Fibromyalgia as a Heterogeneous Condition: Subgroups of Patients Based on Physical Symptoms and Cognitive-Affective Variables Related to Pain
Fibromyalgia (FM) is a chronic syndrome characterized by heterogeneous clinical manifestations, and knowing this variability can help to develop tailored treatments. To understand better the heterogeneity of FM the present cross-sectional study analyzed the role of several physical symptoms (pain, f...
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| Veröffentlicht in: | The Spanish journal of psychology 2021, Vol.24, p.e33-e33, Article e33 |
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| creator | Martínez, M. Pilar Sánchez, Ana I. Prados, Germán Lami, María J. Villar, Beatriz Miró, Elena |
| description | Fibromyalgia (FM) is a chronic syndrome characterized by heterogeneous clinical manifestations, and knowing this variability can help to develop tailored treatments. To understand better the heterogeneity of FM the present cross-sectional study analyzed the role of several physical symptoms (pain, fatigue and poor sleep quality) and cognitive-affective variables related to pain (pain catastrophizing, pain vigilance, self-efficacy in pain management, and pain acceptance) in the configuration of clinical profiles. A sample of 161 women with FM fulfilled an interview and several self-report measures to explore physical symptoms, cognitive-affective variables, disability and psychopathology. To establish FM groups a hierarchical cluster analysis was performed. The findings revealed three clusters that differed in the grouping variables, Wilks’ λ = .17, F(14, 304) = 31.50, p < .001, ηp2
= .59. Group 1 (n = 72) was characterized by high physical and psychological affectation, Group 2 (n = 19) by low physical affectation and high pain self-efficacy, and Group 3 (n = 70) by moderate physical affectation and low pain catastrophizing. The external validation of the clusters was confirmed, Wilks’ λ = .72, F(4, 314) = 14.09, p < .001, ηp2
= .15, showing Group 1 the highest levels of FM impact and psychopathological distress. Considering the distinctive clinical characteristics of each subgroup therapeutic strategies addressed to the specific needs of each group were suggested. Assessing FM profiles may be key for a better understanding and approach of this syndrome. |
| doi_str_mv | 10.1017/SJP.2021.30 |
| format | Article |
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= .59. Group 1 (n = 72) was characterized by high physical and psychological affectation, Group 2 (n = 19) by low physical affectation and high pain self-efficacy, and Group 3 (n = 70) by moderate physical affectation and low pain catastrophizing. The external validation of the clusters was confirmed, Wilks’ λ = .72, F(4, 314) = 14.09, p < .001, ηp2
= .15, showing Group 1 the highest levels of FM impact and psychopathological distress. Considering the distinctive clinical characteristics of each subgroup therapeutic strategies addressed to the specific needs of each group were suggested. Assessing FM profiles may be key for a better understanding and approach of this syndrome.</description><identifier>ISSN: 1138-7416</identifier><identifier>EISSN: 1988-2904</identifier><identifier>DOI: 10.1017/SJP.2021.30</identifier><identifier>PMID: 34002687</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Anxiety ; Biomarkers ; Catastrophic reactions ; Chronic fatigue syndrome ; Chronic pain ; Clinical and Health Psychology ; Cluster analysis ; Comorbidity ; Disability ; Fatigue ; Fibromyalgia ; Mental depression ; Patients ; Personality ; Physical symptoms ; Psychological distress ; Psychology ; Psychopathology ; Self report ; Self-efficacy ; Sleep ; Treatment methods ; Variables ; Vigilance ; Women</subject><ispartof>The Spanish journal of psychology, 2021, Vol.24, p.e33-e33, Article e33</ispartof><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid</rights><rights>The Author(s), 2021. Published by Cambridge University Press on behalf of Universidad Complutense de Madrid and Colegio Oficial de Psicólogos de Madrid. This work is licensed under the Creative Commons Attribution – Non-Commercial – No Derivatives License http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-50bdc66b0df73aec31675985bba0efcdcb1ddfe5f5ce6c2ecb44cfc3cc7aaf23</citedby><cites>FETCH-LOGICAL-c392t-50bdc66b0df73aec31675985bba0efcdcb1ddfe5f5ce6c2ecb44cfc3cc7aaf23</cites><orcidid>0000-0001-8858-8416 ; 0000-0001-9601-8085 ; 0000-0002-0014-6355 ; 0000-0002-4832-2506 ; 0000-0002-2224-7632</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S1138741621000305/type/journal_article$$EHTML$$P50$$Gcambridge$$Hfree_for_read</linktohtml><link.rule.ids>164,314,778,782,4012,27910,27911,27912,55615</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34002687$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Martínez, M. Pilar</creatorcontrib><creatorcontrib>Sánchez, Ana I.</creatorcontrib><creatorcontrib>Prados, Germán</creatorcontrib><creatorcontrib>Lami, María J.</creatorcontrib><creatorcontrib>Villar, Beatriz</creatorcontrib><creatorcontrib>Miró, Elena</creatorcontrib><title>Fibromyalgia as a Heterogeneous Condition: Subgroups of Patients Based on Physical Symptoms and Cognitive-Affective Variables Related to Pain</title><title>The Spanish journal of psychology</title><addtitle>Span. J. Psychol</addtitle><description>Fibromyalgia (FM) is a chronic syndrome characterized by heterogeneous clinical manifestations, and knowing this variability can help to develop tailored treatments. To understand better the heterogeneity of FM the present cross-sectional study analyzed the role of several physical symptoms (pain, fatigue and poor sleep quality) and cognitive-affective variables related to pain (pain catastrophizing, pain vigilance, self-efficacy in pain management, and pain acceptance) in the configuration of clinical profiles. A sample of 161 women with FM fulfilled an interview and several self-report measures to explore physical symptoms, cognitive-affective variables, disability and psychopathology. To establish FM groups a hierarchical cluster analysis was performed. The findings revealed three clusters that differed in the grouping variables, Wilks’ λ = .17, F(14, 304) = 31.50, p < .001, ηp2
= .59. Group 1 (n = 72) was characterized by high physical and psychological affectation, Group 2 (n = 19) by low physical affectation and high pain self-efficacy, and Group 3 (n = 70) by moderate physical affectation and low pain catastrophizing. The external validation of the clusters was confirmed, Wilks’ λ = .72, F(4, 314) = 14.09, p < .001, ηp2
= .15, showing Group 1 the highest levels of FM impact and psychopathological distress. Considering the distinctive clinical characteristics of each subgroup therapeutic strategies addressed to the specific needs of each group were suggested. 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Pilar</au><au>Sánchez, Ana I.</au><au>Prados, Germán</au><au>Lami, María J.</au><au>Villar, Beatriz</au><au>Miró, Elena</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fibromyalgia as a Heterogeneous Condition: Subgroups of Patients Based on Physical Symptoms and Cognitive-Affective Variables Related to Pain</atitle><jtitle>The Spanish journal of psychology</jtitle><addtitle>Span. J. Psychol</addtitle><date>2021</date><risdate>2021</risdate><volume>24</volume><spage>e33</spage><epage>e33</epage><pages>e33-e33</pages><artnum>e33</artnum><issn>1138-7416</issn><eissn>1988-2904</eissn><abstract>Fibromyalgia (FM) is a chronic syndrome characterized by heterogeneous clinical manifestations, and knowing this variability can help to develop tailored treatments. To understand better the heterogeneity of FM the present cross-sectional study analyzed the role of several physical symptoms (pain, fatigue and poor sleep quality) and cognitive-affective variables related to pain (pain catastrophizing, pain vigilance, self-efficacy in pain management, and pain acceptance) in the configuration of clinical profiles. A sample of 161 women with FM fulfilled an interview and several self-report measures to explore physical symptoms, cognitive-affective variables, disability and psychopathology. To establish FM groups a hierarchical cluster analysis was performed. The findings revealed three clusters that differed in the grouping variables, Wilks’ λ = .17, F(14, 304) = 31.50, p < .001, ηp2
= .59. Group 1 (n = 72) was characterized by high physical and psychological affectation, Group 2 (n = 19) by low physical affectation and high pain self-efficacy, and Group 3 (n = 70) by moderate physical affectation and low pain catastrophizing. The external validation of the clusters was confirmed, Wilks’ λ = .72, F(4, 314) = 14.09, p < .001, ηp2
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| subjects | Anxiety Biomarkers Catastrophic reactions Chronic fatigue syndrome Chronic pain Clinical and Health Psychology Cluster analysis Comorbidity Disability Fatigue Fibromyalgia Mental depression Patients Personality Physical symptoms Psychological distress Psychology Psychopathology Self report Self-efficacy Sleep Treatment methods Variables Vigilance Women |
| title | Fibromyalgia as a Heterogeneous Condition: Subgroups of Patients Based on Physical Symptoms and Cognitive-Affective Variables Related to Pain |
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