The mediating role of emotional symptomatology between anticipatory fatigue and the perception of fatigue

• Juan Francisco Rodríguez Testal ^[1] ; Sandra Fuentes Márquez ^[2] ; Cristina Senín Calderón ^[3] ; Miguel Ángel Carrasco ^[4]
  1. [1] Universidad de Sevilla

     Universidad de Sevilla

     Sevilla, España

     
  2. [2] Hospital Juan Ramón Jiménez

     Hospital Juan Ramón Jiménez

     Huelva, España

     
  3. [3] Universidad de Cádiz

     Universidad de Cádiz

     Cádiz, España

     
  4. [4] Universidad Nacional de Educación a Distancia

     Universidad Nacional de Educación a Distancia

     Madrid, España

     

  Mostrar afiliaciones +
• Localización: Psicothema, ISSN-e 1886-144X, ISSN 0214-9915, Vol. 28, Nº. 2, 2016, págs. 187-193
• Idioma: inglés
• DOI: 10.7334/psicothema2015.246
• Títulos paralelos:
  • El papel mediador de la sintomatología emocional entre la fatiga anticipatoria y la percepción de la fatiga
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 1 Cita
• Resumen
  • español

    Antecedentes: la investigación clínica resalta la importancia de variables cognitivas en la predisposición, inicio y mantenimiento de la fatiga percibida. Se analizan los efectos de mediación de la sintomatología emocional entre la fatiga anticipatoria y la percepción de la fatiga física y cognitiva. Métodos: la muestra se compone de 317 participantes (29% de población clínica) de 18 a 76 años. La fatiga anticipatoria y la percepción de la fatiga se midieron a través de escalas de fatiga y los síntomas emocionales a través del Cuestionario GHQ-28. Resultados: la sintomatología depresiva media la relación entre fatiga anticipatoria y la fatiga cognitiva en ambos grupos, y también para el grupo de pacientes cuando además los síntomas son somáticos. En el caso de la fatiga física, el efecto indirecto se da solo para el grupo clínico, siendo la sintomatología depresiva la variable que media parcialmente la relación. Conclusiones: la fatiga anticipatoria tiene un efecto indirecto parcial sobre la fatiga física e indirecto total sobre la fatiga cognitiva, mediado por los síntomas depresivos y somáticos. Este factor cognitivo es relevante en el diseño de la intervención psicológica para la disminución de la fatiga cognitiva y física.

  • English

    Background: Clinical research stresses the importance of cognitive variables for predisposition, onset, and especially, perpetuation of perceived fatigue. The aim was to analyze the mediating effects of emotional symptomatology (somatic, depressive and anxiety) between anticipatory fatigue and perception of physical and cognitive fatigue. Methods: The sample was composed of 317 participants (29% from a clinical population) aged 18 to 76. Anticipatory fatigue and perception of fatigue were measured by fatigue scales. Emotional symptoms were assessed by the General Health Questionnaire, GHQ-28. Results: Depressive symptomatology mediated the relationship between anticipatory fatigue and cognitive fatigue in both groups, and also somatic symptoms/somatization in patients. The indirect effect of physical fatigue was observed only in the clinical group, with depressive symptoms partially mediating the anticipatory fatigue and cognitive fatigue relationship. Conclusions: Anticipatory fatigue has a partial indirect effect on total physical fatigue, and full indirect effect on cognitive fatigue, mediated by depressive and somatic symptoms. Anticipatory fatigue is a relevant cognitive factor in the design of psychological intervention for improvement of cognitive and physical fatigue.

• Referencias bibliográficas
  • American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders, Text Revision4th Ed. [DSM-IV-TR]. Washington...
  • Barlow, D. (2002). Anxiety and its disorders. The nature and treatment of anxiety and panic (2nd ed.). New York: Guilford Press.
  • Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic,...
  • Bol, Y., Duits, A. A., Hupperts, R. M. M., Vlaeyen, J. W. S., & Verhey, F. R. J. (2009). The psychology of fatigue in patients with multiple...
  • Bollen, K. A. (1989). Structural equations with latent variables. New York: John Wiley & Sons.
  • Caseras, X., Mataix-Cols, D., Rimes, K. A., Giampietro, V., Brammer, M., Zelaya, F., …, Godfrey, E. (2008). The neural correlates of fatigue:...
  • Cella, M., & Chalder, T. (2010). Measuring fatigue in clinical and community settings. Journal of Psychosomatic Research, 69(1), 17-22.
  • Cella, M., Chalder, T., & White, P. D. (2011). Does the heterogeneity of chronic fatigue syndrome moderate the response to cognitive behaviour...
  • Chalder, T., Berelowitz, G., Pawlikowska, T., Watts, L., Wessely, S., Wright, D., & Wallace, E. P. (1993). Development of a fatigue scale....
  • Christensen, H., Frostholm, L., Ørnbøl, E., & Schröder, A. (2015). Changes in illness perceptions mediated the effect of cognitive behavioural...
  • Elosua, P., & Zumbo, B.D. (2008). Reliability coeffi cients for ordinal response scales. Psicothema, 20(4), 896-901.
  • Failde, I., & Ramos, I. (2000). Validity and reliability of the SF-36 Health Survey Questionnaire in patients with coronary artery disease....
  • Forero, C. G., Maydeu-Olivares, A., & Gallardo-Pujol, D. (2009). Factor analysis with ordinal indicators: A Monte Carlo study comparing...
  • Fry, A., & Martin, M. (1996). Fatigue in the chronic fatigue syndrome: A cognitive phenomenon? Journal of Psychosomatic Research, 41,...
  • Fuentes-Márquez, S., Senín-Calderón, C., Rodríguez-Testal, J. F., & Carrasco, M. A. (2015). Perceived experience of fatigue in clinical...
  • Goldberg, D. (1996). Cuestionario de Salud General de Goldberg. Barcelona: Masson.
  • Grupe, D. W., & Nitschke, J. B. (2013). Uncertainty and anticipation in anxiety: An integrated neurobiological and psychological perspective....
  • Hayes, A. F. (1996). Permutation test is not distribution-free: Testing H 0 : = 0. Psychological Methods, 1(2), 184.
  • Hayes, A. F., & Preacher, K. J. (2013). Statistical mediation analysis with a multicategorical independent variable. British Journal of...
  • Heins, M., Knoop, H., Nijs, J., Feskens, R., Meeus, M., Moorkens, G., & Bleijenberg, G. (2013). Infl uence of symptom expectancies on...
  • Helbig-Lang, S., Lang, T., Petermann, F., & Hoyer, J. (2012). Anticipatory anxiety as a function of panic attacks and panic-related self-efficacy:...
  • Hollingshead, A. A. (1975). Five Factor Index of Social Position. New Haven, CT: Unpublished manuscript, Yale University.
  • Jöreskog, K. G., & Sörbom, D. (2003). LISREL (8.52). Retrieved from http://www.ssicentral.com/lisrel/
  • Kluger, B. M., Krupp, L. B., & Enoka, R. M. (2013). Fatigue and fatigability in neurologic illnesses: Proposal for a unified taxonomy....
  • Knoop, H., Prins, J. B., Moss-Morris, R., & Bleijenberg, G. (2010). The central role of cognitive processes in the perpetuation of chronic...
  • Knoop, H., van Kessel, K., & Moss-Morris, R. (2012). Which cognitions and behaviours mediate the positive effect of cognitive behavioural...
  • Koval, P., Kuppens, P., Allen, N. B., & Sheeber, L. (2012). Getting stuck in depression: The roles of rumination and emotional inertia....
  • Mallinckrodt, B., Abraham, W. T., Wei, M., & Russell, D. W. (2006). Advances in testing the statistical significance of mediation effects....
  • Müller, J. M., & Wytykowska, A. M. (2005). Psychometric properties and validation of a Polish adaptation of Carver and White’s BIS/BAS...
  • Muthén, B. (1993). Goodness of fit with categorical and other nonnormal variables. In K. A. Bollen & J. S. Long (Eds.), Testing structural...
  • Olino, T. M., McMakin, D. L., Dahl, R. E., Ryan, N. D., Silk, J. S., Birmaher, B., …, Forbes, E. E. (2011). “I won, but I’m not getting my...
  • Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple Mediation models. Behavior Research...
  • Priebe, S., Fakhoury, W. K. H., & Henningsen, P. (2008). Functional incapacity and physical and psychological symptoms: How they interconnect...
  • Rief, W., Glombiewski, J. A., Gollwitzer, M., Schubö, A., Schwarting, R., & Thorwart, A. (2015). Expectancies as core features of mental...
  • Robinson, R. G., & Price, T. R. (1982). Post-stroke depressive disorders: A follow-up study of 103 patients. Stroke, 13(5), 635-641.
  • Ruscio, A. M., Seitchik, A. E., Gentes, E. L., Jones, J. D., & Hallion, L. S. (2011). Perseverative thought: A robust predictor of response...
  • Sáez-Francàs, N., Hernández-Vara, J., Corominas-Roso, M., Alegre, J., Jacas, C., & Casas, M. (2014). Relationship between poor decision-making...
  • Schnur, J. B., Hallquist, M. N., Bovbjerg, D. H., Silverstein, J. H., Stojceska, A., & Montgomery, G. H. (2007). Predictors of expectancies...
  • Shrout, P. E., & Bolger, N. (2002). Mediation in experimental and nonexperimental studies: New procedures and recommendations. Psychological...
  • Valero, S., Sáez-Francàs, N., Calvo, N., Alegre, J., & Casas, M. (2013). The role of neuroticism, perfectionism and depression in chronic...
  • Wearden, A. J., Dunn, G., Dowrick, C., & Morriss, R. K. (2012). Depressive symptoms and pragmatic rehabilitation for chronic fatigue syndrome....
  • Wearden, A. J., & Emsley, R. (2013). Mediators of the effects on fatigue of pragmatic rehabilitation for chronic fatigue syndrome. Journal...
  • Wiborg, J. F., Knoop, H., Prins, J. B., & Bleijenberg, G. (2011). Does a decrease in avoidance behavior and focusing on fatigue mediate...