Study Group on Chronic Pain (NEDoC), Laboratory of Research on Electrophysical Agents (LAREF), Physical Therapy Department, Universidade Federal de São Carlos, Rodovia Washington Luís, Km 235, São Carlos, SP, 13565-905, Brazil.
Department of Nursing, Pharmacology and Physiotherapy, University of Cordoba, Cordoba, Spain.
Rheumatol Int. 2023 Sep;43(9):1705-1721. doi: 10.1007/s00296-023-05374-7. Epub 2023 Jun 19.
To investigate biopsychosocial variables that contribute to explaining social support, self-care, and fibromyalgia knowledge in patients with fibromyalgia. A cross-sectional study. We built ten models of predictive variables (schooling, ethnicity, associated diseases, body regions affected by pain, employment status, monthly income, marital status, health level, medication, sports activities, interpersonal relationships, nutrition level, widespread pain, symptom severity, cohabitation, dependent people, number of children, social support, self-care, and fibromyalgia knowledge) and individually tested their explanatory performance to predict mean scores on the Fibromyalgia Knowledge Questionnaire (FKQ), Medical Outcomes Study's Social Support Scale (MOS-SSS), and Appraisal of Self-Care Agency Scale-Revised (ASAS-R). We used analysis of variance to verify the association among all variables of mathematically adjusted models (F-value ≥ 2.20) and we reported only models corrected with p < 0.05 and R > 0.20. One hundred and ninety people with fibromyalgia (aged 42.3 ± 9.7 years) participated in the study. Our results show that the variables schooling, ethnicity, body regions affected by pain, frequency of sports activities, dependent people, number of children, widespread pain, social support, and self-care determine 27% of the mean FKQ scores. Marital status, self-care, and fibromyalgia knowledge determine 22% of mean MOS-SSS scores. Schooling, ethnicity, employment status, frequency of sports activities, nutrition level, cohabitation, number of children, social support, and fibromyalgia knowledge determine 30% of the mean ASAS-R scores. Studies using mean scores of social support, self-care, and fibromyalgia knowledge should collect and analyze the social variables described in the present study.
调查能解释社会支持、自我护理和纤维肌痛知识的生物心理社会变量在纤维肌痛患者中的作用。一项横断面研究。我们构建了十个预测变量(教育程度、种族、伴发疾病、受疼痛影响的身体部位、就业状况、月收入、婚姻状况、健康水平、药物治疗、运动活动、人际关系、营养水平、广泛疼痛、症状严重程度、同居、依赖他人、子女数量、社会支持、自我护理和纤维肌痛知识)的模型,并单独测试了它们对预测纤维肌痛知识问卷(FKQ)、医疗结局研究社会支持量表(MOS-SSS)和修订后的自我护理能力评估量表(ASAS-R)平均得分的解释能力。我们使用方差分析来验证所有经数学调整模型的变量之间的相关性(F 值≥2.20),并且仅报告了经过校正的 p<0.05 和 R>0.20 的模型。190 名纤维肌痛患者(年龄 42.3±9.7 岁)参与了这项研究。我们的结果表明,教育程度、种族、受疼痛影响的身体部位、运动活动频率、依赖他人、子女数量、广泛疼痛、社会支持和自我护理是 FKQ 平均得分的 27%的决定因素。婚姻状况、自我护理和纤维肌痛知识决定了 MOS-SSS 平均得分的 22%。教育程度、种族、就业状况、运动活动频率、营养水平、同居、子女数量、社会支持和纤维肌痛知识决定了 ASAS-R 平均得分的 30%。使用社会支持、自我护理和纤维肌痛知识的平均得分的研究应该收集和分析本研究中描述的社会变量。