Examinando por Autor "Gutiérrez, Lorena"

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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.
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.