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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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| Published in: | International journal of environmental research and public health 2022-01, Vol.19 (3), p.1513 |
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| container_title | International journal of environmental research and public health |
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| creator | Pastor-Mira, María Ángeles López-Roig, Sofía Toribio, Eva Martínez-Zaragoza, Fermín Nardi-Rodríguez, Ainara Peñacoba, Cecilia |
| description | 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. |
| doi_str_mv | 10.3390/ijerph19031513 |
| format | article |
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= -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.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph19031513</identifier><identifier>PMID: 35162534</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Avoidance ; Cross-Sectional Studies ; Exercise ; Fatigue ; Female ; Fibromyalgia ; Goals ; Humans ; Pain ; Physical activity ; Physical fitness ; Preferences ; Quality of life ; Walking</subject><ispartof>International journal of environmental research and public health, 2022-01, Vol.19 (3), p.1513</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-dfe77b51f50f73cae620ef01d9f08398ac813f75fd1f4e5fa14faa8d187fb2d43</citedby><cites>FETCH-LOGICAL-c418t-dfe77b51f50f73cae620ef01d9f08398ac813f75fd1f4e5fa14faa8d187fb2d43</cites><orcidid>0000-0003-3219-4973 ; 0000-0001-5303-4085 ; 0000-0003-0874-0962 ; 0000-0001-6307-5921 ; 0000-0002-9574-1666</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2627532706/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2627532706?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,315,733,786,790,891,25783,27957,27958,37047,37048,44625,53827,53829,75483</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35162534$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pastor-Mira, María Ángeles</creatorcontrib><creatorcontrib>López-Roig, Sofía</creatorcontrib><creatorcontrib>Toribio, Eva</creatorcontrib><creatorcontrib>Martínez-Zaragoza, Fermín</creatorcontrib><creatorcontrib>Nardi-Rodríguez, Ainara</creatorcontrib><creatorcontrib>Peñacoba, Cecilia</creatorcontrib><title>Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia</title><title>International journal of environmental research and public health</title><addtitle>Int J Environ Res Public Health</addtitle><description>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). 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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.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35162534</pmid><doi>10.3390/ijerph19031513</doi><orcidid>https://orcid.org/0000-0003-3219-4973</orcidid><orcidid>https://orcid.org/0000-0001-5303-4085</orcidid><orcidid>https://orcid.org/0000-0003-0874-0962</orcidid><orcidid>https://orcid.org/0000-0001-6307-5921</orcidid><orcidid>https://orcid.org/0000-0002-9574-1666</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Avoidance Cross-Sectional Studies Exercise Fatigue Female Fibromyalgia Goals Humans Pain Physical activity Physical fitness Preferences Quality of life Walking |
| title | Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia |
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