Department of Psychology, Rey Juan Carlos University, Alcorcón, Madrid,Spain.
Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, Castellón, Spain.
Aging Ment Health. 2022 Sep;26(9):1829-1836. doi: 10.1080/13607863.2021.1977238. Epub 2021 Sep 15.
Our study examined the 'paradox of wellbeing' among women with fibromyalgia and the role of cognitive fusion on wellbeing in relation to age.
A total of 228 women diagnosed with fibromyalgia according to the American College of Rheumatology criteria were included. In order to explore the conditional effects of age in the moderation analyzes, as recommended in the PROCESS Macro, the 16th, 50th, and 84th percentiles were calculated. These percentiles define three age groups that we will call younger (from 30 to 53 years), middle-aged (from 54 to 60 years) and older women (from 61 to 78 years).
We found a 'paradox of wellbeing' among fibromyalgia patients which has not yet been reported: the older the patients, the higher scores on hedonic (positive affect) and eudaimonic (activities engagement) wellbeing. A moderation effect of age was found in the relationship between cognitive fusion and wellbeing (cognitive fusion showed negative associations with positive affect and activities engagement but not among older patients).
Our study underscores the need of personalized interventions for fibromyalgia patients to improve their wellbeing. Especially in younger and middle-aged patients, it would be of interest interventions in cognitive defusion through Acceptance and Commitment Therapy (ACT).
本研究考察了纤维肌痛女性的“幸福感悖论”，以及认知融合对幸福感与年龄的关系。
共纳入 228 名符合美国风湿病学会标准的纤维肌痛女性。为了在调节分析中探索年龄的条件效应，根据 PROCESS Macro 的建议，计算了第 16、50 和 84 个百分位数。这些百分位数定义了我们称之为年轻组（30-53 岁）、中年组（54-60 岁）和老年组（61-78 岁）的三个年龄组。
我们发现纤维肌痛患者存在幸福感悖论，这是以前没有报道过的：患者年龄越大，享乐（积极情绪）和幸福（活动参与）的得分越高。年龄在认知融合与幸福感之间的关系中存在调节效应（认知融合与积极情绪和活动参与呈负相关，但在老年患者中则没有）。
本研究强调了为纤维肌痛患者提供个性化干预以改善幸福感的必要性。特别是在年轻和中年患者中，通过接受和承诺疗法（ACT）进行认知解离的干预可能会很有意义。
