The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

Lazaridou, Asimina; Paschali, Myrella; Schreiber, Kristin L.; Galenkamp, L.; Berry, Michael; Paschalis, Theodoros; Napadow, Vitaly; Edwards, Robert R.

doi:10.1097/pr9.0000000000000832

Cited by 17 publications

(18 citation statements)

References 56 publications

(59 reference statements)

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“…It is well known that catastrophizing plays an important role in the syndromes of fibromyalgia and chronic low back pain with respect to prevalence and the severity of pain (Angarita‐Osorio et al, 2020; Catala et al, 2020; Écija et al, 2020; Edwards et al, 2006; Fillingim et al, 2020; Galvez‐Sánchez et al, 2020; Lazaridou et al, 2020; Marshall et al, 2017; Othman et al, 2020; Pulido‐Martos et al, 2020; Wertli, Burgstaller, et al, 2014; Wertli, Eugster, et al, 2014). Relatively high levels of perceived disease severity compared to other chronic pain conditions are reported for fibromyalgia (Angst et al, 2021; Bucourt et al, 2021; Fillingim et al, 2020; Salaffi et al, 2019).…”

Section: Introductionmentioning

confidence: 99%

Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain

Angst

Lehmann

Sándor

et al. 2022

European Journal of Pain

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Background: Quantitative data on longitudinal associations between catastrophizing and pain or physical function are patchy. The study aimed to quantify the prognostic value of catastrophizing for pain and function in fibromyalgia and low back pain before and after rehabilitation. Methods: The associations of state and change on the Multidimensional Pain Inventory (MPI) Pain severity scale, the Short Form 36 (SF-36) Physical functioning scale and the Six-Minute Walking Distance (6MWD) with the Coping Strategies Questionnaire (CSQ) Catastrophizing scale were quantified by multiple regression modelling to adjust for confounders. Results: Sex-and age-matched cohorts (n = 71 each) were compared. Pain and catastrophizing were worse in fibromyalgia than in low back pain, whereas the function levels were comparable. Baseline catastrophizing predicted pain change by adjusted correlations of 0.552 (fibromyalgia) and 0.450 (low back pain), selfrated function by 0.403 and 0.308, and the 6MWD by 0.270 and − 0.072. The change in catastrophizing was associated to the change in pain by 0.440 (fibromyalgia) and 0.614 (low back pain), self-rated function by 0.122 and 0.465, and the 6MWD by 0186 and 0.162. Conclusions: Catastrophizing (pain-related worrying) was a potential prognostic factor, especially for pain and somewhat less for self-rated physical function but it was only weakly predictive for the walking distance in both conditions, independently of potential confounders, such as sex, age, baseline severity and others. Reduction of maladaptive coping should be integrated into the management of chronic pain.Significance: Our study showed surprisingly high associations between state and change in catastrophizing to pain relief and functional improvement in chronic pain patients. This is supported by clinical experience and research data, even if the construct and measurement of catastrophizing is under debate. Our findings and those of literature point to more pessimistic self-rating of pain and catastrophizing in fibromyalgia when compared to other conditions. This might obscure positive effects on pain and function achieved by adaptive coping in fibromyalgia.

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Section: Introductionmentioning

confidence: 99%

Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain

Angst

Lehmann

Sándor

et al. 2022

European Journal of Pain

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“…However, to the best of our knowledge, there are few studies exploring specifically how catastrophizing influences physical activity and exercise or walking. Recently, Lazaridou and colleagues [41], using electronic diaries and a step count, found that increases in daily physical activity was associated with more pain intensity in women with fibromyalgia, mainly in those with a higher rate of catastrophizing. Hence, pain catastrophizing shows different ways of influence on physical activity and it is worth conducting further research about its role on walking exercise, mainly considering new recommendations about its assessment [31].…”

Section: Discussionmentioning

confidence: 99%

“…The relevance of catastrophizing in chronic pain and fibromyalgia has been highlighted [34][35][36][37][38][39][40]. Recently, some authors have shown pain catastrophizing as a moderator in fibromyalgia pain intensity and physical activity relationships [41]. However, to the best of our knowledge, little is known about its role in undertaking and, mainly, maintaining walking exercise, taking into account its possible influence on habitual patients' goal preferences.…”

Section: Introductionmentioning

confidence: 99%

Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia

Pastor-Mira

López-Roig

Toribio³

et al. 2022

IJERPH

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Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with fibromyalgia. The sample included 111 women who attended a tertiary health setting. We adapted the Six-Minute Walk Test where participants decided either to stop or continue walking in five voluntary 6 min bouts. Women who were categorized higher in pain-related worrying reported higher preference for pain avoidance goals (t = −2.44, p = 0.02) and performed worse in the walking task (LongRank = 4.21; p = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first (OR = 1.443), second (OR = 1.493), and third (OR = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task (HR = 1.02, [1.0–1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences (ab = −3.25). In interventions targeting adherence in physical activity and exercise, special attention is needed for women who are particularly worried about pain to help decrease their preference for short-term pain avoidance goals relative to long-term goals such as being active through walking.

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“…For people with MS, a Beurer AS 80 and Yamax SW 200 Digiwalker were used to determine cross sectional associations of serum vitamin D levels and activity capacity with daily PA levels [ 42 , 43 ]. For individuals who experienced gout flares, were in the early stages of PD, were stroke survivors, and experience fibromyalgia, step counts and time spent in MVPA from a Fitbit device worn for ≥ 7 days was used to measure PA levels [ 39 , 41 , 44 – 46 ].…”

Section: Discussionmentioning

confidence: 99%

“…The ActConnect study explored factors associated with lower PA in individuals with RA and axial spondyloarthritis using a smartwatch [36] [42,43]. For individuals who experienced gout flares, were in the early stages of PD, were stroke survivors, and experience fibromyalgia, step counts and time spent in MVPA from a Fitbit device worn for ≥ 7 days was used to measure PA levels [39,41,[44][45][46].…”

Section: Feasibility and Utility Of Implementing Consumer Wearables In Clinical Populationsmentioning

confidence: 99%

The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations

2021

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Functionally limiting health conditions have a high rate of prevalence worldwide and incur a significant amount of economic burden. Physical activity (PA) can prevent the onset of these conditions and alleviate economic burden by reducing symptoms, but a large portion of these individuals do not engage in health enhancing PA. Consumer wearable physical activity monitors (WPAM) are tools that have become increasingly popular within the past few years and could provide a means to improve PA levels for individuals with health conditions that cause functional limitations. This review reports on the validity of PA outcomes, feasibility and utility, and intervention/promotion effectiveness for consumer WPAM in functionally limited clinical populations. 2250 records from January 2018 to July 2021 were retrieved from PubMed, Web of Science, SPORTDiscus and CINAHL with 656 records being duplicates and 23 records passing a full-text article review. Studies included within the review looked at individuals with osteoarthritis, rheumatoid arthritis, axial spondyloarthritis, multiple sclerosis, Parkinson's disease, ischemic stroke and peripheral arterial disease. The most popular brand of consumer WPAM was Fitbit. Validation studies for consumer WPAM were primarily focused on step counts showing overestimations for daily step counts and over-and under-estimations occurring within shorter time durations depending on step cadence. Wrist worn WPAM are the most feasible for functionally limited clinical populations with widespread utilization for associating clinically relevant outcomes with PA levels but they have limited validation to confirm their accuracy and precision in measurement. Interventions included used a mixture of a WPAM and other behavior change techniques to improve PA levels for clinical populations and show promising effectiveness. Future work is warranted on determining the validity of PA outcomes from WPAM determined to be feasible in select clinical populations and creating interventions looking at which features of a consumer WPAM intervention promote PA.

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The association between daily physical exercise and pain among women with fibromyalgia: the moderating role of pain catastrophizing

Abstract: Daily physical exercise is associated with more self-reported pain intensity in women with fibromyalgia pain, particularly among those with higher levels of pain catastrophizing.

Cited by 17 publications

References 56 publications

Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain

Catastrophizing as a prognostic factor for pain and physical function in the multidisciplinary rehabilitation of fibromyalgia and low back pain

Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia

The Use of Consumer Wearable Physical Activity Monitors in Clinical Populations with Functional L imitations

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