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
Fecha
2022
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Elsevier
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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.
Descripción
The authors gratefully acknowledge all participants for their collaboration.
This study was funded by the Health Research Fund (Fondo de Investigación en Salud), grant number PI17/00858 from the Instituto de Salud Carlos (Spain), co-financed by the European Union through the Fondo Europeo de Desarrollo Regional (FEDER). Mª Angeles Pastor-Mira's contribution was supported by a research grant from MINECO (PSI2016-79566-C2-1-R).
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by the Bioethics Committee of Rey Juan Carlos University (Reference PI17/00858).
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Citación
Carmen Ecija, Patricia Catala, Lilian Velasco, Mª Angeles Pastor-Mira, Cecilia Peñacoba, 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, Pain Management Nursing, Volume 23, Issue 6, 2022, Pages 767-775, ISSN 1524-9042, https://doi.org/10.1016/j.pmn.2022.05.007
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