Physical and psychological paths toward less severe fibromyalgia: A structural equation model

Annals of Physical and Rehabilitation Medicine
Manuel Pulido-MartosFernando Estévez-López

Abstract

Previous research suggested isolated associations of physical and psychological factors with fibromyalgia severity. Integration of physical and psychological, experienced and observed, modifiable factors associated with fibromyalgia severity in a single model will reveal therapeutic paths toward less severity of disease. We aimed to examine an encompassing model of determinants of fibromyalgia severity. This observational, population-based cross-sectional study included 569 people with fibromyalgia. An integrative model of fibromyalgia severity was tested by using structural equation modelling. This model included 8 factors: resilience, catastrophizing, active lifestyle, declarative memory, subjective fitness, objective fitness, psychological distress, and physical fatigue. Two core paths were associated with reduced fibromyalgia severity: 1) a psychological path connecting high resilience and low catastrophizing with low distress and 2) a physical path, connecting a more active lifestyle (directly and via high objective and subjective physical fitness) with low fatigue. Additional interconnecting paths especially suggested a connection from the psychological to physical path. Our model explained 83% of the fibromyalgia severit...Continue Reading

Citations

Jul 2, 2020·International Journal of Environmental Research and Public Health·Yolanda Nadal-NicolásAlejandro Martínez-Rodríguez
Dec 10, 2019·Journal of Health Psychology·Octavio Luque-RecaFernando Estévez-López
Mar 19, 2020·Journal of Clinical Medicine·Víctor Segura-JiménezManuel Delgado-Fernández
Feb 17, 2021·The Medical Clinics of North America·Carmen E Gota
May 1, 2021·Journal of Clinical Medicine·Fernando Estévez-LópezMaría J Álvarez-Cubero

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