Examinando por Autor "Ecija, Carmen"

Mostrando 1 - 3 de 3

Exploring the contextual role of pain severity as a moderator of the relationship between activity patterns and the physical and mental functioning of women with fibromyalgia
(Wiley, 2020-09-27) Suso-Ribera, Carlos; Catalá Mesón, Patricia; Ecija, Carmen; Sanromán, Lucía; López-Gómez, Irene; Pastor-Mira, Ángeles; Peñacoba-Puente, Cecilia
Introduction: In past years, and mostly due to contextual psychological therapies, it has been argued that particular behavioural patterns may be useful in certain con-texts, but not in others. The goal of this study has been to explore whether pain severity is indeed a contextual factor influencing the relationship between two con-troversial activity patterns, namely pacing and persistence, and functionality in peo-ple with fibromyalgia.Methods: Participants were 231 women diagnosed with fibromyalgia. A multivari-ate regression was conducted to explore the moderating role of pain severity in the relationship between activity patterns and outcomes (i.e. fibromyalgia impact and depressive symptoms).Results: Excessive persistence (interaction: t = −2.45, p = 0.015) and pain-con-tingent persistence (interaction: t= −2.13, p = 0.034) were more strongly associ-ated with fibromyalgia impact when people experienced less severe pain. Pacing for pain reduction was only significantly related to depressive symptoms at very severe (M = 10) pain levels (interaction: β= −0.18, t= −2.73).Conclusions: The results here reported suggest that the context in which behaviour occurs is relevant when the utility of certain behaviour patterns is considered. The clinical implications of this are clear, as it would justify adapting the recommenda-tions given to patients according to their pain severity status.Significance: This manuscript shows that some activity patterns (i.e. pacing to conserve energy for valued activities) might be advisable regardless of pain levels. Conversely, some patterns might be especially recommended (i.e. pain-reduction pacing) or inadvisable (i.e. excessive and pain-contingent persistence) depending on pain levels (i.e. severe and mild pain, respectively).
Preference for Hedonic Goals in Fibromyalgia; Is It Always an Avoidance Mechanism? Looking the Relationship with Pain Acceptance from a Positive Psychology Perspective
(Elsevier, 2024) Ecija, Carmen; Gutierrez, Lorena; Catala, Patricia; Peñacoba, Cecilia
The aim of this study was to analyze the effect of openness to experience on pain acceptance through positive affect (PA) considering the moderating role of preference for mood management goals in women with fibromyalgia (FM). A cross-sectional study (n = 231) was carried out. A simple mediation model and a moderate mediation model were conducted by SPSS macro-PROCESS. Results showed that PA mediated positively the effect of openness to experience on acceptance (B = 0.46, SE = 0.80, t = 5,59; 95% CI = [0.3016, 0.6298], p < .001) and that the contribution of openness to experience to PA varied at different values of mood management goals (medium: - .04; ß = .40, p < .001; high: .95; ß = .61, p<.001). Findings may serve as a foundation for tailored interventions to promote activity through acceptance focusing on PA and mood management goals among women with medium to high level of hedonic goals.
When it hurts, a positive attitude may help. The moderating effect of positive affect on the relationship between walking, depression and symptoms in women with fibromyalgia
(Elsevier, 2022) Ecija, Carmen; Catala, Patricia; Velasco, Lilian; Pastor-Mira, Mª Angeles; Peñacoba, Cecilia
Background: Increased exercise is a marker of health in fibromyalgia (FM). However, patients frequently avoid physical activity as a way of minimizing the pain they feel. This deprives them of opportunities to obtain positive reinforcement, increasing functional impact. Aims: This study examines the mediating role of depressive symptoms between walking (as physical exercise), functional impact, and pain, at different levels of positive affect (PA) among women with fibromyalgia. Design: Cross-sectional correlational study. Settings: Mutual aid associations for fibromyalgia in Spain. Participants: 231 women diagnosed with FM. Methods: Moderate mediation analyses were conducted using PROCESS. Results: First, a simple mediation model showed that depression mediated the effect of walking on functional impact, but not on pain. Additionally, the moderated mediated model showed that this effect was significant at medium and high levels of PA, but not when levels of PA were low. Conclusions: Provision of resources focused on positive affect seem to increase the positive effects of walking on functional impact through the reduction of depressive symptoms. Nurses can improve adherence of patients with FM to walking behavior through increasing positive affect.