Galán Santiago, Roy Rubén, Solé Ester, Racine Mélanie, de la Vega Rocío, Jensen Mark P, Miró Jordi
a Unit for the Study and Treatment of Pain - ALGOS, Universitat Rovira i Virgili , Catalonia , Spain.
b Research Center for Behavior Assessment (CRAMC), Department of Psychology , Universitat Rovira i Virgili , Catalonia , Spain.
Behav Med. 2019 Jan-Mar;45(1):62-69. doi: 10.1080/08964289.2018.1467370. Epub 2018 May 22.
Committed action, one of the components of psychological flexibility, has been shown to be related with measures of pain-relevant function domains in patients with chronic pain. However, the associations between measures of committed action and of physical health and function in individuals with fibromyalgia (FM) have not yet been examined. The aim of the present cross-sectional study was to better understand the role that committed action plays in (1) pain-related disability and (2) mental and physical health in individuals with FM. One hundred twenty-nine adult females with a diagnosis of FM from a rheumatologist were administered measures of committed action, disability, physical health, and mental health. After controlling for age and pain intensity, committed action explained an additional 24% of the variance of pain disability, 39% of the variance of physical health, and 41% of the variance of mental health. This study provides important new information on the associations between a measure of committed action and perceived health and function in a sample of women with FM. The findings are also consistent with the psychological flexibility model for understanding pain and its impact in patients with FM.
致力于行动作为心理灵活性的组成部分之一，已被证明与慢性疼痛患者疼痛相关功能领域的测量指标有关。然而，纤维肌痛（FM）患者中致力于行动的测量指标与身体健康及功能之间的关联尚未得到研究。本横断面研究的目的是更好地理解致力于行动在FM患者（1）疼痛相关残疾以及（2）身心健康中所起的作用。对129名经风湿病学家诊断为FM的成年女性进行了致力于行动、残疾、身体健康和心理健康的测量。在控制年龄和疼痛强度后，致力于行动额外解释了疼痛残疾变异的24%、身体健康变异的39%以及心理健康变异的41%。本研究提供了关于致力于行动的测量指标与FM女性样本中感知健康及功能之间关联的重要新信息。这些发现也与理解FM患者疼痛及其影响的心理灵活性模型一致。
