Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Catalá, Patricia; Gutiérrez, Lorena; Écija, Carmen; Moral, Adoración Mozas; Peñacoba, Cecilia

doi:10.3390/ijerph182413148

Cited by 7 publications

(4 citation statements)

References 43 publications

(53 reference statements)

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“…Moreover, the indirect effect of PF was preserved for the effects of personality traits on fatigue, suggesting that their combined impact on the physical components of well-being was stronger than when factors were treated individually [ 74 ]. Ultimately, our findings highlight that personal tendencies have an impact on fatigue levels through PF, which is similar to other conclusions pointing to the influence of these processes on subjective energy levels, above and beyond physical constraints [ 76 , 77 ].…”

Section: Discussionsupporting

confidence: 90%

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Cojocaru,

Popa,

Schenk

et al. 2024

Healthcare

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Background: Chronic pain is associated with increased disability and vulnerability to emotional disorders. Personality and psychological flexibility (PF) describe interindividual differences that shape the adjustment to chronic pain. Specifically, PF was found to be associated with pain, fatigue, anxiety, and depression intensity. Although previous studies established strong correlations between personality and pain outcomes, evidence on the nature of this relationship is scarce. Therefore, the objective of this study is to explore the mediating effect of PF on the relationship between personality and distress. Methods: This transversal study included 108 participants (age M = 56.7, SD = 11.3) diagnosed with musculoskeletal chronic pain. Self-reported measures were administered by the medical care team. Multiple mediation models were performed for estimating the indirect effects on each outcome variable. Results: After controlling for age and gender covariates, we found that PF completely mediated the relationship between personality traits and all pain outcomes and partially mediated the impact of extraversion on anxiety. In addition, emotional stability also had an indirect effect on anxiety through PF. Conclusions: Personality traits and PF are significant predictors of pain outcomes. PF represents a core process mediating the impact of personality traits on the perceived intensity of pain, fatigue, anxiety, and depression in patients with rheumatic disease. These results could facilitate the application of individualized psychological interventions in clinical contexts targeting the reduction of emotional avoidance and in chronic pain patients.

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Section: Discussionsupporting

confidence: 90%

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Cojocaru,

Popa,

Schenk

et al. 2024

Healthcare

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“…In the FS-14 scale, the score of psychological burnout was decreased significantly, suggesting that the waterfall forest environment had a ameliorative effect on the negative emotions and promoted energy recovery of patients with CFS. Individuals with severe CFS also often have cognitive impairment, and this study used the PASAT scale to assess cognitive function (24). The results showed that the waterfall environment notably improved the PASAT score and restored the cognitive function of participants with CFS, while the urban street environment had no improving effect.…”

Section: B Cmentioning

confidence: 89%

Mechanism of the Huangguoshu waterfall forest environment’s promotive effect on human health in Guizhou, China

Zhu¹,

Zhao²,

Ouyang³

et al. 2022

Ann Transl Med

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Background: The aim of this study was to investigate the specific mechanisms underlying the human health-promoting effects of the forest environment at Huangguoshu Falls, Guizhou, China.Methods: Ninety-five participants were recruited and an eye tracker was used to record fixation and sweep indices. A questionnaire was also used to evaluate the effects of different subject environments on human emotions, perceived recovery and preferences. Thereafter, 24 participants with chronic fatigue syndrome (CFS) were recruited and the participants' fatigue and stress-related scale indices and inflammatory factor levels were examined. Serum metabolites of the participants under different time waterfall forest interventions were detected by ultra performance liquid chromatography-quadrupole-time of flight mass spectrometry (UHPLC-Q/TOF-MS).Results: Eye tracking paradigm analysis showed that the "waterfall" element was the most interesting element for participants and that the "charm" of the waterfall forest environment could be well perceived by participants. Scores on the Fatigue Scale, Anxiety Scale and Depression Scale decreased as the duration of treatment in the waterfall forest environment increased. Levels of inflammatory factors decreased after treatment in the waterfall forest environment. At the same time the level of antioxidants, represented by L-ascorbic acid, increased significantly. Conclusions:The charm of the Huangguoshu waterfall scenery could be perceived by the participants and have a positive modulating effect on mood and cognitive function. In addition, the unique mixture of negative oxygen ions in this environment can increase the content of endogenous antioxidants and balance the metabolism of choline and amino acids.

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“…They also proposed that motor or cognitive task-induced state fatigue is a psychophysiological condition characterized by a decrease in motor or cognitive performance (i.e., motor or cognitive performance fatigue, respectively) and/or an increased perception of fatigue (i.e., perceived motor or cognitive fatigue). Accordingly, the assessment and management of fatigue involved a broad range of dimensions of the individual’s motor, cognitive, and spiritual conditions (Catala et al, 2021; Greenhouse-Tucknott et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Effects of Astaxanthin Supplementation on Fatigue, Motor Function and Cognition: A Meta-Analysis of Randomized Controlled Trials

Liu,

Dong,

Jia

et al. 2024

Biological Research For Nursing

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Dietary astaxanthin supplementation has been demonstrated to have many beneficial and health-promoting effects. The purpose of this systematic review and meta-analysis was to assess the effect of astaxanthin supplementation on fatigue, cognition, and exercise efficiency. A total of 11 randomized controlled trials (RCTs) with 346 healthy participants were included. The random effects model and pooled standardized mean difference (SMDs) were used according to Hedge’s g for the meta-analysis, and a meta-regression was also conducted. The results of the two existing studies showed a positive trend for astaxanthin in subjective fatigue relief. The effects of astaxanthin supplementation for 8–12 weeks on cognitive accuracy were marginally significant (SMD: .12; 95% CI: −.02–.26) and on reaction time was not significant (SMD: −.08; 95% CI: −.26 to .10). Remarkably, astaxanthin supplementation combined with regular training could enhance the fat oxidation (SMD: 2.56; 95% CI: 1.24–3.89), and significantly improve the physical performance (SMD: .62; 95% CI: .17–1.06). The subgroup analysis further showed significantly greater benefits when performing the aerobic exercises performance (SMD: .45; 95% CI: .13–.76), when the dose was ≥ 20 mg (SMD: .37; 95% CI: .11–.63), and when the supplementation duration was > 12 weeks (SMD: .66; 95% CI: .13–.63). We conclude that astaxanthin supplementation could significantly enhance aerobic exercise efficiency, especially at higher doses and for longer durations. Further studies based on large sample sizes are imperatively warranted.

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Do Cognitive Abilities Influence Physical and Mental Fatigue in Patients with Chronic Pain after Walking According to a Clinical Guideline for Physical Exercise?

Cited by 7 publications

References 43 publications

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Mechanism of the Huangguoshu waterfall forest environment’s promotive effect on human health in Guizhou, China

Effects of Astaxanthin Supplementation on Fatigue, Motor Function and Cognition: A Meta-Analysis of Randomized Controlled Trials

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