Speaker
Description
Background
Fibromyalgia is characterized by chronic, widespread pain that is often accompanied by fatigue, sleep disturbances, and cognitive and mood impairment. Pain is a complex and multidimensional experience that significantly impacts personal, social, and professional functioning. Psychological factors known to be associated with chronic pain include catastrophizing and self-efficacy in managing the painful condition.
This study examines the influence of chronic pain and related psychological factors on functional outcomes in fibromyalgia patients.
Methods
91 Italian patients with fibromyalgia were examined using an online questionnaire including instruments such as the Numerical Rating Scale (NRS), the Brief Pain Inventory (BPI), the Pain Self-Efficacy Questionnaire (PSEQ), the Pain Catastrophizing Scale (PCS), and the 12-item Short Form Survey (SF-12) questionnaire.
Multiple regression models were conducted, using the Interference subscale of the BPI and the physical and mental components of the SF-12 as outcomes, and the NRS, PCS and PSEQ scales as predictors.
Results
In our models, both PCS and PSEQ were significant predictors of BPI-Interference (PCS: β=.29; p=.001; PSEQ: β=-.36; p<.001); NRS and PSEQ significantly predicted SF-12-Physical score (NRS: β=-.32; p=<.001; PSEQ: β=.50; p<.001); PCS was found to be the only significant predictor of SF-12-Mental scores (β=-0.53; p<.001).
Conclusions
Psychological dimensions such as catastrophic thinking and self-efficacy have been shown to play a critical role in determining the daily functioning and health status of fibromyalgia patients, independent of the impact of pain intensity.
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