Skip to main content
Top
Gepubliceerd in: Quality of Life Research 7/2020

29-02-2020

Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia

Auteurs: Carmen M. Galvez-Sánchez, Casandra I. Montoro, Stefan Duschek, Gustavo A. Reyes del Paso

Gepubliceerd in: Quality of Life Research | Uitgave 7/2020

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Background

Patients with fibromyalgia syndrome (FMS) usually display a decrease in health-related quality of life (HRQoL). This decrease in HRQoL is related to clinical pain, anxiety, and depression. This cross-sectional study analyzes the mediating role of pain-coping strategies (especially catastrophizing) in the negative relationships of pain, anxiety, depression, and HRQoL in FMS.

Methods

One hundred and thirteen women with FMS and 63 healthy women were assessed using the Short-Form Health Survey (SF-36). Participants completed self-report questionnaires to evaluate clinical pain, anxiety, depression, and pain-coping strategies.

Results

Pain catastrophizing was inversely associated with the physical function, general health perception, vitality, emotional role, mental health, the physical and mental general components, and the global index of HRQoL, with percentages of variance explained ranging between 9 and 18%. Cognitive distraction showed a positive association with the physical function, general health perception, vitality, emotional role, mental health, physical component, and global index of HRQoL, with percentages of variance explained ranging between 4 and 7%. Mediation analysis showed that catastrophizing mediates the negative influence of clinical pain and trait-anxiety on the physical function, general health perception, vitality, mental health, and global index of HRQoL. No mediating effect of pain catastrophizing on the relation between depression and HRQoL was observed.

Conclusions

Patients with FMS exhibited markedly lower HRQoL than healthy individuals. While pain catastrophizing was inversely related to several domains of HRQL, associations were positive for cognitive distraction. Catastrophizing mediates the negative influence of clinical pain and trait-anxiety on HRQoL. Therefore, cognitive behavioral treatments focused on adaptive management and control of catastrophizing and negative emotional states may be helpful.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
4.
go back to reference Perrot, S., Vicaut, E., Servant, D., & Ravaud, P. (2011). Prevalence of fibromyalgia in France: A multi-step study research combining national screening and clinical confirmation: The DEFI study (determination of epidemiology of fibromyalgia). BMC Musculoskeletal Disorder,12, 224–233. https://doi.org/10.1186/1471-2474-12-224.CrossRef Perrot, S., Vicaut, E., Servant, D., & Ravaud, P. (2011). Prevalence of fibromyalgia in France: A multi-step study research combining national screening and clinical confirmation: The DEFI study (determination of epidemiology of fibromyalgia). BMC Musculoskeletal Disorder,12, 224–233. https://​doi.​org/​10.​1186/​1471-2474-12-224.CrossRef
5.
go back to reference Guyatt, G. H., Feeny, D. H., & Patrick, D. (1993). Measuring health-related quality of life. Annals of International Medicine,118, 622–629.CrossRef Guyatt, G. H., Feeny, D. H., & Patrick, D. (1993). Measuring health-related quality of life. Annals of International Medicine,118, 622–629.CrossRef
7.
go back to reference Aparicio, A. V., Ortega, F. B., Carbonell-Baeza, A., Camiletti, D., Ruiz, J. R., & Delgado-Fernández, M. (2011). Relationship of weight status with mental and physical health in female fibromyalgia patients. Obesity Facts,6, 443–448. https://doi.org/10.1159/000335293.CrossRef Aparicio, A. V., Ortega, F. B., Carbonell-Baeza, A., Camiletti, D., Ruiz, J. R., & Delgado-Fernández, M. (2011). Relationship of weight status with mental and physical health in female fibromyalgia patients. Obesity Facts,6, 443–448. https://​doi.​org/​10.​1159/​000335293.CrossRef
9.
go back to reference Wolfe, F., Hawley, D. J., Goldenberg, D. L., Russell, I. J., Buskila, D., & Neumann, L. (2000). The assessment of functional impairment in fibromyalgia (FM): Rasch analyses of 5 functional scales and the development of the FM Health Assessment Questionnaire. Journal of Rheumatology,27, 1989–1999.PubMed Wolfe, F., Hawley, D. J., Goldenberg, D. L., Russell, I. J., Buskila, D., & Neumann, L. (2000). The assessment of functional impairment in fibromyalgia (FM): Rasch analyses of 5 functional scales and the development of the FM Health Assessment Questionnaire. Journal of Rheumatology,27, 1989–1999.PubMed
10.
go back to reference Andréll, P., Schultz, T., Mannerkorpi, K., Nordeman, L., Börjesson, M., & Mannheimer, C. (2014). Health-related quality of life in fibromyalgia and refractory angina pectoris: A comparison between two non-malignant pain disorders. Journal of Rehabilitation Medicine,46, 341–347. https://doi.org/10.2340/16501977-1279.CrossRefPubMed Andréll, P., Schultz, T., Mannerkorpi, K., Nordeman, L., Börjesson, M., & Mannheimer, C. (2014). Health-related quality of life in fibromyalgia and refractory angina pectoris: A comparison between two non-malignant pain disorders. Journal of Rehabilitation Medicine,46, 341–347. https://​doi.​org/​10.​2340/​16501977-1279.CrossRefPubMed
11.
go back to reference Cardona-Arias, J., León-Mira, V., & Cardona-Tapias, A. A. (2012). Calidad de vida relacionada con la salud en adultos con fibromialgia. Revista Colombiana de Reumatología,20, 19–29.CrossRef Cardona-Arias, J., León-Mira, V., & Cardona-Tapias, A. A. (2012). Calidad de vida relacionada con la salud en adultos con fibromialgia. Revista Colombiana de Reumatología,20, 19–29.CrossRef
12.
go back to reference Branco, J. C., Rodrigues, A. M., Gouveia, N., Eusébio, M., Ramiro, S., Machado, P. M., et al. (2016). Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: Results from EpiReumaPt—A national health survey. RMD Open,19, 166–176. https://doi.org/10.1136/rmdopen-2015-000166.CrossRef Branco, J. C., Rodrigues, A. M., Gouveia, N., Eusébio, M., Ramiro, S., Machado, P. M., et al. (2016). Prevalence of rheumatic and musculoskeletal diseases and their impact on health-related quality of life, physical function and mental health in Portugal: Results from EpiReumaPt—A national health survey. RMD Open,19, 166–176. https://​doi.​org/​10.​1136/​rmdopen-2015-000166.CrossRef
13.
go back to reference Brikman, S., Furer, V., Wollman, J., Borok, S., Matz, H., Polachek, A., et al. (2016). The effect of the presence of fibromyalgia on common clinical disease activity indices in patients with psoriatic arthritis: A cross-sectional study. Journal of Rheumatology,43, 49–54. https://doi.org/10.3899/jrheum.151491.CrossRef Brikman, S., Furer, V., Wollman, J., Borok, S., Matz, H., Polachek, A., et al. (2016). The effect of the presence of fibromyalgia on common clinical disease activity indices in patients with psoriatic arthritis: A cross-sectional study. Journal of Rheumatology,43, 49–54. https://​doi.​org/​10.​3899/​jrheum.​151491.CrossRef
15.
go back to reference Elli, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuar. Elli, A. (1962). Reason and emotion in psychotherapy. New York: Lyle Stuar.
16.
go back to reference Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy,1, 5–37. Beck, A. T. (1987). Cognitive models of depression. Journal of Cognitive Psychotherapy,1, 5–37.
17.
go back to reference Sullivan, M. J., Thorn, B., Haythornthwaite, J. A., Keefe, F., Martin, M., Bradley, L. A., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain,17, 52–64.CrossRef Sullivan, M. J., Thorn, B., Haythornthwaite, J. A., Keefe, F., Martin, M., Bradley, L. A., et al. (2001). Theoretical perspectives on the relation between catastrophizing and pain. Clinical Journal of Pain,17, 52–64.CrossRef
18.
go back to reference Severeijns, R., Van den Hout, M. A., Vlaeyen, J. W. S., & Picavet, S. J. (2002). Pain catastrophizing and general health status in a large Dutch community sample. Pain,99, 367–376.CrossRef Severeijns, R., Van den Hout, M. A., Vlaeyen, J. W. S., & Picavet, S. J. (2002). Pain catastrophizing and general health status in a large Dutch community sample. Pain,99, 367–376.CrossRef
19.
go back to reference Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment,7, 524–532.CrossRef Sullivan, M. J. L., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment,7, 524–532.CrossRef
21.
go back to reference Edwards, R. R., Haythornthwaite, J. A., Sullivan, M. J., & Fillingim, R. B. (2004). Catastrophizing as a mediator of sex differences in pain: Differential effects for daily pain versus laboratory-induced pain. Pain,111, 335–341.CrossRef Edwards, R. R., Haythornthwaite, J. A., Sullivan, M. J., & Fillingim, R. B. (2004). Catastrophizing as a mediator of sex differences in pain: Differential effects for daily pain versus laboratory-induced pain. Pain,111, 335–341.CrossRef
22.
go back to reference García-Campayo, J., Rodero, B., Alda, M., Sobradiel, N., Montero, J., & Moreno, S. (2008). Validación de la versión española de la escala de la catastrofización ante el dolor en la fibromialgia. Medicina Clínica,131, 487–492.CrossRef García-Campayo, J., Rodero, B., Alda, M., Sobradiel, N., Montero, J., & Moreno, S. (2008). Validación de la versión española de la escala de la catastrofización ante el dolor en la fibromialgia. Medicina Clínica,131, 487–492.CrossRef
25.
go back to reference Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004). Psychological aspects of persistent pain: Current state of the science. Journal of Pain,5, 195–211.CrossRef Keefe, F. J., Rumble, M. E., Scipio, C. D., Giordano, L. A., & Perri, L. M. (2004). Psychological aspects of persistent pain: Current state of the science. Journal of Pain,5, 195–211.CrossRef
26.
go back to reference Peters, M. L., Vlaeyen, J. W., & van Drunen, C. (2000). Do fibromyalgia patients display hypervigilance for innocuous somatosensory stimuli? Application of a body scanning reaction time paradigm. Pain,86, 283–292.CrossRef Peters, M. L., Vlaeyen, J. W., & van Drunen, C. (2000). Do fibromyalgia patients display hypervigilance for innocuous somatosensory stimuli? Application of a body scanning reaction time paradigm. Pain,86, 283–292.CrossRef
29.
go back to reference Montoro Aguilar, C. I., Duschek, S., & Reyes del Paso, G. A. (2018). An exploratory analysis of the influence of personality and emotional factors on cerebral blood flow responses during painful stimulation in fibromyalgia. Scandinavian Journal of Psychology,59, 301–310. https://doi.org/10.1111/sjop.12434.CrossRefPubMed Montoro Aguilar, C. I., Duschek, S., & Reyes del Paso, G. A. (2018). An exploratory analysis of the influence of personality and emotional factors on cerebral blood flow responses during painful stimulation in fibromyalgia. Scandinavian Journal of Psychology,59, 301–310. https://​doi.​org/​10.​1111/​sjop.​12434.CrossRefPubMed
30.
go back to reference Edwards, R. R., Bingham, C. O., Bathon, J., & Haythornthwaite, J. A. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis & Rheumatism,55, 325–332.CrossRef Edwards, R. R., Bingham, C. O., Bathon, J., & Haythornthwaite, J. A. (2006). Catastrophizing and pain in arthritis, fibromyalgia, and other rheumatic diseases. Arthritis & Rheumatism,55, 325–332.CrossRef
32.
39.
go back to reference Herken, H., Gursoy, S., Yetkin, O., Virit, O., & Esgi, K. (2001). Personality characteristics and depression levels in female patients with fibromyalgia syndrome. Journal of International Medicine,8, 41–44. Herken, H., Gursoy, S., Yetkin, O., Virit, O., & Esgi, K. (2001). Personality characteristics and depression levels in female patients with fibromyalgia syndrome. Journal of International Medicine,8, 41–44.
40.
go back to reference Houdenhove, B. V., & Luyten, P. (2006). Stress, depression and fibromyalgia. Acta Neurológica Bélgica,106, 149–156.PubMed Houdenhove, B. V., & Luyten, P. (2006). Stress, depression and fibromyalgia. Acta Neurológica Bélgica,106, 149–156.PubMed
43.
go back to reference Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of Psychiatric Research,24, 323–334.CrossRef Barsky, A. J., Wyshak, G., & Klerman, G. L. (1990). The somatosensory amplification scale and its relationship to hypochondriasis. Journal of Psychiatric Research,24, 323–334.CrossRef
44.
go back to reference Taylor, S. S., Davis, M. C., Yeung, E. W., Zautra, A. J., & Tennen, H. A. (2017). Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia. Journal of Behavioral Medicine,40, 458–467.CrossRef Taylor, S. S., Davis, M. C., Yeung, E. W., Zautra, A. J., & Tennen, H. A. (2017). Relations between adaptive and maladaptive pain cognitions and within-day pain exacerbations in individuals with fibromyalgia. Journal of Behavioral Medicine,40, 458–467.CrossRef
45.
go back to reference Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research,62, 600–610. https://doi.org/10.1002/acr.20140.CrossRef Wolfe, F., Clauw, D. J., Fitzcharles, M. A., Goldenberg, D., Katz, R. S., Mease, P., et al. (2010). The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care & Research,62, 600–610. https://​doi.​org/​10.​1002/​acr.​20140.CrossRef
46.
go back to reference First, M., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1999). Entrevista clínica estructurada para los trastornos del eje I del DSM-IV: SCIDI versión clínica. Barcelona: Madsson. First, M., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (1999). Entrevista clínica estructurada para los trastornos del eje I del DSM-IV: SCIDI versión clínica. Barcelona: Madsson.
47.
go back to reference Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care,30, 473–483.CrossRef Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care,30, 473–483.CrossRef
48.
go back to reference Alonso, J., Prieto, L., & Antó, J. M. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): Un instrumento para la medida de los resultados clínicos. Medicina Clínica,104, 771–776.PubMed Alonso, J., Prieto, L., & Antó, J. M. (1995). La versión española del SF-36 Health Survey (Cuestionario de Salud SF-36): Un instrumento para la medida de los resultados clínicos. Medicina Clínica,104, 771–776.PubMed
49.
go back to reference Spielberger, C. D., Gorsuch, R., & Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologist. Spielberger, C. D., Gorsuch, R., & Lushene, R. (1970). Manual for the State-Trait Anxiety Inventory. Palo Alto: Consulting Psychologist.
50.
go back to reference Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Manual del Cuestionario de Ansiedad Estado/Rasgo (STAI). Madrid: TEA Ediciones. Spielberger, C. D., Gorsuch, R. L., & Lushene, R. E. (1982). Manual del Cuestionario de Ansiedad Estado/Rasgo (STAI). Madrid: TEA Ediciones.
52.
go back to reference Vázquez, C., & Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck de 1978 en pacientes con trastornos psicológicos. Clínica y Salud,1, 59–81. Vázquez, C., & Sanz, J. (1999). Fiabilidad y validez de la versión española del Inventario para la Depresión de Beck de 1978 en pacientes con trastornos psicológicos. Clínica y Salud,1, 59–81.
54.
go back to reference Lázaro, C., Bosch, F., Torrubia, R., & Baños, J. E. (1994). The development of a Spanish questionnaire for assessing pain: Preliminary data concerning reliability and validity. European Journal of Psychological Assessment,10, 145–151. Lázaro, C., Bosch, F., Torrubia, R., & Baños, J. E. (1994). The development of a Spanish questionnaire for assessing pain: Preliminary data concerning reliability and validity. European Journal of Psychological Assessment,10, 145–151.
55.
go back to reference Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain,17, 33–44.CrossRef Rosenstiel, A. K., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients: Relationship to patient characteristics and current adjustment. Pain,17, 33–44.CrossRef
56.
go back to reference Rodriguez, L., Cano, E. J., & Blanco, A. (2004). Evaluación de las estrategias de afrontamiento de dolor crónico. Actas Españolas de Psiquiatría,32, 82–91. Rodriguez, L., Cano, E. J., & Blanco, A. (2004). Evaluación de las estrategias de afrontamiento de dolor crónico. Actas Españolas de Psiquiatría,32, 82–91.
57.
go back to reference Hair, J., Anderson, R., Tatham, R., & Black, W. (2000). Análisis multivariante. Madrid: Prentice Hall. Hair, J., Anderson, R., Tatham, R., & Black, W. (2000). Análisis multivariante. Madrid: Prentice Hall.
58.
go back to reference Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers,36, 717–731.CrossRef Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers,36, 717–731.CrossRef
59.
go back to reference Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, Instruments, & Computers,40, 879–891.CrossRef Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, Instruments, & Computers,40, 879–891.CrossRef
62.
go back to reference Geisser, M. E., Casey, K. L., Brucksch, C. B., Ribbens, C. M., Appleton, B. B., & Crofford, L. J. (2003). Perception of noxious and innocuous heat stimulation among healthy women and women with fibromyalgia: Association with mood, somatic focus, and catastrophizing. Pain,102, 243–250.CrossRef Geisser, M. E., Casey, K. L., Brucksch, C. B., Ribbens, C. M., Appleton, B. B., & Crofford, L. J. (2003). Perception of noxious and innocuous heat stimulation among healthy women and women with fibromyalgia: Association with mood, somatic focus, and catastrophizing. Pain,102, 243–250.CrossRef
63.
go back to reference Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review,96, 234–254.CrossRef Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review,96, 234–254.CrossRef
65.
go back to reference Montoya, P., Pauli, P., Batra, A., & Wiedemann, G. (2005). Altered processing of pain-related information in patients with fibromyalgia. European Journal of Pain,9, 293–303.CrossRef Montoya, P., Pauli, P., Batra, A., & Wiedemann, G. (2005). Altered processing of pain-related information in patients with fibromyalgia. European Journal of Pain,9, 293–303.CrossRef
66.
go back to reference Hassett, A. L., Cone, J. D., Patella, S. J., & Sigal, L. H. (2000). The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis & Rheumatism,43, 2493–2500.CrossRef Hassett, A. L., Cone, J. D., Patella, S. J., & Sigal, L. H. (2000). The role of catastrophizing in the pain and depression of women with fibromyalgia syndrome. Arthritis & Rheumatism,43, 2493–2500.CrossRef
68.
go back to reference Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Turna & D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale: ErIbaum. Tellegen, A. (1985). Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. In A. H. Turna & D. Maser (Eds.), Anxiety and the anxiety disorders (pp. 681–706). Hillsdale: ErIbaum.
69.
go back to reference Eysenck, M. W. (2013). Anxiety: The cognitive perspective. London: Psychology Press.CrossRef Eysenck, M. W. (2013). Anxiety: The cognitive perspective. London: Psychology Press.CrossRef
71.
go back to reference Kelley, G., Kelley, K., Hootman, J., & Jones, D. (2010). Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health,10, 198.CrossRef Kelley, G., Kelley, K., Hootman, J., & Jones, D. (2010). Exercise and global well-being in community-dwelling adults with fibromyalgia: A systematic review with meta-analysis. BMC Public Health,10, 198.CrossRef
73.
go back to reference Biccheri, E., Roussiau, N., & Mambet-Doué, C. (2016). Fibromyalgia, spirituality, coping and quality of life. Journal of Religion & Health,55, 1189–1197.CrossRef Biccheri, E., Roussiau, N., & Mambet-Doué, C. (2016). Fibromyalgia, spirituality, coping and quality of life. Journal of Religion & Health,55, 1189–1197.CrossRef
74.
76.
go back to reference Luciano, J. V., D'Amico, F., Feliu-Soler, A., McCracken, L. M., Aguado, J., Peñarrubia-María, M. T., et al. (2017). Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomized controlled trial conducted in Spain (EFFIGACT Study). Journal of Pain,18, 868–880. https://doi.org/10.1016/j.jpain.2017.03.001.CrossRefPubMed Luciano, J. V., D'Amico, F., Feliu-Soler, A., McCracken, L. M., Aguado, J., Peñarrubia-María, M. T., et al. (2017). Cost-utility of group acceptance and commitment therapy for fibromyalgia versus recommended drugs: an economic analysis alongside a 6-month randomized controlled trial conducted in Spain (EFFIGACT Study). Journal of Pain,18, 868–880. https://​doi.​org/​10.​1016/​j.​jpain.​2017.​03.​001.CrossRefPubMed
78.
go back to reference Nelson, P. J., & Tucker, S. (2006). Developing an intervention to alter catastrophizing in persons with fibromyalgia. Journal of Orthopedic Nursing,25, 205–214.PubMed Nelson, P. J., & Tucker, S. (2006). Developing an intervention to alter catastrophizing in persons with fibromyalgia. Journal of Orthopedic Nursing,25, 205–214.PubMed
80.
go back to reference Bernard, A. L., Prince, A., & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis Care & Research,13, 42–50.CrossRef Bernard, A. L., Prince, A., & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis Care & Research,13, 42–50.CrossRef
Metagegevens
Titel
Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia
Auteurs
Carmen M. Galvez-Sánchez
Casandra I. Montoro
Stefan Duschek
Gustavo A. Reyes del Paso
Publicatiedatum
29-02-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 7/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02457-x

Andere artikelen Uitgave 7/2020

Quality of Life Research 7/2020 Naar de uitgave