content analysis of activity pacing in chronic pain: what are we measuring and why? Clin J Pain. 2014;30:639–645.
Esteve R, Ramírez-Maestre C, Peters ML, et al. Development and initial validation of the Activity Patterns Scale in patients with chronic pain. J Pain. 2016;17:451–461.
Pastor-Mira MA, López-Roig S, Martínez-Zaragoza F, et al. Goal preferences, affect, activity patterns and health outcomes in women with fibromyalgia. Front Psychol. 2019;10:1–15.
McCracken LM. Committed action: an application of the psychological flexibility model to activity patterns in chronic pain. J Pain. 2013;14:828–835.
McCracken LM, Morley S. The psychological flexibility model: a basis for integration and progress in psychological approaches to chronic pain management. J Pain. 2014;15:221–234.
Van Damme S, Kindermans H. A self-regulation perspective on avoidance and persistence behavior in chronic pain: new theories, new challenges? Clin J Pain. 2015;31:115–122.
Kindermans HPJ, Roelofs J, Goossens MEJB, et al. Activity patterns in chronic pain: underlying dimensions and associations with disability and depressed mood. J Pain. 2011;12:1049–1058.
Nielson WR, Jensen MP, Karsdorp PA, et al. Activity pacing in chronic pain. Clin J Pain. 2012;29:461–468.
Esteve R, López-Martínez AE, Peters ML, et al. Activity pattern profiles: relationship with affect, daily functioning, impairment, and variables related to life goals. J Pain. 2017;18:546–555.
Nijs J, Roussel N, Van Oosterwijck J, et al. Fear of movement and avoidance behaviour toward physical activity in chronic-fatigue syndrome and fibromyalgia: state of the art and implications for clinical practice. Clin Rheumatol. 2013;32:1121–1129.
Van Koulil S, Kraaimaat FW, Van Lankveld W, et al. Screening for pain-persistence and pain-avoidance patterns in fibromyalgia. Int J Behav Med. 2008;15:211–220.
Van Koulil S, Kraaimaat FW, Van Lankveld W, et al. Cognitive-behavioral mechanisms in a pain-avoidance and a pain-persistence treatment for high-risk fibromyalgia patients. Arthritis Care Res. 2011;63:800–807.
Heidari F, Afshari M, Moosazadeh M. Prevalence of fibromyalgia in general population and patients, a systematic review and meta-analysis. Rheumatol Int. 2017;37:1527–1539.
Sarzi-Puttini P, Giorgi V, Marotto D, et al. Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol. 2020;16:1–16.
Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum. 2016;46:319–329.
Knight T, Schaefer C, Chandran A, et al. Health-resource use and costs associated with fibromyalgia in France, Germany, and the United States. Clin Outcomes Res. 2013;5:171–180.
McLoughlin MJ, Colbert LH, Stegner AJ, et al. Are women with fibromyalgia less physically active than healthy women? Med Sci Sports Exerc. 2011;43:905–912.
Ecija C, Catala P, López-Roig S, et al. 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. [Epub ahead of print].
Suso-Ribera C, Catalá P, Ecija C, et al. Exploring the contextual role of pain severity as a moderator of the relationship between activity patterns and the physical and mental functioning of women with fibromyalgia. Eur J Pain. 2021;25:257–268.
Serrano-Ibáñez ER, Bendayan R, Ramírez-Maestre C, et al. Exploring changes in activity patterns in individuals with chronic pain. Int J Environ Res Public Health. 2020;17:1–10.
Terol MC, López-Roig S, Rodríguez-Marín J, et al. Propiedades psicométricas de la Escala Hospitalaria de Ansiedad y Estrés (HAD) en población española [Psychometric properties of the Hospital Anxiety and Depression Scale (HAD) in Spanish population]. Ansiedad Estrés. 2007;13:163–176.
LoMartire R, Äng BO, Gerdle B, et al. Psychometric properties of Short Form-36 Health Survey, EuroQol 5-dimensions, and Hospital Anxiety and Depression Scale in patients with chronic pain. Pain. 2020;161:83–95.
Salgueiro M, García-Leiva JM, Ballesteros J, et al. Validation of a Spanish version of the Revised Fibromyalgia Impact Questionnaire (FIQR). Health Qual Life Outcomes. 2013;11:1–8.
Estévez-López F, Pulido-Martos M, Armitage CJ, et al. Factor structure of the Positive and Negative Affect Schedule (PANAS) in adult women with fibromyalgia from Southern Spain: the al-Ándalus project. Peer J. 2016;4:e1822.
García Campayo J, Rodero B, Alda M, et al. Validación de la versión española de la escala de la catastrofización ante el dolor (Pain Catastrophizing Scale) en la fibromialgia. Med Clin (Barc). 2008;131:487–492.
Gómez-Pérez L, López-Martínez AE, Ruiz-Párraga GT. Psychometric properties of the Spanish version of the Tampa Scale for Kinesiophobia (TSK). J Pain. 2011;12:425–435.
Gelabert E, García-Esteve LL, Martín-Santos E, et al. Psychometric properties of the Spanish version of the Frost Multidimensional Perfectionism Scale in women. Psicothema. 2011;23:133–139.
Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum. 1990;33:160–172.
R Core Team. R: A language and environment for statistical computing. 2020. Available at: http://www.r-project.org/ . Accessed February 2020.
Rosseel Y. lavaan: an R package for structural equation modeling. J Stat Softw. 2012;48:1–36.
Kline RB. Principles and Practice of Structural Equation Modeling. New York, NY: Guilford Press; 2015.
Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model A Multidiscip J. 1999;6:1–55.
Korkmaz S, Goksuluk D, Zararsiz G. MVN: an R package for assessing multivariate normality. R J. 2014;6:151–162.
Wothke W Bollen K, Long J. Nonpositive definite matrices in structural modeling. Testing Structural Equation Models. Newbury Park, CA: Sage; 1993:256–293.
López-Roig S, Pastor-Mira M Benyamini Y, Johnston M, Karademas E. Cultural adaptation of measures. Assessment in Health Psychology. Göttingen/Boston, MA: Hogrefe; 2016:267–279.
Karsdorp PA, Vlaeyen JWS. Active avoidance but not activity pacing is associated with disability in fibromyalgia. Pain. 2009;147:29–35.
Meulders A. From fear of movement-related pain and avoidance to chronic pain disability: a state-of-the-art review. Curr Opin Behav Sci. 2019;26:130–136.
Vlaeyen JWS, Linton SJ. Fear-avoidance model of chronic musculoskeletal pain: 12 years on. Pain. 2012;153:1144–1147.
Wiech K, Tracey I. Pain, decisions, and actions: a motivational perspective. Front Neurosci. 2013;7:1–12.
Sirois FM, Toussaint L, Hirsch JK, et al. Trying to be perfect in an imperfect world: a person-centred test of perfectionism and health in fibromyalgia patients versus healthy controls. Pers Individ Dif. 2019;137:27–32.
Molnar DS, Sirois FM, Methot-Jones T Sirois FM, Molnar DS. Trying to be perfect in an imperfect world: examining the role of perfectionism in the context of chronic illness. Perfectionism, Health, and Well-Being. New York, NY: Springer International Publishing; 2015:69–99.
Harper KL, Eddington KM, Lunsford J, et al. Perfectionism and the impact of intrinsic and extrinsic motivation in daily life. Journal Individ Differ. 2020;41:117–123.
Ecija C, Catala P, Sanroman L, et al. Is perfectionism always dysfunctional? Looking into its interaction with activity patterns in women with fibromyalgia. Clin Nurs Res. 2021;30:567–578.
Vlaeyen JWS, Crombez G. Behavioral conceptualization and treatment of chronic pain. Annu Rev Clin Psychol. 2020;16:187–212.
O’Dwyer T, Maguire S, Mockler D, et al. Behaviour change interventions targeting physical activity in adults with fibromyalgia: a systematic review. Rheumatol Int. 2019;39:805–817.