Examinando por Autor "Catalá, Patricia"

Mostrando 1 - 6 de 6

Is thought management a resource for functioning in women with fibromyalgia irrespective of pain levels?.
(Oxford University Press, 2021-02-17) Catalá, Patricia; Suso-Ribera, Carlos; Gutierrez, Lorena; Pérez, Soledad; López-Roig, Sofia; Peñacoba, Cecilia
Objective This study aimed to examine the relationship between cognitive factors (cognitive fusion and catastrophizing) and functional limitation experienced by patients with fibromyalgia across different levels of pain severity (i.e., moderation). Methods The sample comprised 226 women with fibromyalgia. Their mean age was 56.91 years (standard deviation = 8.94; range = 30 to 78 years). Results Pain severity, cognitive fusion, and all components of catastrophizing (i.e., rumination, magnification, and helplessness) contributed to greater fibromyalgia impact on functioning in the multivariate analyses (all P < 0.001). A moderation effect was also found in the relationship between cognitive fusion and fibromyalgia impact on functioning (B = –0.12, t = –2.42, P = 0.016, 95% confidence interval: –0.22 to –0.02) and between magnification and fibromyalgia impact (B = –0.37, t = –2.21, P = 0.028, 95% confidence interval: –0.69 to –0.04). This moderation was not observed for rumination and helplessness. Conclusions The results suggest that in interventions to improve functioning in people with fibromyalgia, some maladaptive forms of thought management (i.e., cognitive fusion and magnification) preferably should be challenged at milder levels of pain severity. According to our findings, cognitive fusion and magnification might have less room to impact functioning at higher levels of pain severity; therefore, rumination and helplessness, which had comparable associations with functioning irrespective of pain levels, would be preferable targets in psychological interventions in patients with fibromyalgia experiencing more severe pain levels.
Percepción del paciente y ejecución real de la marcha como ejercicio físico: una mirada a la autoeficacia como variable clave en la adherencia en pacientes con fibromialgia
(MDPI, 2023) Gutiérrez, Lorena; Lavín Pérez, Ana Myriam; Catalá, Patricia; Écija, Carmen; Collado-Mateo, Daniel; Gil Arias, Alexander; Peñacoba, Cecilia
Adherence to physical exercise is especially low in patients with fibromyalgia, and there is a tendency to overestimate its performance. This study explores the relationship between perceived and actual walking behavior in patients with fibromyalgia, including self-efficacy as a mediating variable. A prospective study with two time points (with one week between them) was carried out on 132 women diagnosed with fibromyalgia. Self-efficacy towards exercise was assessed at the first time point, and perceived intensity of physical activity and “objective” walking amount (accelerometer) in relation to the previous week were assessed at the second point. Physical and emotional symptoms and the consumption of drugs were also evaluated as covariates. The results show that perception of vigorous-intensity exercise was related to walking (accelerometer) (effort greater than 6 METs). This relationship was explained by the mediating effect of self-efficacy and was not interfered with either by the symptoms or by the consumption of drugs. High self-efficacy regarding physical exercise was directly related to walking behavior despite patients’ interpretation of this activity as a vigorous physical exercise. In intervention and rehabilitation programs, it would be interesting to take into account and promote the self-efficacy of patients in relation to physical exercise in order to maintain adherence to walking.
Resilience and Anxiety among Intensive Care Unit professionals during the COVID-19 pandemic
(Wiley, 2021) Gil, Fernanda; Carmona-Monge, Francisco Javier; Velasco, Lilian; García-Hedrera, Fernando Jose; Catalá, Patricia; Peñacoba, Cecilia
Background: The situation of the COVID-19 global pandemic has generated an unprecedented state of emergency worldwide that has had a psychological impact on health care workers working in the ICU and this has created the need to implement different psychological strategies. Aim: This study explores (a) the prevalence of symptoms associated with generalized anxiety disorder (GAD), (b) the relationship between GAD symptoms and resilience skills, and (c) which of the resilience skills were associated with a probable GAD among the ICU professionals during the COVID-19 pandemic. Study design: Cross-sectional survey design. Methods: We explored anxiety and resilience in 448 ICU health care workers using an online survey. Results: The participants showed high resilience levels and more than half of them presented symptoms consistent with a possible diagnosis of GAD. The GAD symptoms were more prevalent among women, nursing assistants, interns, staff who worked on rotation and health care workers who had to attend to more than 20 COVID patients. Significant negative correlations between resilience skills and GAD symptoms were found. The multiple regression analysis showed that resilience skills contribute to 14.4% of the variance for GAD symptoms. The binary logistic regression showed that the only skill that had a significant and negative predictive effect was “I usually take things in my stride” (OR = 0.774, 95% CI 0.67, 0.88; P = .000). This ability was the differentiating skill between professionals who equal or exceed the cut-off point established for the diagnosis of a probable GAD regarding those who do not. Conclusion: ICU professionals developed symptoms consistent with a possible diagnosis of GAD due to their exposure to extremely stressful circumstances. However, resilience skills acted as a protective factor. Relevance to clinical practice: The importance of incorporating programmes that mitigate these psychological effects and to promote adaptive coping styles during pandemics has become a need after what ICU professionals have gone through.
Revisiting the Mackey Childbirth Satisfaction Rating Scale: Spanish adaptation, factor analysis, and sources of construct validity
(Wiley, 2023) Suso-Ribera, Carlos; Catalá, Patricia; Carmona, Javier; Peñacoba-Puente, Cecilia
Background: Women's dissatisfaction with perinatal health care services is asso-ciated with poor postpartum outcomes for the mother and the baby. The Mackey Childbirth Satisfaction Rating Scale is a frequently used measure of women's childbirth satisfaction. However, its factor structure has been inconsistent across investigations. The goal of this study was to evaluate the psychometric properties of the scale (i.e., factor structure and sources of validity evidence).Methods: This study is a descriptive prospective investigation. Participants in-cluded 106 pregnant women (mean age = 31.86, SD =4.12) recruited from a pub-lic university hospital situated in South Madrid. Sources of construct validity of the Mackey were explored with the Women's View of Birth Labor Satisfaction Questionnaire. Sources of criterion validity were investigated with measures of pain (labor, delivery, and just after birth) and post-traumatic stress symptoms.Results: Minor adaptations in item distribution resulted in an adequate fit of the original six-factor solution of the Mackey scale (i.e., oneself, the partner, the baby, the nurse, the physician, and overall satisfaction). Sources of validity evidence supported the construct and criterion validity of the scale.Conclusions: Obtaining a psychometrically and conceptually sound factor solu-tion is fundamental when validating a scale. With the present study, researchers and clinicians (e.g., midwives) will be able to measure women's childbirth satis-faction in a more robust manner. Both antecedents and consequences of satisfac-tion were found to correlate with several satisfaction subscales, which might help guide prevention programs in mother care in a more efficient way.
Sedentary Behavior and Pain after Physical Activity in Women with Fibromyalgia-The Influence of Pain-Avoidance Goals and Catastrophizing.
(MDPI, 2023-01-07) Gutiérrez, Lorena; Écija, Carmen; Catalá, Patricia; Peñacoba, Cecilia
Background: Fibromyalgia is characterized by chronic pain and fatigue that triggers a functional disability caused by the lack of activity. Pain catastrophizing may contribute to avoiding activity with the intention of managing pain levels. Based on the sedentary behavior with fibromyalgia, the present study assessed the preference of pain-avoidance goals and pain catastrophizing as mediator and moderator variables, respectively, that influence pain perception after a 6-min-walking test. Methods: The sample was composed of 76 women with fibromyalgia (mean age = 55.05, SD = 7.70). Previous sedentary behavior, preference for pain-avoidance goals, and pain catastrophizing were evaluated before starting the walking-test. Subsequently, pain perception was evaluated. Results: A significant moderated-mediation model was found in which pain-avoidance goals mediated the relationship between sedentarism and pain after a walking-test, and pain catastrophizing moderated the relationship between the preference for pain-avoidance goals and pain perception. Specifically, high levels of pain catastrophizing contributed to increased pain perceptions after completing the test (B = 0.570, p = 0.03, CI 95% (0.09, 0.11)]. Conclusions: The results suggest that motivational interventions can improve the symptoms because their objectives are focused on managing conflict goals. These interventions should focus on catastrophic cognitions considering that pain catastrophizing is deemed to be one of the major inhibitors of physical activity in fibromyalgia.
Symptoms in women with fibromyalgia after performing physical activity: the role of pain catastrophizing and disease impact
(Springer, 2022) López-Gómez, Irene; Velasco, Lilian; Gutiérrez, Lorena; Écija, Carmen; Catalá, Patricia; Peñacoba-Puente, Cecilia
Introduction Walking is an efective treatment for symptoms’ management in patients with fbromyalgia. However, despite its benefts, fbromyalgia patients face a variety of obstacles that result in reduced ability to sustain physical exercise. The main goal of the study was to analyze the role of pain catastrophizing and fbromyalgia impact in the relationship between regular walking behavior and pain and fatigue experienced after a laboratory walking test. Method The study has an observational analytical laboratory design. A total of 100 women were contacted by the research team. Seventy-six women diagnosed with fbromyalgia aged 18 years and older (mean age=55.05, SD=7.69) participated. Results Signifcant correlations were found among regular walking behavior, pain catastrophizing, impact of fbromyalgia, pain intensity after walking, and fatigue intensity after walking. The serial multiple mediation analyses confrmed that pain catastrophizing and impact of fbromyalgia mediated the relationship between regular walking behavior and the level of pain (beta B=0.044, 95% CI=[0.01–0.012]) and fatigue (beta B=0.028, 95% CI=[0.01–0.08]) after the laboratory walking test. Also, the participants that walked less regularly experienced more pain and fatigue after the 6-Minute Walk Test. Conclusions Considering cognitive variables alongside the impact of fbromyalgia will help understand the inhibitors of engaging in physical activity. Therapeutic walking programs must be tailored to patients with fbromyalgia to reduce pain and fatigue related to physical activity and to promote better functioning and quality of life.