A comparison of coping strategies in patients with fibromyalgia, chronic neuropathic pain, and pain‐free controls

Baastrup, Sidsel Søndergaard; Schultz, Rikke; Brødsgaard, Inger; Moore, Rod; Jensen, Troels Staehelin; Vase, Lene; Bach, Flemming W.; Rosenberg, Raben; Gormsen, Lise Kirstine

doi:10.1111/sjop.12325

Cited by 31 publications

(28 citation statements)

References 46 publications

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“…These findings are similar to previous research that studied women diagnosed with FM, which found that FM patients reported more severe symptoms of depression, anxiety, insomnia and fatigue than controls, which constitute typical bodily and mental symptoms accompanying FM pain [32]. Elevated levels of pain catastrophizing and negative affect have also been previously observed [33][34][35][36].…”

Section: Discussionsupporting

confidence: 90%

The Role of Pain Catastrophizing and Anxiety Levels on Quality of Life in Fibromyalgia Compared with Healthy Women

Grinberg¹,

Meshalhov²,

Adadi³

et al. 2019

Intern Med

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Patients with fibromyalgia (FM) present with chronic and diffuse musculoskeletal pain, a low pain threshold at specific anatomical points, weakness and fatigue, which eventually lead to reduced physical activity and decreased quality of life. Some studies have indicated a link between FM and personality and mental characteristics, but few have examined differences between women with FM and healthy women. The goals of this research were to investigate these differences, as well as the link between the degree of catastrophizing and coping with the disease among sick women. This comparative and correlative study examined 165 women 75 (46%) with FM and 90 (54%) healthy women. All the subjects filled out a socio-demographic questionnaire, the State and Trait Anxiety Questionnaire, and the Short Form Health Survey (SF-12). In addition, the women diagnosed with FM answered the Pain Catastrophizing Scale and the Fibromyalgia Impact Questionnaire (FIQ). We found that women with FM report high levels of anxiety and low levels of quality of life regarding their disease. It seems that their mental health is linked to their physical status. Interventions to improve mental health in this patient population may also bring enhancement in quality of life.

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Section: Discussionsupporting

confidence: 90%

The Role of Pain Catastrophizing and Anxiety Levels on Quality of Life in Fibromyalgia Compared with Healthy Women

Grinberg¹,

Meshalhov²,

Adadi³

et al. 2019

Intern Med

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“…In the applied questionnaires FMS patients reported more severe symptoms of depression, anxiety, insomnia and fatigue than controls, which constitute typical bodily and mental symptoms accompanying FMS pain ( Wolfe et al, 2010 ). Elevated levels of alexithymia, pain catastrophizing and negative affect, and the reductions in positive affect and self-esteem, have also been previously observed ( Michielsen et al, 2006 ; Hassett et al, 2008 ; Garaigordobil, 2013 ; Montoro et al, 2015 , 2016 ; Baastrup et al, 2016 ). The latter results confirm the view of emotional impairment as a crucial aspect of FMS pathology ( Weiss et al, 2013 ; Rosselló et al, 2015 ; Montoro et al, 2016 ).…”

Section: Discussionmentioning

confidence: 56%

“…Several studies revealed markedly increased levels of alexithymia in FMS and its expression is associated with pain severity, disability and reduced quality of life ( Castelli et al, 2012 ; Martínez et al, 2014 ; Montoro et al, 2016 ). In addition, the maladaptive coping strategy of pain catastrophizing is believed to play a key role in FMS pathology ( Gracely et al, 2004 ; Baastrup et al, 2016 ). Pain catastrophizing, defined as an exaggerated negative orientation to pain, is an important source of fear and discomfort, which in turn may increase pain perception ( Severeijns et al, 2002 ).…”

Section: Introductionmentioning

confidence: 99%

Cognitive Impairments in Fibromyalgia Syndrome: Associations With Positive and Negative Affect, Alexithymia, Pain Catastrophizing and Self-Esteem

2018

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Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread pain accompanied by symptoms like depression, anxiety, sleep disturbance and fatigue. In addition, affected patients frequently report cognitive disruption such as forgetfulness, concentration difficulties or mental slowness. Though cognitive deficits in FMS have been confirmed in various studies, not much is known about the mechanisms involved in their origin. This study aimed to investigate the contribution of affect-related variables to cognitive impairments in FMS. For this purpose, 67 female FMS patients and 32 healthy control subjects completed a battery of cognitive tests measuring processing speed, attention, visuospatial and verbal memory, cognitive flexibility and planning abilities. In addition, participants completed self-report questionnaires pertaining to positive and negative affect, alexithymia, pain catastrophizing and self-esteem. Clinical characteristics including pain severity, symptoms of depression and anxiety, insomnia and fatigue were also assessed. FMS patients showed markedly poorer performance than healthy controls in all of the cognitive domains assessed, in addition to greater levels of depression, anxiety, negative affect, alexithymia and pain catastrophizing, and lower self-esteem and positive affect. In exploratory correlation analysis in the FMS sample, lower cognitive performance was associated with higher pain severity, depression, anxiety, negative affect, alexithymia and pain catastrophizing, as well as lower self-esteem and positive affect. However, in regression analyses, pain, self-esteem, alexithymia, and pain catastrophizing explained the largest portion of the variance in performance. While interference effects of clinical pain in cognition have been previously described, the present findings suggest that affective factors also substantially contribute to the genesis of cognitive impairments. They support the notion that affective disturbances form a crucial aspect of FMS pathology, whereas strategies aiming to improve emotional regulation may be a beneficial element of psychological therapy in the management of FMS.

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“…Coping signifies purposeful cognitive and behavioural efforts to overrule the negative impact of stress (Lazarus, ). A growing consensus supports the significance of pain coping in the understanding of prolonged pain in children (Reid et al., ; Thastum et al., ; Bandell‐Hoekstra et al., ; Hermann et al., ; Claar et al., ; Huguet et al., ; Ostlie et al., ; Kashikar‐Zuck et al., ; Simons et al., ; Agoston et al., ; Baastrup et al., ; Gaultney et al., ). To measure pain coping is to distinguish the ongoing cognitive, behavioural and emotional processes connected to pain in children and adolescents with recurrent or chronic pain.…”

Section: Introductionmentioning

confidence: 98%

Validation of the Pain Coping Questionnaire in Finnish

Marttinen

Santavirta

Kauppi

et al. 2018

European Journal of Pain

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This study showed both culturally and statistically satisfactory factor structure of PCQ in the Finnish translation. This result supports reliability and validity of the PCQ in the national use in the future. The result shows that the PCQ is a reliable method to be used in different linguistic and cultural surroundings and, thus, encourages using it in various countries. The data consist of two patient groups, adolescents with JIA and musculoskeletal pain. Pain and specifically coping with pain are important aspects of clinical work. A valid pain coping scale may enhance distinguishing vulnerable pain coping style in children and adolescent before pain becomes chronic.

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A comparison of coping strategies in patients with fibromyalgia, chronic neuropathic pain, and pain‐free controls

Cited by 31 publications

References 46 publications

The Role of Pain Catastrophizing and Anxiety Levels on Quality of Life in Fibromyalgia Compared with Healthy Women

The Role of Pain Catastrophizing and Anxiety Levels on Quality of Life in Fibromyalgia Compared with Healthy Women

Cognitive Impairments in Fibromyalgia Syndrome: Associations With Positive and Negative Affect, Alexithymia, Pain Catastrophizing and Self-Esteem

Validation of the Pain Coping Questionnaire in Finnish

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