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.
chronic pain
fear-avoidance model
fibromyalgia
functioning
obesity
psychological flexibility model
Journal
Journal of pain research
ISSN: 1178-7090
Titre abrégé: J Pain Res
Pays: New Zealand
ID NLM: 101540514
Informations de publication
Date de publication:
2022
2022
Historique:
received:
26
04
2022
accepted:
18
08
2022
entrez:
3
10
2022
pubmed:
4
10
2022
medline:
4
10
2022
Statut:
epublish
Résumé
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. 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. 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. 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.
Identifiants
pubmed: 36186755
doi: 10.2147/JPR.S370718
pii: 370718
pmc: PMC9525026
doi:
Types de publication
Journal Article
Langues
eng
Pagination
3017-3029Informations de copyright
© 2022 Varallo et al.
Déclaration de conflit d'intérêts
Giuseppe Plazzi reports personal fees from Jazz Pharmaceuticals, Takeda, Idorsia, and Bioprojet, outside the submitted work. The authors report no other potential conflicts of interest in this work.
Références
Brain Sci. 2021 May 22;11(6):
pubmed: 34067433
Pain. 2003 Dec;106(3):337-345
pubmed: 14659516
J Clin Med. 2020 Oct 12;9(10):
pubmed: 33053655
Eur J Cardiovasc Nurs. 2009 Mar;8(1):2-8
pubmed: 18694656
Arthritis Rheum. 2005 Jan;52(1):296-303
pubmed: 15641057
Nat Rev Rheumatol. 2011 Apr;7(4):216-24
pubmed: 21283147
Physiother Res Int. 2008 Jun;13(2):84-93
pubmed: 18446882
Pain. 2004 Jan;107(1-2):159-66
pubmed: 14715402
Curr Pain Headache Rep. 2011 Apr;15(2):144-51
pubmed: 21222244
Psychol Sci. 2007 Mar;18(3):233-9
pubmed: 17444920
Arthritis Rheum. 2006 Apr 15;55(2):325-32
pubmed: 16583384
Eur J Pain. 2008 Aug;12(6):757-64
pubmed: 18160319
J Orthop Sports Phys Ther. 2016 Feb;46(2):38-43
pubmed: 26828236
Arthritis Care Res (Hoboken). 2012 Feb;64(2):222-8
pubmed: 21972124
Ann Rheum Dis. 2014 Jun;73(6):968-74
pubmed: 24665116
Spine (Phila Pa 1976). 2010 May 20;35(12):1241-6
pubmed: 20216338
Clin J Pain. 2010 Jan;26(1):30-7
pubmed: 20026950
Curr Pain Headache Rep. 2013 Mar;17(3):317
pubmed: 23338769
Am J Phys Med Rehabil. 2013 May;92(5):439-45
pubmed: 23478452
Int J Environ Res Public Health. 2022 Jul 06;19(14):
pubmed: 35886107
Arthritis Res Ther. 2009;11(4):R120
pubmed: 19664287
Man Ther. 2003 Feb;8(1):29-36
pubmed: 12586559
Clin Exp Rheumatol. 2013 Nov-Dec;31(6 Suppl 79):S41-9
pubmed: 23806265
Pain. 2005 Sep;117(1-2):137-44
pubmed: 16055269
Arch Rheumatol. 2020 Feb 07;35(2):214-219
pubmed: 32851370
J Behav Med. 2007 Feb;30(1):77-94
pubmed: 17180640
Scand J Pain. 2016 Oct;13:43-58
pubmed: 28850534
J Rheumatol. 2014 Jan;41(1):187
pubmed: 24382930
Curr Opin Psychol. 2015 Oct 1;5:24-30
pubmed: 25844393
Clin Rehabil. 2007 Dec;21(12):1109-13
pubmed: 18042606
Health Qual Life Outcomes. 2008 Jan 22;6:8
pubmed: 18211701
Womens Health Issues. 2008 Sep-Oct;18(5):406-12
pubmed: 18723374
Arch Phys Med Rehabil. 2006 Feb;87(2):259-64
pubmed: 16442982
Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7
pubmed: 12091180
Pain Res Manag. 2008 Sep-Oct;13(5):401-6
pubmed: 18958312
Obes Facts. 2011;4(6):443-8
pubmed: 22248994
J Rheumatol. 2011 Jun;38(6):1113-22
pubmed: 21285161
J Rheumatol. 2000 Nov;27(11):2666-70
pubmed: 11093451
Eur J Pain. 2011 Feb;15(2):213-9
pubmed: 20655254
Brain Sci. 2020 Sep 28;10(10):
pubmed: 32998214
Scand J Pain. 2017 Jul;16:45-51
pubmed: 28850411
J Pain. 2010 Dec;11(12):1329-37
pubmed: 20542742
Physiotherapy. 2016 Jun;102(2):127-35
pubmed: 26821954
Cochrane Database Syst Rev. 2017 Apr 24;4:CD011279
pubmed: 28436583
J Pain Res. 2021 Mar 12;14:737-745
pubmed: 33737831
J Pain. 2004 May;5(4):195-211
pubmed: 15162342
Pain Med. 2018 Sep 1;19(9):1764-1771
pubmed: 29036699
Pain. 2012 Jan;153(1):113-119
pubmed: 22054600
Pain Manag Nurs. 2013 Dec;14(4):193-199
pubmed: 24315242
J Obes. 2011;2011:348293
pubmed: 21052533
J Clin Psychol Med Settings. 2018 Mar;25(1):80-92
pubmed: 29450798
Clin J Pain. 2012 Jul;28(6):475-83
pubmed: 22673479
BMC Musculoskelet Disord. 2007 Mar 09;8:27
pubmed: 17349056
J Pediatr Psychol. 2013 Aug;38(7):756-65
pubmed: 23685451
PM R. 2014 Sep;6(9):802-7
pubmed: 24534101
J Clin Med. 2021 Feb 17;10(4):
pubmed: 33671181
J Pain Res. 2015 Jul 14;8:399-408
pubmed: 26203274
Pain. 2016 Aug;157(8):1588-1589
pubmed: 27428892
PLoS One. 2017 Jul 7;12(7):e0180788
pubmed: 28686644
Clin J Pain. 2008 Oct;24(8):669-77
pubmed: 18806531
Ann Behav Med. 2007 Apr;33(2):179-88
pubmed: 17447870
Pain Med. 2011 Jan;12(1):154-64
pubmed: 21087405
Int J Environ Res Public Health. 2021 Sep 10;18(18):
pubmed: 34574482
J Pain Res. 2020 Sep 10;13:2255-2265
pubmed: 32982388
Semin Arthritis Rheum. 2016 Dec;46(3):319-329
pubmed: 27916278
Am Psychol. 2014 Feb-Mar;69(2):105-18
pubmed: 24547797
Cochrane Database Syst Rev. 2006 Oct 18;(4):CD003817
pubmed: 17054187
Scand J Pain. 2018 Apr 25;18(2):261-271
pubmed: 29794307
Int J Obes (Lond). 2006 Apr;30(4):652-60
pubmed: 16130028
Front Psychol. 2021 Feb 09;12:623183
pubmed: 33633650
Arthritis Rheum. 2008 Jul 15;59(7):961-7
pubmed: 18576297
Brain Sci. 2020 Dec 24;11(1):
pubmed: 33374178
Q J Exp Psychol (Hove). 2012;65(3):565-86
pubmed: 22136653
Br J Sports Med. 2011 Dec;45(15):1189-95
pubmed: 20542976
Expert Rev Neurother. 2009 May;9(5):745-58
pubmed: 19402782
Pain Res Manag. 2017;2017:9762864
pubmed: 28348506
Spine (Phila Pa 1976). 2011 Sep 1;36(19):1547-53
pubmed: 21245785
Best Pract Res Clin Rheumatol. 2015 Feb;29(1):120-30
pubmed: 26267006
Clin Rehabil. 2017 Jun;31(6):824-834
pubmed: 27146888
Scand J Psychol. 2020 Apr;61(2):271-280
pubmed: 31674683
Am J Epidemiol. 2002 Dec 1;156(11):1028-34
pubmed: 12446259
Clin J Pain. 2018 Oct;34(10):900-908
pubmed: 29659375
Pain. 2006 Jul;123(1-2):137-45
pubmed: 16564627
J Consult Clin Psychol. 2008 Jun;76(3):397-407
pubmed: 18540733
PM R. 2010 Aug;2(8):713-22
pubmed: 20709300
J Pain. 2014 Mar;15(3):221-34
pubmed: 24581630
Front Hum Neurosci. 2017 Jan 26;11:14
pubmed: 28184193
J Rheumatol. 2006 Mar;33(3):574-80
pubmed: 16511926
Disabil Rehabil. 2018 Feb;40(3):329-337
pubmed: 27973914
J Appl Biobehav Res. 2017 Dec;22(4):
pubmed: 29527113
J Health Psychol. 2010 Nov;15(8):1236-45
pubmed: 20522505
Reumatismo. 2008 Jul-Sep;60 Suppl 1:25-35
pubmed: 18852906
BMC Musculoskelet Disord. 2011 Jun 29;12:143
pubmed: 21714918
Clin J Pain. 2021 Mar 1;37(3):211-218
pubmed: 33399397
J Pers Med. 2021 Aug 19;11(8):
pubmed: 34442454
Front Psychol. 2019 Apr 26;10:907
pubmed: 31133917