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

Author

Listed:
  • María Ángeles Pastor-Mira

    (Department of Behavioral Sciences and Health, University Miguel Hernández, 03540 San Juan de Alicante, Spain)

  • Sofía López-Roig

    (Department of Behavioral Sciences and Health, University Miguel Hernández, 03540 San Juan de Alicante, Spain)

  • Eva Toribio

    (Fibromyalgia Unit, Hospital of San Vicente del Raspeig, 03690 Alicante, Spain)

  • Fermín Martínez-Zaragoza

    (Department of Behavioral Sciences and Health, University Miguel Hernández, 03540 San Juan de Alicante, Spain)

  • Ainara Nardi-Rodríguez

    (Department of Behavioral Sciences and Health, University Miguel Hernández, 03540 San Juan de Alicante, Spain)

  • Cecilia Peñacoba

    (Department of Psychology, Rey Juan Carlos University, 28922 Madrid, Spain)

Abstract

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 ( t = −2.44, p = 0.02) and performed worse in the walking task (LongRank = 4.21; p = 0.04). Pain avoidance goal preference increased the likelihood of stopping after the first ( OR = 1.443), second ( OR = 1.493), and third ( OR = 1.540) 6 min walking bout, and the risk of ending the walking activity during the 30 min task ( HR = 1.02, [1.0–1.03]). Influence of pain-related worrying on total walking distance was mediated by goal preferences ( ab = −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.

Suggested Citation

  • María Ángeles Pastor-Mira & Sofía López-Roig & Eva Toribio & Fermín Martínez-Zaragoza & Ainara Nardi-Rodríguez & Cecilia Peñacoba, 2022. "Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia," IJERPH, MDPI, vol. 19(3), pages 1-13, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:3:p:1513-:d:737125
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    References listed on IDEAS

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    1. Dagmar Amtmann & Kendra Liljenquist & Alyssa Bamer & Fraser Bocell & Mark Jensen & Rosanne Wilson & Dennis Turk, 2018. "Measuring Pain Catastrophizing and Pain-Related Self-Efficacy: Expert Panels, Focus Groups, and Cognitive Interviews," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(1), pages 107-117, February.
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