title: Health goal cognition and adjustment in women with fibromyalgia.
abstract: The purpose of this study was to identify individual differences in symptom-specific goal for persons diagnosed with fibromyalgia syndrome (FMS) and to determine whether those differences are related to adjustment outcomes. Women with FMS (N=71) rank ordered 12 FMS-specific goals and completed a packet of psychosocial outcome measures. Cluster analysis suggested that there were three relatively homogeneous subgroups defined. Cluster 1 ranked goals related to seeking professional care higher than all other groups. Cluster 2 ranked self-sufficiency goals higher than the other two groups. Cluster 3 ranked social-validation goals higher than the other two clusters. Multivariate analyses of variance (MANOVAs) and post-hoc tests showed that goal profiles covaried with differences in pain, negative affect, goal-specific social support, general social support, goal-related interference, and negative life events. Differences between groups are discussed in the context of proposed relations between goals and environmental support.
authors.affiliation: Department of Psychology, University of Kansas, Lawrence, Kansas 66045, USA. nancyh@ku.edu
authors.forename: Nancy A
authors.initials: NA
authors.lastname: Hamilton
authors.forename: Paul
authors.initials: P
authors.lastname: Karoly
authors.forename: Alex J
authors.initials: AJ
authors.lastname: Zautra
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001364:Awareness; D005260:Female; D005356:Fibromyalgia / Q000523:psychology*; D006040:Goals; D006801:Humans; D007206:Individuality; D007389:Internal-External Control; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D010147:Pain Measurement; D017288:Pain Threshold; D012648:Self Care / Q000523:psychology*; D012803:Sick Role; D012944:Social Support