Examinando por Autor "Gutierrez, Lorena"

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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.
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.
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.