Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia

Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persis...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-01, Vol.19 (3), p.1513
Main Authors: Pastor-Mira, María Ángeles, López-Roig, Sofía, Toribio, Eva, Martínez-Zaragoza, Fermín, Nardi-Rodríguez, Ainara, Peñacoba, Cecilia
Format: Article
Language:English
Subjects:
Avoidance
Cross-Sectional Studies
Exercise
Fatigue
Female
Fibromyalgia
Goals
Humans
Pain
Physical activity
Physical fitness
Preferences
Quality of life
Walking
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Summary:Physical activity and exercise are relevant behaviors for fibromyalgia health outcomes; however, patients have difficulties undertaking and maintaining an active lifestyle. With a cross-sectional design, this study explored the role of pain-related worrying and goal preferences in the walking persistence of women with fibromyalgia. The sample included 111 women who attended a tertiary health setting. We adapted the Six-Minute Walk Test where participants decided either to stop or continue walking in five voluntary 6 min bouts. Women who were categorized higher in pain-related worrying reported higher preference for pain avoidance goals ( = -2.44, = 0.02) and performed worse in the walking task (LongRank = 4.21; = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first ( = 1.443), second ( = 1.493), and third ( = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task ( = 1.02, [1.0-1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences ( = -3.25). In interventions targeting adherence in physical activity and exercise, special attention is needed for women who are particularly worried about pain to help decrease their preference for short-term pain avoidance goals relative to long-term goals such as being active through walking.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19031513