Department of Psychology, Rey Juan Carlos University, 28922 Alcorcón, Spain.
Department of Basic and Clinical Psychology and Psychobiology, Jaume I University, 12006 Castellón de la Plana, Spain.
Int J Environ Res Public Health. 2022 Apr 1;19(7):4198. doi: 10.3390/ijerph19074198.
Walking is one of the most beneficial treatments for fibromyalgia patients. However, adherence to walking behavior is low due to the initially associated symptoms (including pain and fatigue). Although the association of catastrophism with greater symptoms is known, the results regarding fatigue have not always been consistent. Nevertheless, it is unknown whether the association between catastrophism and fatigue could, in turn, be conditioned by whether the patients walk or not. Therefore, our goal was to explore the moderating effect of walking on the association between catastrophizing and fatigue in patients with fibromyalgia. A cross-sectional study was carried out with 203 women with fibromyalgia. We used the Multidimensional Fatigue Inventory to assess fatigue and the Pain Catastrophizing Scale to assess pain catastrophizing (differentiating between its three dimensions). An ad hoc item was used to evaluate walking (moderator). Lower scores for fatigue and pain catastrophizing were found among patients who walked versus those who did not. Walking moderated the relationship between rumination and fatigue (Beta = 0.16, t = 1.96, = 0.049) and between magnification and fatigue (Beta = 0.22, t = 21.83, = 0.047). Helplessness showed no direct or interaction effect for fatigue. Nevertheless, higher rumination and magnification were associated with higher fatigue only in patients who walked. Therefore, to promote adherence to walking and reduce the effects of catastrophizing on fatigue, it seems necessary to manage rumination and magnification among patients who walk.
步行是纤维肌痛患者最有益的治疗方法之一。然而，由于最初相关的症状（包括疼痛和疲劳），步行行为的依从性较低。尽管已经知道灾难化与更大的症状有关，但关于疲劳的结果并不总是一致的。然而，尚不清楚灾难化与疲劳之间的关联是否可以反过来取决于患者是否行走。因此，我们的目标是探讨步行对纤维肌痛患者灾难化与疲劳之间关系的调节作用。一项横断面研究纳入了 203 名纤维肌痛女性患者。我们使用多维疲劳量表评估疲劳，使用疼痛灾难化量表评估疼痛灾难化（区分其三个维度）。专门的项目用于评估行走（调节因素）。与不走路的患者相比，走路的患者疲劳和疼痛灾难化的评分较低。行走调节了沉思与疲劳之间的关系（β=0.16，t=1.96，=0.049）和放大与疲劳之间的关系（β=0.22，t=21.83，=0.047）。无助感对疲劳既没有直接影响，也没有交互作用。然而，只有在走路的患者中，更高的沉思和放大与更高的疲劳有关。因此，为了促进行走的依从性并降低灾难化对疲劳的影响，似乎有必要在行走的患者中管理沉思和放大。
