title: Fibromyalgia: predicting openness to counselling referrals.
abstract: Fibromyalgia (FM) is a chronic pain condition that can negatively impact on all aspects of patients' lives. The purpose of this study was: first, to explore the biopsychosocial factors that may contribute to adjustment to FM symptoms; second, to investigate how referrals to counselling related to patients' ratings of their relationship with their physicians; and, last, to examine if self-reports of illness distress, emotional problems, and practical problems can predict who will be open to counselling referrals. For this cross-sectional study, data from 190 people were collected through an online survey. Statistical analysis revealed that emotional problems reported were the best predictor of variance in illness distress and contentment scores. Further, results indicated that referrals made in accord with patients' perceptions that they would benefit from counselling may have a positive influence on how patients rate their relationships with their physicians. Finally, self-reported scores of illness distress, number of emotional problems, and number of practical problems accurately predicted who would be open to counselling referrals in 67% of cases. Research results provide support for addressing emotional issues to facilitate adjustment to FM symptoms, and for use of psychosocial measures to determine when patients with FM will be open to counselling referrals.
authors.affiliation: a College of Health Disciplines , University of British Columbia , Vancouver , Canada.
authors.forename: Natasha A
authors.initials: NA
authors.lastname: Egeli
authors.forename: Peter D
authors.initials: PD
authors.lastname: MacMillan
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D059350:Chronic Pain / Q000523:psychology; D003376:Counseling; D003430:Cross-Sectional Studies; D005260:Female; D005356:Fibromyalgia / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D012017:Referral and Consultation; D057566:Self Report; D055815:Young Adult
keywords: contentment; counselling; doctor–patient relationships; fibromyalgia