Relationships Among Affect, Emotional Distress, and Physical Health Status in Fibromyalgia

Authors

  • Paula J. Oliveira Psychology Centre of University of Porto, Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal
  • Maria Emília Costa Psychology Centre of University of Porto, Faculty of Psychology and Educational Sciences, University of Porto, Porto, Portugal

DOI:

https://doi.org/10.12970/2310-9874.2013.01.01.3

Keywords:

 Negative affect, positive affect, physical health status, emotional distress, fibromyalgia.

Abstract

Our main goal was to examine in a sample of female patients with fibromyalgia the associations among negative affect, positive affect, physical health status, and emotional distress. Moreover, we intended to determine whether emotional distress acts as a mediator between negative affect and physical health status, as well as between positive affect and physical health status. Results have shown that a lower physical health status is associated to higher levels of negative affect, emotional distress, and lower levels of positive affect. Furthermore, we have found support for the mediating role of emotional distress between negative affect and physical health status. On the other hand, the relationship between positive affect and physical health status was only partially mediated by emotional distress. Implications and future directions are discussed.

References

Wolfe F, Smythe H, Yunus M, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia: report of the multicenter criteria committee. Arthritis Rheum 1990; 33(2): 160-72. http://dx.doi.org/10.1002/art.1780330203

Wilke W. New developments in the diagnosis of fibromyalgia syndrome: Say goodbye to tender points? Cleve Clin J Med 2009; 76(6): 345-52. http://dx.doi.org/10.3949/ccjm.76a.08062

Wolfe F, Claw D, Fitzcharles M, et al. The American College of Rheumatology preliminary diagnostic criteria for fibromyalgia and measurement of symptom severity. Arthritis Care Res 2010; 62(5): 600-10. http://dx.doi.org/10.1002/acr.20140

Da Costa D, Dobkin P, Fitzcharles M, et al. Determinants of health status in fibromyalgia: A comparative study with systemic lupus erythematosus. J Rheumatol 2000; 27: 365-72.

Martinez J, Barauna-Filho I, Kubokawa K, Pedreira I, Machado L, Cevasco G. Evaluation of the quality of life in Brazilian women with fibromyalgia, through the medical outcome survey 36 item short-form study. Disabil Rehabil 2001; 23(2): 64-68. http://dx.doi.org/10.1080/769983632

Neumann L, Berzak A, Buskila D. Measuring health status in Israeli patients with fibromyalgia syndrome and widespread pain and healthy individuals: Utility of the Short Form 36-Item Health Survey (SF-36). Semin Arthritis Rheum 2000; 29(6): 400-8. http://dx.doi.org/10.1053/sarh.2000.7171

Oliveira P, Monteiro P, Coutinho M, Salvador MJ, Costa ME, Malcata A. Qualidade de vida e vivência da dor crónica nas doenças reumáticas [Health-related quality of life and chronic pain experience in rheumatic diseases]. Acta Reumatol Port 2009; 34: 511-19.

Quartilho M. Fibromialgia: Consenso e controvérsia [Fibromyalgia: Consensus and controversies]. Acta Reumatol Port 2004; 29: 111-29.

Tüzün E, Albayrak G, Eker L, Sözay S, Daskapan A. A comparison study of quality of life in women with fibromyalgia and myofascial pain syndrome. Disabil Rehabil 2004; 26(4): 198-202. http://dx.doi.org/10.1080/09638280310001639696

Oliveira P, Costa ME. Psychosocial factors in fibromyalgia: A qualitative study on life stories and meanings of living with fibromyalgia. In: Wilke W, Ed. New Insights into Fibromyalgia. Rijeka: InTech 2011; pp. 59-76.

IASP Task Force on Taxonomy. Part III: Pain Terms, A current list with definitions and notes on usage. In: Merskey H, Bogduk N, Eds. Classification of chronic pain. 2nd ed. Seattle: IASP Press 1994; pp. 209-14.

Watson D, Pennebaker J. Health complaints, stress and distress: Exploring the central role of negative affectivity. Psychol Rev 1989; 96(2): 234-54. http://dx.doi.org/10.1037/0033-295X.96.2.234

Feeney J, Ryan S. Attachment style and affect regulation: Relationships with health behavior and family experiences of illness in a student sample. Health Psychol 1994; 13(4): 334-45. http://dx.doi.org/10.1037/0278-6133.13.4.334

Zautra A, Johnson L, Davis M. Positive affect as a source of resilience for women in chronic pain. J Consult Clin Psychol 2005; 73(2): 212-20. http://dx.doi.org/10.1037/0022-006X.73.2.212

Davis M, Zautra A, Smith B. Chronic pain, stress, and the dynamics of affective differentiation. J Pers 2004; 72(6): 1133-60. http://dx.doi.org/10.1111/j.1467-6494.2004.00293.x

Hassett A, Simonelli L, Radvanski D, Savage S, Sigal L. The role of affect balance in patients with fibromyalgia. Ann Rheum Dis 2007; 66(Suppl II): 426.

Davis M, Zautra A, Reich J. Vulnerability to stress among women in chronic pain from fibromyalgia and osteoarthritis. Ann Behav Med 2001; 23(3): 215-26. http://dx.doi.org/10.1207/S15324796ABM2303_9

Zautra A, Fasman R, Reich J, et al. Fibromyalgia: Evidence for deficits in positive affect regulation. Psychosom Med 2005; 67: 147-55. http://dx.doi.org/10.1097/01.psy.0000146328.52009.23

Cohen H, Neumann L, Haiman Y, Matar M, Press J, Buskila D. Prevalence of post-traumatic stress disorder in fibromyalgia patients: Overlapping syndromes or post-traumatic fibromyalgia syndrome? Semin Arthritis Rheum 2002; 32(1): 38-50. http://dx.doi.org/10.1053/sarh.2002.33719

Conte P, Walco G, Kimura Y. Temperament and stress response in children with juvenile primary fibromyalgia syndrome. Arthritis Rheum 2003; 48(10): 2923-30. http://dx.doi.org/10.1002/art.11244

Epstein S, Kay G, Claw D, et al. Psychiatric disorders in patients with fibromyalgia. A multicenter investigation. Psychosomatics 1999; 40(1): 57-63. http://dx.doi.org/10.1016/S0033-3182(99)71272-7

Berber J, Kupek E, Berber S. Prevalência de depressão e sua relação com a qualidade de vida em pacientes com síndrome da fibromialgia [Prevalence of depression and its relationship with health-related quality of life in fibromyalgia syndrome patients]. Rev Bras Reumatol 2005; 45(2): 47-54. http://dx.doi.org/10.1590/S0482-50042005000200002

Oliveira P, Costa ME. Psychosocial predictors of health status in fibromyalgia: A comparative study with rheumatoid arthritis. J Pain Manag 2009; 2(2): 135-44.

Tennen H, Affleck G, Zautra A. Depression history and coping with chronic pain: A daily process analysis. Health Psychol 2006; 25(3): 370-79. http://dx.doi.org/10.1037/0278-6133.25.3.370

Thieme K, Turk D, Flor H. Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial variables. Psychosom Med 2004; 66: 837-44. http://dx.doi.org/10.1097/01.psy.0000146329.63158.40

Watson D, Clark L, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol 1988; 54(6): 1063-70. http://dx.doi.org/10.1037/0022-3514.54.6.1063

Centre for Health Studies and Research (UC). Portuguese Second Version of Medical Outcomes Study 36-item Short Form Health (SF-36V.2). Portugal, Coimbra: Centre Health Stud Res 1997.

Ferreira P. Criação da versão portuguesa do MOS SF-36. Parte I – Adaptação cultural e linguística [Portuguese version of MOS SF-36. Part I – Linguistic and cultural adaptation]. Acta Med Port 2000; 13: 55-66.

Canavarro MC. Inventário de sintomas psicopatológicos – BSI [Brief Symptom Inventory – BSI]. In: Simões MR, Gonçalves MM, Almeida LS, Eds. Testes e provas psicológicas em Portugal [Psychological tests in Portugal] (Vol.2). Braga: APPORT/SHO 1999; pp. 95-109.

Baron R, Kenny D. The moderator-mediator variable distinction in social psychological research: Conceptual, strategic and statistical considerations. J Pers Soc Psychol 1986; 51(6): 1173-82. http://dx.doi.org/10.1037/0022-3514.51.6.1173

Frazier P, Tix A, Barron K. Testing moderator and mediator effects in counseling psychology research. J Couns Psychol 2004; 51: 115-34. http://dx.doi.org/10.1037/0022-0167.51.1.115

Oliveira P, Costa ME. Interrelationships of adult attachment orientations, health status, and worrying among fibromyalgia patients. J Health Psychol 2009; 14(8): 1184-95. http://dx.doi.org/10.1177/1359105309342471

Quartilho M. Dor crónica: Aspectos psicológicos, sociais e culturais [Chronic pain: Psychological, social, and cultural dimensions]. Acta Reum Port 2001; 26: 255-62.

Sayar K, Gulec H, Topbas M, Kalyoncu A. Affective distress and fibromyalgia. Swiss Med Wkly 2004; 134: 248-53.

Walker E, Keegan D, Gardner G, Sullivan M, Katon M, Bernstein D. Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: I. Psychiatric diagnoses and functional disability. Psychosom Med 1997; 59(6): 565-71.

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Published

2013-02-02

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