Browsing by Subject "Fibromyalgia"

Now showing 1 - 7 of 7
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    Cognitive impairment in fibromyalgia syndrome: Associations with positive and negative affect, alexithymia, pain catastrophizing and self-esteem
    (Frontiers Media, 2018-03-22) Galvez-Sánchez, Carmen María; Reyes del Paso, Gustavo A.; Duschek, Stefan; Personalidad, Evaluación y Tratamiento Psicológicos
    Fibromyalgia syndrome (FMS) is a chronic condition characterized by widespread pain accompanied by symptoms like depression, anxiety, sleep disturbance and fatigue. In addition, affected patients frequently report cognitive disruption such as forgetfulness, concentration difficulties or mental slowness. Though cognitive deficits in FMS have been confirmed in various studies, not much is known about the mechanisms involved in their origin. This study aimed to investigate the contribution of affect-related variables to cognitive impairments in FMS. For this purpose, 67 female FMS patients and 32 healthy control subjects completed a battery of cognitive tests measuring processing speed, attention, visuospatial and verbal memory, cognitive flexibility and planning abilities. In addition, participants completed self-report questionnaires pertaining to positive and negative affect, alexithymia, pain catastrophizing and self-esteem. Clinical characteristics including pain severity, symptoms of depression and anxiety, insomnia and fatigue were also assessed. FMS patients showed markedly poorer performance than healthy controls in all of the cognitive domains assessed, in addition to greater levels of depression, anxiety, negative affect, alexithymia and pain catastrophizing, and lower self-esteem and positive affect. In exploratory correlation analysis in the FMS sample, lower cognitive performance was associated with higher pain severity, depression, anxiety, negative affect, alexithymia and pain catastrophizing, as well as lower self-esteem and positive affect. However, in regression analyses, pain, self-esteem, alexithymia, and pain catastrophizing explained the largest portion of the variance in performance. While interference effects of clinical pain in cognition have been previously described, the present findings suggest that affective factors also substantially contribute to the genesis of cognitive impairments. They support the notion that affective disturbances form a crucial aspect of FMS pathology, whereas strategies aiming to improve emotional regulation may be a beneficial element of psychological therapy in the management of FMS.
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    La cronicidad de la fibromialgia. Una revisión de la literatura
    (Murcia: Servicio de Publicaciones de la Universidad de Murcia, 2014) Triviño Martínez, Ángeles; Solano Ruiz, Mª Carmen; Siles González, José
    La fibromialgia (FM) se caracteriza por ser una enfermedad crónica de etiología desconocida con múltiples consecuencias tanto para la persona que la padece como para su familia y su propio entorno social y laboral. El objetivo de este trabajo se centra en recopilar las experiencias y vivencias de las personas que padecen fibromialgia. Para ello se ha realizado una revisión bibliográfica donde se han seleccionado artículos con una metodología de carácter cualitativo publicados durante el período 2005 a 2012 en las siguientes bases de datos: Pubmed, IME, CUIDEN y CINAHL. Igualmente en las revistas Scielo, Index de enfermería, Journal Advanced Nursing y Journal Clinical Nursing. Tras la revisión bibliográfica 42 artículos fueron seleccionados por cumplir los criterios de inclusión donde se identifican los siguientes temas claves: diagnóstico de la enfermedad, tratamiento, la enfermedad y el dolor, alteración del sueño, la fatiga, deterioro cognitivo, impacto laboral, impacto emocional, necesidades y demandas de los pacientes hacia los profesionales sanitarios, vivencia de la enfermedad y búsqueda de ayuda e información. Los pacientes no son escuchados en el principio de su enfermedad, son considerados enfermos con trastornos psicológicos lo que les ocasiona incertidumbre y una estigmatización social. El punto de Enfermería Global Nº 35 Julio 2014 Página 274 inflexión es recibir un diagnóstico firme, a partir de aquí la persona podrá elaborar estrategias de afrontamiento durante su proceso. Los síntomas más importantes asociados a la enfermedad son el dolor, la fatiga, la alteración del sueño y el deterioro cognitivo que repercutirán en sus actividades a nivel social y laboral.
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    Cuidados de enfermería a los pacientes con fibromialgia.
    (Murcia : Servicio de Publicaciones de la Universidad de Murcia, 2010) Rodríguez Muñiz, R.M.; Orta González, M.A.; Amashta Nieto, L.
    A través de nuestra actividad diaria en el centro de salud hemos detectado una demanda creciente de pacientes que acuden a las consultas de medicina de familia, de enfermería, y de trabajo social, solicitando ayuda ante su situación de salud, mermada por la fibromialgia (FM). Los pacientes con FM se enfrentan al desconocimiento del síndrome por parte de la sociedad y de los profesionales sanitarios. Ante esta problemática, las enfermeras del Centro de Salud, nos hemos planteado el objetivo de diseñar una actividad educativa para que los profesionales sanitarios puedan actualizar sus conocimientos sobre este síndrome de dolor crónico y para promover entre estos pacientes la adquisición de conocimientos, habilidades y actitudes para poder comprender y aceptar la enfermedad, favorecer la comunicación, enseñar a vivir saludablemente, y fomentar el asociacionismo. Hemos de actuar sobre ellos de forma individual, con una valoración personalizada, y de manera colectiva, con la realización de talleres de relajación, actividad física, autoestima, higiene postural e intervención psicológica. Como metodología utilizaremos tanto las exposiciones teóricas como el método interrogativo y las dinámicas grupales. Esperamos dar a conocer las distintas intervenciones para el manejo de la FM, sobre todo, aquellas que tienen una evidencia fuerte de eficacia. Y a partir de ahora, para trabajar con estos pacientes, vamos a disponer de un Plan de Cuidados Estandarizados para pacientes con FM.
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    Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia
    (Elsevier, 2020-03-15) Galvez-Sánchez, Carmen María; Montoro, Casandra; Duschek, Stefan; Reyes del Paso, Gustavo A.; Personalidad, Evaluación y Tratamiento Psicológicos
    Background: Fibromyalgia syndrome (FMS) is a chronic pain condition associated with a substantial decrease in health-related quality of life (HRQoL). This study investigated the relationships of HRQoL with clinical parameters of FMS (pain, insomnia and fatigue) and affective variables (depression and anxiety). Methods: Women with FMS (n=145) and healthy women (n=94) completed the Short-Form Health Survey (SF-36) to evaluate HRQoL, and self-report questionnaires pertaining to clinical pain, symptoms of anxiety and depression, fatigue and insomnia. Patterns of associations were assessed by correlation, multiple linear regression, and mediation analyses. Results: FMS patients showed lower scores on all SF-36 scales than healthy individuals. Clinical and emotional factors were inversely associated with SF-36 scores. Although depression was the strongest predictor of global HRQoL (explaining 36% of its variance), clinical pain and fatigue were the main predictors of physical components of HRQoL; depression and trait-anxiety were the main predictors of mental HRQoL components. Results of mediation analysis showed that depression, trait-anxiety and fatigue mediated the effect of clinical pain on HRQoL. Additionally, depression, trait-anxiety and fatigue mutually influenced each other, increasing their negative effects on the different areas of HRQoL. Conclusions: Our results suggest that FMS pain and related functional disability may increase depression and anxiety, in turn aggravating the primary symptoms of FMS and indirectly increasing the negative influence of pain on HRQoL. These results showed the need to evaluate and treat negative affective states in FMS.
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    Reliability, Factor Structure and Predictive Validity of the Widespread Pain Index and Symptom Severity Scales of the 2010 American College of Rheumatology Criteria of Fibromyalgia
    (MDPI, 2020-07-31) Galvez-Sánchez, Carmen María; De la Coba, Pablo; Duschek, Stefan; Reyes del Paso, Gustavo A.; Personalidad, Evaluación y Tratamiento Psicológicos
    Fibromyalgia syndrome (FMS) is a chronic condition of widespread pain. In 2010, the American College of Rheumatology (ACR) proposed new diagnostic criteria for FMS based on two scales: the Widespread Pain Index (WPI) and Symptoms Severity (SS) scale. This study evaluated the reliability, factor structure and predictive validity of WPI and SS. In total, 102 women with FMS and 68 women with rheumatoid arthritis (RA) completed the WPI, SS, McGill Pain Questionnaire, Trait Anxiety Inventory, Fatigue Severity Scale, Oviedo Quality of Sleep Questionnaire, and Beck Depression Inventory. Pain threshold and tolerance and a measure of central sensitization to pain were obtained by pressure algometry. Values on WPI and SS showed negative-skewed frequency distributions in FMS patients, with most of the observations concentrated at the upper end of the scale. Factor analysis did not reveal single-factor models for either scale; instead, the WPI was composed of nine pain-localization factors and the SS of four factors. The Cronbach’s α (i.e., Internal consistency) was 0.34 for the WPI,0.83 for the SS and 0.82 for the combination of WPI and SS. Scores on both scales correlated positively with measures of clinical pain, fatigue, insomnia, depression, and anxiety but were unrelated to pain threshold and tolerance or central pain sensitization. The 2010 ACR criteria showed 100% sensitivity and 81% specificity in the discrimination between FMS and RA patients, where discrimination was better for WPI than SS. In conclusion, despite their limited reliability, both scales allow for highly accurate identification and differentiation of FMS patients. The inclusion of more painful areas in the WPI and of additional symptoms in the SS may reduce ceiling effects and improve the discrimination between patients differing in disease severity. In addition, the use of higher cut-off values on both scales may increase the diagnostic specificity in Spanish samples.
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    Social costs associated with fibromyalgia in Spain
    (BMC, 2024-07-13) Oliva-Moreno, J.; Vilaplana Prieto, Cristina; Fundamentos del Análisis Económico
    Background: Fibromyalgia is a chronic rheumatic disease of unknown aetiology, highly disabling and mainly afecting women. The aim of our work is to estimate, on a national scale, the economic impact of this disease on the employment of patients and nonprofessional (informal) care dimension. Methods: Survey on Disabilities, Autonomy and Dependency carried out in Spain in 2020/21 was used to obtain information on disabled individuals with AD and their informal caregivers. Six estimation scenarios were defned as base case, depending on whether the maximum daily informal caregiving time was censored or not, and on the approach chosen for the valuation of informal caregiving time (contingent valuation and replacement time). Another six conservative scenarios were developed using the minimum wage for the estimation of labour losses. Results: Our estimates range from 2,443.6 (willingness to pay, censored informal care time) to 7,164.8 million euros (replacement cost, uncensored informal care time) (base year 2021). Multivariate analyses identifed that the degree of dependency of the person sufering from fbromyalgia is the main explanatory variable for both the probability of being employed and the time spent in informal care. Conservative scenarios estimates range from 1,807 to 6,528 million euros. Conclusions: The high economic impact revealed should help to position a health problem that is relatively unknown in society and for which there are signifcant research and care gaps to be flled.
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    The effect of physical therapy rehabilitation on fatigue and pain in female patients with fibromyalgia
    (Universidad de Murcia: servicio de publicaciones, 2024) Abdelaziz, Nada Gamal; Ramzy, Gehan Mahmoud; Fayed, Hala Lotfy; Ahmed, Sara M; Ahmed, Gehan Mousa
    This study aimed to examine the impact of physical therapy rehabilitation program on fatigue, pain and quality of life in female patients with fibromyalgia. Itwas designed as a single-blinded, randomized, pre and post-test controlled trial. Eighty female patients, aged 25 to 45, diagnosed with fibromyalgia were selected from the Kasr Al Ainyrheumatology outpatient clinic. The participants were allocated into two equal groups using a randomization procedure. Group (A) (control group, n=40) received transcutaneous electric nerve stimulation (TENS), moist heat, core muscle retraining, and manual therapy for trigger points, 3 times/week, for 4 weeks. Group (B) (study group, n=40) received the same treatments as Group A, plusaerobic exercises, flexibility exercises, and cognitive behavioural therapy (CBT), 3 times/week, for 4 weeks.Both groups were assessed before and after treatment using the Fatigue Severity Scale (FSS) and the Fibromyalgia Impact Questionnaire (FIQ). Statistically significant improvements were observed in FSS and FIQ scores for both groups post-treatment (p<0.05).When the two groups were compared after therapy, the study group (B) showed significantly greater improvement in FSS and FIQ(p<0.05). These findings suggest that physica therapy rehabilitation can effectively reduce fatigue, pain, and improve the quality of life for women with fibromyalgia