Examinando por Autor "Blanco, Sheila"

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Does the Rural Environment Influence Symptomatology and Optimize the Effectiveness of Disease Acceptance? A Study Among Women With Fibromyalgia
(Frontiers Media, 2021-04-29) Catalá Mesón, Patricia; Blanco, Sheila; Perez-Calvo, Soledad; Luque-Reca, Octavio; Bedmar, Dolores; Peñacoba, Cecilia
The present study aims to explore whether the symptoms associated with fibromyalgia are contextually influenced by the area of residence (rural/urban). Furthermore, it is analyzed whether the effect of the acceptance of the disease on the emotional, cognitive and physical symptoms is moderated by the patients’ place of residence. Using a cross-sectional design, a total of 234 women with fibromyalgia (mean age = 56.91 years; SD = 8.94) were surveyed, of which 55.13% resided in rural areas and 44.87% in urban areas. Self-reported questionnaires were used to assess pain severity, anxiety and depression, functional limitation, physical and mental fatigue and acceptance of the disease. The results show significant differences in acceptance (p = 0.040), pain (p < 0.001), and physical and mental fatigue (p = 0.003 and p = 0.004, respectively) between patients from rural and urban areas. The rural area patients presented higher levels of acceptance and pain and lesser levels of physical and mental fatigue compared to the urban area. The moderation analysis add that, only in patients from the rural area, the variables of physical symptoms (pain, functional limitation, and physical fatigue) were significantly and negatively associated with acceptance. This study addresses for the first time the role of the place of residence in suffering from fibromyalgia, suggesting that the rural or urban environment plays a relevant role in the severity and/or management of symptoms in fibromyalgia women. Limitations and practical implications are also discussed.
Perfectionism, maladaptive beliefs and anxiety in women with fibromyalgia. An explanatory model from the conflict of goals
(Elsevier, 2021) Gutierrez, Lorena; Velasco, Lilian; Blanco, Sheila; Catala, Patricia; Pastor-Mira, María Ángeles; Peñacoba, Cecilia
Fibromyalgia (FM) patients are known to be highly demanding of themselves in achieving goals. In fact, some authors suggest that perfectionism influences maladaptive coping regarding health and hinders routine tasks. Despite the evidence about the anxiety caused by this demanding pattern and the difficulty it creates in dealing with the conflict between goals, to date, there are no studies exploring the relationship between these psychological processes from motivational theories of pain. This study aims to explore the mediating role of pain catastrophizing and cognitive fusion between maladaptive perfectionism and anxiety among 230 FM women. Results found that pain catastrophizing and cognitive fusion contribute to the negative effect of maladaptive perfectionism on anxiety. These results can be interpreted from motivational theories of pain (conflict of goals), allowing action guidelines for the personalization of treatments.