Fibromyalgia as a heterogeneous condition: Subgroups of patients based on physical symptoms and cognitive-affective variables related to pain

• M. Pilar Martínez ^[1] ; Ana I. Sánchez ^[1] ; Germán Prados ^[1] ; Maria José Lami Hernández ^[1] ; Beatriz Villar ^[1] ; Elena Miró ^[1]
  1. [1] Universidad de Granada

     Universidad de Granada

     Granada, España

     
• Localización: The Spanish Journal of Psychology, ISSN 1138-7416, Nº 24, 2021
• Idioma: inglés
• DOI: 10.1017/SJP.2021.30
• Enlaces
  • Texto completo
• Dialnet Métricas: 3 Citas
• Resumen

  • Fibromyalgia (FM) is a chronic syndrome characterized by heterogeneous clinical manifestations, and knowing this variability can help to develop tailored treatments. To understand better the heterogeneity of FM the present crosssectional study analyzed the role of several physical symptoms (pain, fatigue and poor sleep quality) and cognitiveaffective variables related to pain (pain catastrophizing, pain vigilance, self-efficacy in pain management, and pain acceptance) in the configuration of clinical profiles. A sample of 161 women with FM fulfilled an interview and several self-report measures to explore physical symptoms, cognitive-affective variables, disability and psychopathology. To establish FM groups a hierarchical cluster analysis was performed. The findings revealed three clusters that differed in the grouping variables, Wilks’ λ = .17, F(14, 304) = 31.50, p < .001, ηp2 = .59. Group 1 (n = 72) was characterized by high physical and psychological affectation, Group 2 (n = 19) by low physical affectation and high pain self-efficacy, and Group 3 (n = 70) by moderate physical affectation and low pain catastrophizing. The external validation of the clusters was confirmed, Wilks’ λ = .72, F(4, 314) = 14.09, p < .001, ηp2 = .15, showing Group 1 the highest levels ofFMimpact and psychopathological distress. Considering the distinctive clinical characteristics of each subgroup therapeutic strategies addressed to the specific needs of each group were suggested. Assessing FM profiles may be key for a better understanding and approach of this syndrome.

• Referencias bibliográficas
  • Alonso-Tapia, J., Garrido-Hernansaiz, H., Rodríguez-Rey, R., Ruiz Díaz, M., & Nieto, C. (2018). Evaluating resilience: Development and...
  • Anderson, K. O., Dowds, B. N., Pelletz, R. E., Edwards,W. T., & Peeters-Asdourian, C. (1995). Development and initial validation of a...
  • Arco García, L., González Pérez, R., Henares Extremera, A., García León, M. A., & Peralta-Ramírez, M. I. (2020). Psychological and sociodemographic...
  • Auvinet, B., & Chaleil, D. (2012). Identification of subgroups among fibromyalgia patients. Reumatismo, 64(4), 250–260. https://doi.org/10.4081/reumatismo.2012.250.
  • Bartley, E. J., Robinson, M. E., & Staud, R. (2018). Pain and fatigue variability patterns distinguish subgroups of fibromyalgia patients....
  • Belenguer, R., Ramos-Casals, M., Siso, A., & Rivera, J. (2009). Clasificación de la fibromialgia: Revisión sistemática de la literatura...
  • Bellato, E., Marini, E., Castoldi, F., Barbasetti, N., Mattei, L., Bonasia,D. E.,&Blonna,D. (2012). Fibromyalgia syndrome: Etiology, pathogenesis,...
  • Bennett, R. M., Bushmakin, A. G., Cappelleri, J. C., Zlateva, G., & Sadosky, A. B. (2009). Minimal clinically important difference in...
  • Bernardy, K., Klose, P., Welsch, P., & Häuser, W. (2018). Efficacy, acceptability and safety of cognitive behavioural therapies in fibromyalgia...
  • Bucourt, E., Martaillé, V., Goupille, P., Joncker-Vannier, I., Huttenberger, B., Réveillère, C.,Mulleman,D., &Courtois, R. (2019). A comparative...
  • Burckhardt, C. S., Clark, S. R., & Bennett, R. M. (1991). The Fibromyalgia Impact Questionnaire: Development and validation. Journal of...
  • Buysse, D. J., Reynolds, C. F., III, Monk, T. H., Berman, S. R., &Kupfer, D. J. (1989). The Pittsburgh SleepQuality Index: A new instrument...
  • Calandre, E. P., García-Carrillo, J., García-Leiva, J. M., RicoVillademoros, F., Molina-Barea, R., & Rodríguez-López, C. M. (2011). Subgrouping...
  • Cheng, S.-T., Leung, C.M. C., Chan, K. L., Chen, P. P., Chow, Y. F., Chung, J. W. Y., Law, A. C. B., Lee, J. S. W., Leing, E. M. F., &...
  • Collado, A., Gómez, E., Coscolla, R., Sunyol, R., Solé, E., Rivera, J., Altarriba, E., Carbonell, J., & Castells, X. (2014). Work, family...
  • Crombez,G., Eccleston, C., VanDamme, S., Vlaeyen, J.W. S., & Karoly, P. (2012). Fear-avoidance model of chronic pain: The next generation....
  • Crombez, G., Eccleston, C., van den Broeck, A., Goubert, L., & van Houdenhove, B. (2004). Hypervigilance to pain in fibromyalgia: The...
  • Derogatis, L. R. (1994). SCL–90–R. Symptom Checklist–90– Revised. Administration, scoring and procedures manual. NCS Pearson.
  • deSouza, J. B.,Goffaux, P., Julien,N., Potvin, S., Charest, J.,& Marchand, S. (2009). Fibromyalgia subgroups: Profiling distinct subgroups...
  • Docampo, E., Collado, A., Escaramís, G., Carbonell, J., Rivera, J., Vidal, J., Alegre, J., Rabionet, R., & Estivill, X. (2013). Cluster...
  • Écija, C., Luque-Reca, O., Suso-Ribera, C., Catala, P., & Peñacoba, C. (2020). Associations of cognitive fusion and pain catastrophizing...
  • Estévez-López, F., Segura-Jiménez, V., Álvarez-Gallardo, I. C., Borges-Cosic, M., Pulido-Martos, M., CarbonellBaeza, A., Aparicio, V. A.,...
  • Fillion, L., Gélinas, C., Simard, S., Savard, J., & Gagnon, P. (2003). Validation evidence for the French Canadian adaptation of the Multidimensional...
  • Follick, B. T., Cherry, B. J., Rutledge, D.N., Zettel-Watson, L., & Jones, C. J. (2016). Heterogeneity in fibromyalgia based upon cognitive...
  • Font, T., Bordoy, C., Mas, A. J., Seoane-Mato, D., Álvarez, F., Delgado, M., Martínez, C., Sánchez-Fernández, S. A., Rojas, L. M., García,...
  • Navarro, N., Sánchez-Piedra, C., Díaz-González, F., Bustabad-Reyes, S., & the Working Group Proyecto EPISER2016. (2020). Prevalence of...
  • Formann, A. K. (1984).Die latent-class-analyse: Einfuhrung in die theorie und anwendung [Class-latent analysis: Introduction to theory and...
  • Galvez-Sánchez, C. M., & Reyes del Paso, G. A. (2020). Diagnostic criteria for fibromyalgia: Critical review and future perspectives....
  • García-Campayo, J., Rodero, R., Alda, M., Sobradiel, N., Montero, J., & Moreno, S. (2008). Validación de la versión española de la Escala...
  • Giesecke, T.,Williams,D.A.,Harris, R. E., Cupps, T. R., Tian, X., Tian, T. X., Gracely, R. H., & Clauw, D. J. (2003). Subgrouping of fibromyalgia...
  • Gonzalez, B., Novo, R., & Peres, R. (2020). Personality and psychopathology heterogeneity in MMPI–2 and healthrelated features infibromyalgia...
  • González de Rivera, J. L., de las Cuevas, C., RodríguezAbuín, M., & Rodríguez-Pulido, F. (2002). SCL–90–R. Cuestionario de 90 síntomas...
  • Häuser, W., Perrot, S., Clauw, D. J., & Fitzcharles, M. A. (2018). Unravelling fibromyalgia-steps toward individualized management. The...
  • Hegarty, R. S.M., Fletcher, B. D., Conner, T. S., Stebbings, S., & Treharne, G. J. (2020). Acceptance and commitment therapy for peoplewith...
  • Hita-Contreras, F., Martínez-López, E., Latorre-Román, P. A., Garrido, F., Santos, M. A., & Martínez-Amat, A. (2014). Reliability and...
  • Horta-Baas, G., & Romero-Figueroa, M. d. S. (2019). Selfreported disability in women with fibromyalgia from a tertiary care center. Advances...
  • Lami, M. J., Martínez, M. P., Miró, E., Sánchez, A. I., & Guzmán, M. A. (2018). Catastrophizing, acceptance, and coping as mediators between...
  • Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007). The fear-avoidance model of musculoskeletal...
  • Loevinger, B. L., Shirtcliff, E. A., Muller, D., Alonso, C., & Coe, C. L. (2012). Delineating psychological and biomedical profiles in...
  • Luciano, J. V., García-Forero, C., Cerdà-Lafont, M., Peñarrubia-María, M. T., Fernández-Vergel, R., Cuesta- Vargas, A. I., Ruíz, J. M., Rozadilla-Sacanell,...
  • Lledó-Boyer, A., Pastor-Mira,M., Pons-Calatayud,N., LópezRoig, S., Rodríguez-Marín, J., & Bruehl, S. (2010). Control beliefs, coping and...
  • Marques, A. P., Assumpção, A., Matsutani, L. A., Pereira, C. A. B., & Lage, L. (2008). Pain in fibromyalgia and discriminative power of...
  • Martín-Aragón, M., Pastor, M. A., Rodríguez-Marín, J., March, M. J., Lledó, A., López-Roig, S., & Terol, M. C. (1999). Percepción de autoeficacia...
  • Martínez, M. P., Miró, E., Sánchez, A. I., Díaz-Piedra, C., Cáliz, R., Vlaeyen, J. W. S., & Buela-Casal, G. (2014). Cognitive-behavioral...
  • Martínez, M. P., Miró, E., Sánchez, A. I., Lami, M. J., Prados, G., & Ávila, D. (2014). Spanish version of the Pain Vigilance and Awareness...
  • McCracken, L. M. (1997). “Attention” to pain in persons with chronic pain: A behavioral approach. Behavior Therapy, 28(2), 271–284. https://doi.org/10.1016/S0005-7894(97)...
  • McCracken, L. M., & Morley, S. (2014). The psychological flexibility model: A basis for integration and progress in psychological approaches...
  • McCracken, L. M., Vowles, K. E., & Eccleston, C. (2004). Acceptance of chronic pain: Component analysis and revised assessment method....
  • Melzack, R. (1987). The Short-FormMcgill PainQuestionnaire. Pain, 30(2), 191–197. https://doi.org/10.1016/0304-3959(87) 91074-8.
  • Muller, V., Chan, F., Iwanaga, K., Wu, J.-R., Chen, X., Lee, B., Tao, J., Rumrill, P., & Bezyak, J. (2020). An empirically derived taxonomy...
  • Munguía-Izquierdo, D., Segura-Jiménez, V., CamilettiMoirón, D., Pulido-Martos, M., Álvarez-Gallardo, I. C., Romero, A., Aparicio, V. A., Carbonell-Baeza,...
  • Okifuji, A., &Hare, B. D. (2013).Management of fibromyalgia syndrome: Review of evidence. Pain & Therapy, 2, 87–104. https://doi.org/10.1007/s40122-013-0016-9.
  • Pardos-Gascón, E.M.,Narambuena, L., Leal-Costa, C.,&vander Hofstadt-Román, C. J. (2021). Differential efficacy between cognitive-behavioral...
  • Pérez-Aranda, A., Andrés-Rodríguez, L., Feliu-Soler, A., Núñez, C., Stephan-Otto, C., Pastor-Mira, M. A., LópezRoig, S., Peñacoba, C., Calandre,...
  • Plazier,M.,Ost, J., Stassijns,G., deRidder,D.,&Vanneste, S. (2015). Pain characteristics in fibromyalgia: Understanding the multiple dimensions...
  • Prados, G., Miró, E., Martínez, M. P., Sánchez, A. I., Lami, M. J., & Cáliz, R. (2020). Combined cognitive-behavioral therapy for fibromyalgia:...
  • Rehm, S. E., Koroschetz, J., Gockel, U., Brosz, M., Freynhagen, R., Tölle, T. R., & Baron, R. (2010). A crosssectional survey of 3035...
  • Rivera, J., & González, T. (2004). The Fibromyalgia Impact Questionnaire: A validated Spanish version to assess the health status in women...
  • Rodero, B., García-Campayo, J., Casanueva, B., López del Hoyo, Y., Serrano-Blanco, A., & Luciano, J. V. (2010). Validation of the Spanish...
  • Sahar, K., Thomas, S. A., & Clarke, S. P. (2016). Adjustment to fibromyalgia: The role of domain-specific self-efficacy and acceptance....
  • Salaffi, F.,Mozzani, F., Draghessi, A., Atzeni, F., Catellani, R., Ciapetti, A., Di Carlo, M., & Sarzi-Puttini, P. (2016). Identifying...
  • Salgueiro, M., Aira, Z., Buesa, I., Bilbao, J., & Azkue, J. J. (2012). Is psychological distress intrinsic to fibromyalgia syndrome? Cross-sectional...
  • Smets, E. M. A., Garssen, B., Bonke, B., & de Haes, J. C. J. M. (1995). The Multidimensional Fatigue Inventory (MFI): Psychometric qualities...
  • Sullivan, M. J. L., Bishop, S. R., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment,...
  • Tangen, S. F., Helvik, A.-S., Eide, H., & Fors, E. A. (2020). Pain acceptance and its impact on function and symptoms in fibromyalgia....
  • Thieme, K., & Turk, D. C. (2006). Heterogeneity of psychophysiological stress responses in fibromyalgia syndrome patients. Arthritis Research&Therapy,...
  • Thieme, K., Mathys, M., & Turk, D. C. (2017). Evidencedbased guidelines on the treatment of fibromyalgia patients: Are they consistent...
  • Thieme, K., Turk, D. C., & Flor, H. (2004). Comorbid depression and anxiety in fibromyalgia syndrome: Relationship to somatic and psychosocial...
  • Thieme, K., Turk, D. C., Gracely, R. H., Maixner, W., & Flor, H. (2015). The relationship among psychological and psychophysiological...
  • Thompson, M., & McCracken, L. M. (2011). Acceptance and related processes in adjustment to chronic pain. Current Pain & Headache Reports,...
  • Torres, X., Bailles, E., Valdés, M., Gutiérrez, F., Peri, J.-M., Arias, A., Gómez, E., & Collado, A. (2013). Personality does not distinguish...
  • Trainor, H., Baranoff, J., Henke, M., & Winefield, H. (2019). Functioning with fibromyalgia: The role of psychological flexibility and...
  • Triñanes, Y., González-Villar, A., Gómez-Perretta, C., & Carrillo de la Peña, M. T. (2014). Profiles in fibromyalgia: Algometry, auditory...
  • Turk, D. C., Okifuji, A., Sinclair, J. D., & Starz, T. W. (1996). Pain, disability, and physical functioning in subgroups of patients...
  • Turk, D. C., Okifuji, A., Sinclair, J. D., & Starz, T. W. (1998). Differential responses by psychosocial subgroups of fibromyalgia syndrome...
  • Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016). Acceptance-and mindfulnessbased interventions for the...
  • Velasco-Furlong, L.,Gutiérrez-Hermoso, L.,Mateos-Pintado, B., Garvi-de Castro, D., Blanco-Rico, S., SanrománCanelada, L., López-Roig, S.,...
  • Verra, M. L., Angst, F., Brioschi, R., Lehmann, S., Keefe, F. J., Staal, J. B., de Bie, R. A., & Aeschlimann, A. (2009). Does classification...
  • Vincent, A., Hoskin, T. L., Whipple, M. O., Clauw, D. J., Barton, D. L., Benzo, R. P., & Williams, D. A. (2014). OMERACT-based fibromyalgia...
  • Wilson, H. D., Robinson, J. P., & Turk, D. C. (2009). Toward the identification of symptom patterns in people with fibromyalgia. Arthritis...
  • Wolfe, F., Clauw, D. J., Fitzcharles, M.-A., Goldenberg, D. L., Katz, R. S., Mease, P., Russell, A. S., Russell, I. J., Winfield, J. B., &...
  • Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark,...
  • Yim, Y.-R., Lee, K.-E., Park, D. J., Kim, S.-H., Nah, S.-S., Lee, J. H., Kim, S.-K., Lee, Y.-A., Hong, S. J., Kim, H. A., Lee, H. S., Kim,...