A taxonomy of threat and soothing influences in rheumatic and musculoskeletal diseases and central sensitivity syndromes

• Kim Hijne ^[1] ; Lotte Gerritsen ^[1] ; Ana M. Pinto ^[2] ; José A.P. da Silva ^[2] ; Jonna F. van Eck van der Sluijs ^[3] ; Rinie Geenen ^[1]
  1. [1] Utrecht University

     Utrecht University

     Países Bajos

     
  2. [2] Universidade de Coimbra

     Universidade de Coimbra

     Coimbra (Sé Nova), Portugal

     
  3. [3] Mentaal Beter, Utrecht

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• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 24, Nº. 1, 2024, págs. 91-100
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2023.100420
• Enlaces
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• Resumen

  • Background An imbalance in affect regulation, reflected by a hyperactive threat system and hypoactive soothing system, may impact physical symptoms in people with rheumatic and musculoskeletal diseases (RMD) and central sensitivity syndromes (CSS), including chronic fatigue syndrome, fibromyalgia, and irritable bowel syndrome. This study aimed to identify and structure comprehensive overviews of threat and soothing influences that may worsen or alleviate physical symptoms in people with RMD or CSS.

    Method A concept mapping procedure was used. An online open-question survey (N = 686, 641 [93.4%] women) yielded comprehensive sets of 40 threats and 40 soothers that were individually sorted by people with RMD or CSS (N = 115, 112 [97.4%] women).

    Results Hierarchical cluster analyses generated eight threat clusters: environmental stimuli, physical symptoms, food and drugs, inactivity, demands, effort, invalidation, and emotional stress. Ten soother clusters were identified: social emotional support, rest and balance, pleasant surroundings, illness understanding, positive mindset and autonomy, spirituality, leisure activity, wellness, treatment and care, and nutrition and treats.

    Conclusions Our study provided a comprehensive taxonomy of threats and soothers in people with RMD or CSS. The results can be used in experimental research to label threat and soothing stimuli and in clinical practice to screen and monitor relevant treatment targets.

• Referencias bibliográficas
  • Adams, L. M., & Turk, D. C. (2015). Psychosocial factors and central sensitivity syndromes. Current Rheumatology Reviews, 11(2), 96–108....
  • Austin, J., Drossaert, C. H. C., Schroevers, M. J., Sanderman, R., Kirby, J. N., & Bohlmeijer, E. T. (2021). Compassion-based interventions...
  • Branco, J. C., Rodrigues, A. M., Gouveia, N., Eusebio, M., Ramiro, S., Machado, P. M., da Costa, L. P., Mourao, A. F., Silva, I., Laires,...
  • Gavilan-Carrera, B., Geenen, R., Hughes, C., Barbosa, L., Visser, M., McVeigh, J., … Estevez-Lopez, F. (2022). The NET-RMDs study: Networks...
  • Geenen, R., & Dures, E. (2019). A biopsychosocial network model of fatigue in rheumatoid arthritis: A systematic review. Rheumatology,...
  • Geenen, R., Overman, C. L., Christensen, R., Åsenlof, P., Capela, S., Huisinga, K. L., Husebø, M. E. P., Koke, A. J. A., Paskins, Z., Pitsillidou,...
  • Gilbert, P. (2009). Introducing compassion-focused therapy. Advances in Psychiatric Treatment, 15(3), 199–208. https://doi.org/10.1192/apt.bp.107.005264
  • Gilbert, P. (2014). The origins and nature of compassion focused therapy. British Journal of Clinical Psychology, 53(1), 6–41. https://doi.org/10.1111/bjc.12043
  • Gilbert, P., McEwan, K., Mitra, R., Richter, A., Franks, L., Mills, A., … Gale, C. (2009). An exploration of different types of positive affect...
  • Harandi, T. F., Taghinasab, M. M., & Nayeri, T. D. (2017). The correlation of social support with mental health: A meta-analysis. Electronic...
  • Hassett, A. L., & Clauw, D. J. (2011). Does psychological stress cause chronic pain? Psychiatric Clinics of North America, 34(3), 579–594....
  • Heidari, F., Afshari, M., & Moosazadeh, M. (2017). Prevalence of fibromyalgia in general population and patients, a systematic review...
  • Kocalevent, R. D., Hinz, A., & Brahler, E. (2013). Standardization of a screening instrument (PHQ-15) for somatization syndromes in the...
  • Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic...
  • Lim, E. J., Ahn, Y. C., Jang, E. S., Lee, S. W., Lee, S. H., & Son, C. G. (2020). Systematic review and meta-analysis of the prevalence...
  • Limburg, K., Watson, H. J., Hagger, M. S., & Egan, S. J. (2017). The relationship between perfectionism and psychopathology: A meta-analysis....
  • Lovell, R. M., & Ford, A. C. (2012). Global prevalence of and risk factors for irritable bowel syndrome: A meta-analysis. Clinical Gastroenterology...
  • MacLoad, A. K., & Moore, R. (2000). Positive thinking revisited: Positive cognitions, well- being and mental health. Clinical Psychology...
  • Meeus, M., & Nijs, J. (2007). Central sensitization: A biopsychosocial explanation for chronic widespread pain in patients with fibromyalgia...
  • Minhas, D., & Clauw, D. J. (2021). Pain mechanisms in patients with rheumatic diseases. Rheumatic Disease Clinics of North America, 47(2),...
  • Monden, R., Rosmalen, J. G. M., Wardenaar, K. J., & Creed, F. (2022). Predictors of new onsets of irritable bowel syndrome, chronic fatigue...
  • Morton, L., Cogan, N., Kolacz, J., Calderwood, C., Nikolic, M., Bacon, T., ..., Porges, S.W. (2022). A new measure of feeling safe: Developing...
  • Neff, K. D. (2003). The development and validation of a scale to measure self- compassion. Self and Identity, 2(3), 223–250. https://doi.org/10.1080/...
  • Oei, T. P. S., & Baranoff, J. (2007). Young Schema Questionnaire: Review of psychometric and measurement issues. Australian Journal of...
  • Pinto, A. M., Geenen, R., Wager, T. D., Lumley, M. A., Hauser, W., Kosek, E., … da Silva, J. A. P. (2023). Emotion regulation and the salience...
  • Rosas, S. R., & Kane, M. (2012). Quality and rigor of the concept mapping methodology: A pooled study analysis. Evaluation and Program...
  • Santos, L., Martins, J., Ribeiro da Silva, D., Matos, M., do Rosario Pinheiro, M., & Rijo, D. (2023). Emotional climate in residential...
  • Schmidt, N. B., Joiner, T. E., Young, J. E., & Telch, M. J. (1995). The Schema Questionnaire: Investigation of psychometric properties...
  • Tanaka, Y., Kanazawa, M., Fukudo, S., & Drossman, D. A. (2011). Biopsychosocial model of irritable bowel syndrome. Journal of Neurogastroenterology...
  • Trochim, W. M. K. (1989). An introduction to concept mapping for planning and evaluation. Evaluation and Program Planning, 12(1), 1–16. https://doi.org/10.1016/...
  • Van Middendorp, H., & Evers, A. W. M. (2016). The role of psychological factors in inflammatory rheumatic diseases: From burden to tailored...
  • Veehof, M. M., Trompetter, H. R., Bohlmeijer, E. T., & Schreurs, K. M. G. (2016). Acceptance- and mindfulness-based interventions for...
  • Wood, J. R., & Wood, L. E. (2008). Card sorting: Current practices and beyond. Journal of Usability Studies, 4(1), 1–6. https://doi.org/10.1057/9780230226203.1953
  • Wu, M. J., Zhao, K. L. Y., & Fils-Aime, F. (2022). Response rates of online surveys in published research: A meta-analysis. Computers...
  • Yunus, M. B. (2008). Central sensitivity syndromes: A new paradigm and group nosology for fibromyalgia and overlapping conditions, and the...