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Role of psychological aspects in both chronic pain and in daily functioning in chronic fatigue syndrome: a prospective longitudinal study

Mira Meeus UGent, Jo Nijs, Evelyne Van Mol, Steven Truijen and Kenny De Meirleir (2012) CLINICAL RHEUMATOLOGY. 31(6). p.921-929
abstract
In addition to fatigue, many patients with chronic fatigue syndrome (CFS) experience chronic musculoskeletal pain. We aimed at examining the role of catastrophizing, coping, kinesiophobia, and depression in the chronic pain complaints and in the daily functioning of CFS patients. A consecutive sample of 103 CFS patients experiencing chronic widespread musculoskeletal pain completed a battery of questionnaires evaluating pain, daily functioning, and psychological characteristics (depression, kinesiophobia, pain coping, and catastrophizing). Thirty-nine patients participated in the 6-12-month follow-up, consisting of questionnaires evaluating pain and pressure pain algometry. Correlation and linear regression analyses were performed to identify predictors. The strongest correlations with pain intensity were found for catastrophizing (r = -.462, p < .001) and depression (r = -.439, p < .001). The stepwise multiple regression analysis revealed that catastrophizing was both the immediate main predictor for pain (20.2%) and the main predictor on the longer term (20.1%). The degree of depression was responsible for 10% in the observed variance of the VAS pain after 6-12 months. No significant correlation with pain thresholds could be revealed. The strongest correlations with daily functioning at baseline were found for catastrophizing (r = .435, p < .001) and depression (r = .481, p < .001). Depression was the main predictor for restrictions in daily functioning (23.1%) at baseline. Pain catastrophizing and depression were immediate and long-term main predictors for pain in patients with CFS having chronic widespread musculoskeletal pain. They were also correlated to daily functioning, with depression as the main predictor for restrictions in daily functioning at baseline.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
Catastrophizing, Activities of daily living, Chronic pain, Coping, Depression, Kinesiophobia, LOW-BACK-PAIN, RANDOMIZED CONTROLLED-TRIAL, CHRONIC MUSCULOSKELETAL PAIN, COGNITIVE-BEHAVIOR THERAPY, CATASTROPHIZING SCALE, FIBROMYALGIA, FEAR, SYMPTOMS, EXERCISE, KINESIOPHOBIA
journal title
CLINICAL RHEUMATOLOGY
Clin. Rheumatol.
volume
31
issue
6
pages
921 - 929
Web of Science type
Article
Web of Science id
000306063400004
JCR category
RHEUMATOLOGY
JCR impact factor
2.037 (2012)
JCR rank
18/29 (2012)
JCR quartile
3 (2012)
ISSN
0770-3198
DOI
10.1007/s10067-012-1946-z
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2132805
handle
http://hdl.handle.net/1854/LU-2132805
date created
2012-06-05 13:25:10
date last changed
2012-09-24 15:55:09
@article{2132805,
  abstract     = {In addition to fatigue, many patients with chronic fatigue syndrome (CFS) experience chronic musculoskeletal pain. We aimed at examining the role of catastrophizing, coping, kinesiophobia, and depression in the chronic pain complaints and in the daily functioning of CFS patients. A consecutive sample of 103 CFS patients experiencing chronic widespread musculoskeletal pain completed a battery of questionnaires evaluating pain, daily functioning, and psychological characteristics (depression, kinesiophobia, pain coping, and catastrophizing). Thirty-nine patients participated in the 6-12-month follow-up, consisting of questionnaires evaluating pain and pressure pain algometry. Correlation and linear regression analyses were performed to identify predictors. The strongest correlations with pain intensity were found for catastrophizing (r = -.462, p {\textlangle} .001) and depression (r = -.439, p {\textlangle} .001). The stepwise multiple regression analysis revealed that catastrophizing was both the immediate main predictor for pain (20.2\%) and the main predictor on the longer term (20.1\%). The degree of depression was responsible for 10\% in the observed variance of the VAS pain after 6-12 months. No significant correlation with pain thresholds could be revealed. The strongest correlations with daily functioning at baseline were found for catastrophizing (r = .435, p {\textlangle} .001) and depression (r = .481, p {\textlangle} .001). Depression was the main predictor for restrictions in daily functioning (23.1\%) at baseline. Pain catastrophizing and depression were immediate and long-term main predictors for pain in patients with CFS having chronic widespread musculoskeletal pain. They were also correlated to daily functioning, with depression as the main predictor for restrictions in daily functioning at baseline.},
  author       = {Meeus, Mira and Nijs, Jo and Van Mol, Evelyne and Truijen, Steven and De Meirleir, Kenny},
  issn         = {0770-3198},
  journal      = {CLINICAL RHEUMATOLOGY},
  keyword      = {Catastrophizing,Activities of daily living,Chronic pain,Coping,Depression,Kinesiophobia,LOW-BACK-PAIN,RANDOMIZED CONTROLLED-TRIAL,CHRONIC MUSCULOSKELETAL PAIN,COGNITIVE-BEHAVIOR THERAPY,CATASTROPHIZING SCALE,FIBROMYALGIA,FEAR,SYMPTOMS,EXERCISE,KINESIOPHOBIA},
  language     = {eng},
  number       = {6},
  pages        = {921--929},
  title        = {Role of psychological aspects in both chronic pain and in daily functioning in chronic fatigue syndrome: a prospective longitudinal study},
  url          = {http://dx.doi.org/10.1007/s10067-012-1946-z},
  volume       = {31},
  year         = {2012},
}

Chicago
Meeus, Mira, Jo Nijs, Evelyne Van Mol, Steven Truijen, and Kenny De Meirleir. 2012. “Role of Psychological Aspects in Both Chronic Pain and in Daily Functioning in Chronic Fatigue Syndrome: a Prospective Longitudinal Study.” Clinical Rheumatology 31 (6): 921–929.
APA
Meeus, M., Nijs, J., Van Mol, E., Truijen, S., & De Meirleir, K. (2012). Role of psychological aspects in both chronic pain and in daily functioning in chronic fatigue syndrome: a prospective longitudinal study. CLINICAL RHEUMATOLOGY, 31(6), 921–929.
Vancouver
1.
Meeus M, Nijs J, Van Mol E, Truijen S, De Meirleir K. Role of psychological aspects in both chronic pain and in daily functioning in chronic fatigue syndrome: a prospective longitudinal study. CLINICAL RHEUMATOLOGY. 2012;31(6):921–9.
MLA
Meeus, Mira, Jo Nijs, Evelyne Van Mol, et al. “Role of Psychological Aspects in Both Chronic Pain and in Daily Functioning in Chronic Fatigue Syndrome: a Prospective Longitudinal Study.” CLINICAL RHEUMATOLOGY 31.6 (2012): 921–929. Print.