[Cognitive resources of perceived control, stress-recovery processes and affective discomfort in fibromyalgia].
This study evaluates a structural equation model (SEM) of linkages among cognitive control resources (illness-specific efficacy beliefs and internal pain control expectancies), stress/recovery state, and affective discomfort in women with fibromyalgia (n=130). Results were consistent with the proposal that stress/recovery balance mediates the relationship between cognitive resources and affective discomfort. In addition, direct effects of cognitive resources on function limitation were observed, and pain intensity and symptoms were direct predictors of the affective discomfort. Based on the results, the possible interpretation of several cognitive-behavioural techniques commonly employed in the treatment of fibromyalgia are indicated as strategies aimed at finding the correct equilibrium between stress and recovery, and the modification of self-efficacy beliefs and pain control expectancies are fundamental.
González Gutiérrez
José L
JL
Universidad Rey Juan Carlos, Faculdad de Ciencias de la Salud, Madrid, Spain. joseluis.gonzalez@urjc.es
Peñacoba Puente
Cecilia
C
Velasco Furlong
Lilian
L
López-López
Almudena
A
Mercado Romero
Francisco
F
Barjola Valero
Paloma
P
D000339:Affect; D003071:Cognition; D005260:Female; D005356:Fibromyalgia / Q000150:complications* / Q000523:psychology*; D006801:Humans; D008875:Middle Aged; D008960:Models, Psychological; D013315:Stress, Psychological / Q000523:psychology*