Examinando por Autor "Suso-Ribera, Carlos"

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Adaptation of the Quality of Life Adolescent Cleft Questionnaire for Spanish children and adolescents with cleft lip and/or palate
(Wiley, 2021) Ruiz-Guillén, Ana; Suso-Ribera, Carlos; Romero-Maroto, Martín; Gallardo, Carmen; Peñacoba, Cecilia
Background: The Quality of Life Adolescent Cleft Questionnaire is a measure of quality of life in cleft lip/palate (CL/P) including items on pre-treatment and posttreatment status. Items, however, were originally organized in a factor structure that prevents a formal pre-treatment to post-treatment comparison. Additionally, the questionnaire was tested in older patients. Aim: We aimed to explore a factor structure that allows a comparison of pre- to posttreatment status in children and adolescents with CL/P. Design: The sample comprised 60 children and adolescents with CL/P. The scale was divided into two groups of items (24 comparing pre-treatment and post-treatment status and 26 measuring current quality of life). Two different exploratory and confirmatory analyses were conducted (one for each group of items). Sources of criterion validity were investigated with measures of self-esteem and self-efficacy. Results: The results supported a 6-factor structure for the pre-treatment and posttreatment items. In the second group of items, 9 items were removed due to inadequate functioning and a final 4-factor solution was obtained. The criterion validity of factors was good. Conclusion: The proposed factor solution might be more useful to detect the perceived satisfaction in different areas and can be used in younger patients.
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).
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.
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.